2021 4PCP Patient Skills Training

The CE activity will help physicians overcome the traditional expectations held by patients that a drug is the automatic response to any symptom or disease. The education is designed to help learners overcome the blinders associated with biopharmacologic model to expand their horizons to understand new possibly more effective strategies for the management of chronic pain. The CE activity will help learners overcome the reluctance to involve PT and Psychology as a team in the management of their patients.

The current frustration and associated heart sink response doctors have with pain management will be motivation to apply new learned skill sets. Practitioners will be able to take advantage of the ‘bio’ skill set that they have already developed to compliment the new skill sets introduced in this education. Chronic pain education ranges from zero to six hours in most medical schools and is biased towards a biopharmacologic approach. The opioid crisis is an unintended consequence of this rote reliance on drugs. The biopharmacologic model targets the pain signal with drugs but does not address the deeper factors that sustain the chronic pain syndrome.

Target Audience

  • Primary Care Practitioners
  • Physical Therapists
  • Patients with chronic pain

Learning Objectives

  • Given a patient with chronic pain, explain how you would approach the patient differently using biobehavioral vs biopharmacologic model, as explained by the 4PCP modules.
  • For patients with chronic pain, the practitioner will monitor their own Prescription Drug Monitoring Program (PDMP) until they see a satisfactory decrement in opioid prescribing.
  • For a patient with chronic pain, the physician will be able to identify, explore, and recount the patients status in the following domains as explained by the 4PCP Modules:

Pain beliefs

Additional information


Elizabeth Heimerl-Rolland
Phone Number: 
+1 (414) 955-4895
Course summary
Available credit: 
  • 12.00 AMA PRA Category 1 Credit(s)™
    AMA PRA Category 1 Credit(s)™
  • 12.00 Hours of Participation
    Hours of Participation credit.
Course opens: 
Course expires: 

Activity Directors:
Thomas Chelimsky, MD
Gisela Chelimsky, MD

Planning Team Members:
Pippa Simpson, PhD (stats)
Ian Worcester, BS (CRC)
Jeff Janata, PhD – UH Cleveland
Ted Parran, MD – Case Western

No one in control of content has any relevant financial relationship to disclose, except for the following:

Giesla ChelimskyPainstakersCo-owner
Thomas ChelimskyPainstakersCo-owner

The Medical College of Wisconsin is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The Medical College of Wisconsin designates this enduring material for a maximum of 12.00 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. 

Available Credit

  • 12.00 AMA PRA Category 1 Credit(s)™
    AMA PRA Category 1 Credit(s)™
  • 12.00 Hours of Participation
    Hours of Participation credit.


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