Original Publication
Open Access

Management of Nociceptive Pain for Third-Year Medical Students-Team Based Learning (TBL) Format

Published: August 22, 2012 | 10.15766/mep_2374-8265.9221

Included in this publication:

  • Pain Case Application.doc
  • Pain Instructor Guide.doc
  • Pain RAT Document.doc
  • Pain Student Presession.doc

To view all publication components, extract (i.e., unzip) them from the downloaded .zip file.

Editor's Note: This publication predates our implementation of the Educational Summary Report in 2016 and thus displays a different format than newer publications.


This team-based learning (TBL) module covers the use of nonsteroidal anti-inflammatory drugs (NSAIDs), nonopioid, and opioid analgesics in the treatment of nociceptive pain. Students will be required to establish a treatment plan for cases of nociceptive pain and apply multimodal analgesia when appropriate. This TBL case is one of seven bimonthly TBL modules used in the clinical pharmacology course that is offered to third-year medical students at the American University of Beirut Faculty of Medicine. This individual case has so far been used more than six times. We did not evaluate outcomes of each individual module, so the positive outcomes we observed are for the course as a whole. Nevertheless, we have been observing a very high level of student-to-student interaction during all modules in general. Furthermore, as expected with TBL performance on the group readiness assurance test has always been significantly better than performance on the individual readiness assurance test.

Educational Objectives

By the end of this resource, learners will be able to:

  1. Work effectively in small groups to solve a clinical therapeutic case scenario.
  2. Differentiate the signs and symptoms of nociceptive and neuropathic pain.
  3. Discuss the treatment of both types of pain.
  4. Differentiate nonopioid analgesics from opioid analgesics.
  5. Classify opioid analgesics by potency.
  6. Choose a proper analgesic regimen for the initial treatment of two cases of nociceptive pain: pain from a bone fracture treated surgically and bone pain in a cancer patient.
  7. Choose a proper add-on analgesic regimen to patients with unsatisfactory nociceptive pain relief.
  8. Explain the major adverse effects of analgesic regimens.
  9. Develop a monitoring plan for the efficacy and toxicity of the chosen analgesic therapy.
  10. Practice good prescribing.

Author Information

  • Nathalie K. Zgheib, MD: American University of Beirut - Pharmacology and Toxicology
  • Ghassan Kanazi, MD: American University of Beirut - Anesthesiology
  • Wael Saasouh, MD: Amerian University of Beirut - Anesthesiology

None to report.

None to report.


  1. Zgheib N.K, Simaan J.A, and Sabra R. Using Team Based Learning to Teach Clinical Pharmacology in Medical School: Student Satisfaction and Improved Performance. Journal of Clinical Pharmacology. 2011 Jul; 51(7):1101-11.
  2. Bou Akl I, Ghaddar F, Sabra R, Simaan J, Parmelee D, Zgheib, N Teaching Clinical Pharmacology Using Team Based Learning: A Comparison Between Third and Fourth Year Medical Students. Journal of Clinical Pharmacology. 2011 Dec 15. [Epub ahead of print].


Zgheib N, Kanazi G, Saasouh W. Management of nociceptive pain for third-year medical students-team based learning (TBL) format. MedEdPORTAL. 2012;8:9221. https://doi.org/10.15766/mep_2374-8265.9221