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.

Abstract

This Team-based Learning (TBL) module is one of 7 bimonthly TBL modules used in the clinical pharmacology course that is offered to third year medical students. The main objective of the course is to apply rational prescribing within several clinical case scenarios. Upon completion of this module, students will be able to understand the use of non-steroidal anti-inflammatory drugs (NSAIDs), non-opioid, 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 is one of 7 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. The clinical pharmacology course was initiated in 2008 when it was first offered to fourth year medical students, and then it was gradually moved to third year medical students. Two articles describing the course and its outcome have been recently published. We have shown that medical students were highly satisfied with the course and the teaching approach, and that their performance on prescription writing and formulary development had improved. Two articles describing the course and its outcome have been recently published.
This case has so far been used for more than 6 times. Note that we did not evaluate outcome of each individual module, and the positive outcomes that were published are for the course as a whole. Nevertheless, we have been observing a very high level of student-student interaction during all modules in general, and the pain session in particular. Furthermore, and as expected with TBL, performance on the GRAT has always been significantly better than performance on the IRAT.

Educational Objectives

  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 non-opioid analgesics from opioid analgesics.
  5. Classify opioid analgesics by potency.
  6. Choose a proper analgesic regimen for the initial treatment of 2 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

Disclosures
None to report.

Funding/Support
None to report.


References

  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].


Citation

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