Interprofessional Core Curriculum
an interprofessional workshop
Advanced Pain Management
Attend Pain Management: Building on the Basics (Part 2 of the Pain Management Series) An interactive and interprofessional education workshop designed to improve collaboration and communication among healthcare professionals who care for patients living with cancer. Wednesday, May 13, 2009, 4:00 – 7:30 PM Cape Breton Regional Hospital, Room 3612 Please arrive 15 minutes prior the to start time of the workhop.
There will be a light supper offered at the CBRH site.
Session will be available via videoconference at the following sites: Amherst (Cumberland Regional Hospital, Conf. Rm. 3), and New Glasgow (Aberdeen Hospital, Room 550 – 5 West), with a limited number of participants at each site.
Facilitators:
John Ritter, Palliative Care Physician, CBDHA Beth Latham, Palliative Care Consult Nurse, CBDHA This program has been accredited by Dalhousie University Continuing Medical Education and the Division of Continuing Pharmacy Education. For credentialing details, please see the registration form. There is no charge for registration.
Space is limited so please register early.
To register: Fax the registration form on the back of this page to Cancer Care Nova Scotia at 902-473-6412, Attention: Allison MacDonald. Registration form is also available at: www.cancercare.ns.ca
Pain Management : Building on the Basics
(Part Two in the Pain Management Series) Cape Breton Regional Hospital, Room 3612
Wednesday, May 13, 2009, 4:00 PM – 7:30 PM
REGISTRATION FORM
PLEASE PRINT CLEARLY (We are unable to process illegible or incomplete forms) Name: ______________________________________Email: _______________________________ Work Address: Hospital/Facility Name ______________________________________________ Department ___________________Unit _________________Floor ______Street Number_______ Street Name____________________City______________________ Postal Code: _____________ Phone: (W) ___________________ (H) ___________________ Fax: ___________________
Please check one: Family Physician Physician Specialist – please specify _____________________________________ Nurse – please specify ________________________________________________ LPN – please specify _________________________________________________ Social Worker Spiritual Care/Chaplain Pharmacist Dietitian Other – please specify _________________________________________________ I work in a: Community setting Hospital setting Long-Term care setting I intend to take part via videoconference at: Amherst New Glasgow
As an accredited provider, Dalhousie University, CME designates this continuing medical education activity for 3.5 credit hours for MAINPRO M-1 of the College of Family Physicians of Canada and reciprocally for the American Academy of Family Physicians. This event is an accredited group learning Section 1 activity as defined by the Maintenance of Certification Program of the Royal College of Physicians and Surgeons of Canada and reciprocally for AMA Category 1 of the Physician’s Recognition Award. This program is accredited for 3.5 CEUs by the Division of Continuing Pharmacy Education, College of Pharmacy, file number CED-2009-008. The College of Registered Nurses of Nova Scotia has adopted a continuing competence program, “Building Your Profile,” to assist registered nurses with a mechanism to maintain their ongoing competence. Registered nurses, in identifying their learning needs around the care of oncology patients and their families, will benefit from this educational program that engages them in reflective practice and the integration of learning into their practice. CCNS collects and uses your above information for administrative purposes related to this session. For physicians only: this information is also provided to Dalhousie CME for CME credit. CCNS retains this information for follow-up with participants (this may include contacting you for research and evaluation purposes) and to keep a history of an individual’s participation in CCNS educational programs. CCNS does not use or share any individual’s information for other purposes without obtaining the individual’s consent. CCNS Privacy Statement is available on our website.
Space is limited – please register early.
To register: Please fax this form to Cancer Care Nova Scotia, 902-473-6412, Attention: Allison MacDonald