The Sociology of Chronic Pain
Learners completing this activity report improvements in:
- Discussing self-medication tactics and socioeconomic variables with patients
- Updating patient intake forms
- Evaluating patients based upon their entire life experience
Pain and pain treatment reflect, and have wide-ranging implications for, public policy. Whether we analyze pain quantitatively or qualitatively, focusing on its distribution in the population, its social causes and consequences, or its subjective meanings for individuals, pain reflects the social conditions, sociopolitical context, and health0-related beliefs of a society.
Within the biopsychosocial model of pain, "social forces" or "social determinants" are largely researched and understood as social-psychological factors. Thus neglecting the role of structural inequalities that shape who experiences pain, how they experience it, and how others view their pain. Additionally, upstream, fundamental driving factors such as public policy, medical, pharmaceutical and insurance industries, and the socio-political context underlies all of these factors and their interrelationships. To ignore these upstream determinants is to have an incomplete understanding of pain.
Medical sociology can and must rebalance the lopsided biomedically-focused pain models with a greater understanding of the social context and its profound effect on pain.
As a result of participating in this activity, learners will be able/better able to:
- Apply a better understanding of the impacts of chronic pain on all-cause mortality when developing treatment plans and communicating with patients
- Begin or increase the frequency of discussing with my patients whether they may be using alcohol to self-medicate or as a distractor of pain
- Utilize the responses to diagnostic questions inquiring about financial hardships for patients with chronic pain
Desirable Physician Attributes
- Systems-based Practice [ACGME/ABMS] Awareness and responsiveness to larger context and system of health care, use of system resources
- Patient Care [ACGME/ABMS & IOM] Provide care that is compassionate, appropriate and effective for the treatment of health problems and the promotion of health
- Provide Patient-centered Care [IOM] Identify, respect, and care about patients’ differences, values, preferences and expressed needs; listen to, clearly inform, communicate with, and educate patients; share decision making and management; and continuously advocate disease prevention, wellness, and promotion of healthy lifestyles, including a focus on population health
- Interpersonal and Communication Skills [ACGME/ABMS] The effective information exchange and teaming with patients, their families, and other health professionals
- Professionalism [ACGME/ABMS] Demonstrate a commitment to carrying out professional responsibilities, adherence to ethical principles and sensitivity to diverse patient populations.
- Medical Knowledge [ACGME/ABMS] about established and evolving biomedical, clinical, and cognate (e.g. epidemiological and social-behavioral) sciences and the application of this knowledge to patient care.
This course addresses requirements for physicians and surgeons to participate in continuing education that includes specified instruction in the understanding of implicit bias in medical treatment.
- Cultural competency. For the purposes of this section, “cultural competency” means a set of integrated attitudes, knowledge, and skills that enables a health care professional or organization to care effectively for patients from diverse cultures, groups, and communities. At a minimum, cultural competency is recommended to include the following:
- Applying linguistic skills to communicate effectively with the target population.
- Utilizing cultural information to establish therapeutic relationships.
- Eliciting and incorporating pertinent cultural data in diagnosis and treatment.
- Understanding and applying cultural and ethnic data to the process of clinical care, including, as appropriate, information pertinent to the appropriate treatment of, and provision of care to, the lesbian, gay, bisexual, transgender, and intersex communities.
Accreditation & Designation
Release date: This activity was released 8/27/2021.
Termination date: The content of this activity remains eligible for CME Credit until 8/26/2024, unless reviewed or amended prior to this date.
Neurovations Education is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
Neurovations Education designates this other activity (blended learning) for a maximum of 0.75 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Disclosure of Financial Relationships
Neither the presenter, reviewers nor any other person with control of, or responsibility for, the planning, delivery, or evaluation of accredited continuing education has, or has had within the past 24 months, any financial relationship(s) to disclose with ineligible companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.
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