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10 Dr Dominic Aldington agement. This shift should be accompanied by initiatives to boost the education of healthcare profes- sionals on the adequate use of analgesics taking into account the physiological differences of the underlying pain. PAIN EDUCATION Since pain assessment is essential for successful pain management a thorough understanding of pain pathophysiology is of high rele- vance. CHANGE PAIN is committed to improve patient outcomes by de- veloping solutions for daily practice. PAIN EDUCATION is a new educa- tional programme focusing on the insights resulting from the discus- sions of the CHANGE PAIN group. Three comprehensive eCME modules which will offer a basis for a structured and lasting educational approach in line with the criteria for European accreditation (UEMS- EACCME) are currently being devel- oped. By ensuring a modular learning approach the courses will be adaptable to the individual needs of healthcare professionals.The one hour eCME modules will outline learning objectives based on a detailed needs assessment and involve a post-test questionnaire to deepen physician's knowledge. In order to provide enhanced pain management there are a number of key factors which need to be ad- dressed. Better physician-patient communication and pain assess- ment skills will help to meet individ- ual treatment targets. Improved knowledge of the pharmacological differences of available treatment options and better understanding of the underlying pain mechanisms will help to choose the right therapy for the individual patient. These as- pects can only be implemented through advances in medical educa- tion. A greater emphasis needs to be placed upon pain management at PAIN EDUCATION – MODULAR LEARNING WITH COMPREHENSIVE E-CME the medical undergraduate level. For example a recent report in the UK showed that the median time spent on pain management by a medical student was only 13 hours, and could be as little as 6 hours. Furthermore, the subject was taught ”as piecemeal“, i.e. as part of other topics and not as a module in its own right (British Pain Society, 2009). Considering that pain management ideally involves measuring symp- toms and treating the underlying pain mechanisms, the focus of pain education needs to change from symptom control to multi-modal mechanism-orientated pain man- COMMENTARY Dr Dominic Aldington, Churchill Hospital, Oxford, UK Thorough understanding of pain and its under- lying mechanisms is essential for individualized multi-modal management of chronic pain. Physiological differences, e.g. nociceptive vs neuropathic pain, need to be identified in order to choose the best treatment for the individual patient. However, current pain management is in many cases driven by tradition and personal experience focusing mainly on symptom control. In order to improve the treatment of chronic pain patients a better education of healthcare professionals on the pathophysiological principles and adequate use of analgesics is of high relevance.The newly developed training programme PAIN EDUCATION captures these needs – to improve medical education of healthcare professionals. References 1. Survey of undergraduate pain curricula for healthcare professional in the United King- dom: A short report.The Pain Education Special Interest Group of the British Pain Society, London, UK, 2009. www.british- report_survey.pdf