Whole-person Management

This domain focuses on collaborative approaches to decision-making, diversity of treatment options, the importance of patient agency, risk management, flexibility in care, and treatment based on an appropriate understanding of the clinical condition.

Competencies

Foundational

1 Employ informed consent

Learning Objectives
  • Identify treatment options that can be accessed in a comprehensive management plan for pain and addiction
  • Support patients in the identification of individual goals of care
  • Monitor effects of pain and addiction management
  • Articulate the benefits and risks of treatment options
  • Demonstrate an understanding of trauma-informed systems and trauma-informed approach 
  • Identify pain and addiction recovery supports that can be accessed within the community and be able to integrate these into a comprehensive treatment plan
  • Consider contacting one key local support and Document the process of engagement
  • Demonstrate knowledge of evidence-informed medical management of common substance use disorders
  • Implement an individualized pain and addiction management plan that integrates the perspectives of patients, their social support systems, and health care providers in the context of available resources
Recommended Resources

2 Individualize goals of care

Learning Objectives
  • Identify treatment options that can be accessed in a comprehensive management plan for pain and addiction
  • Support patients in the identification of individual goals of care
  • Monitor effects of pain and addiction management
  • Articulate the benefits and risks of treatment options
  • Demonstrate an understanding of trauma-informed systems and trauma-informed approach 
  • Identify pain and addiction recovery supports that can be accessed within the community and be able to integrate these into a comprehensive treatment plan
  • Consider contacting one key local support and Document the process of engagement
  • Demonstrate knowledge of evidence-informed medical management of common substance use disorders
  • Implement an individualized pain and addiction management plan that integrates the perspectives of patients, their social support systems, and health care providers in the context of available resources
Recommended Resources

3 Use a patient-centered approach

Learning Objectives
  • Identify treatment options that can be accessed in a comprehensive management plan for pain and addiction
  • Support patients in the identification of individual goals of care
  • Monitor effects of pain and addiction management
  • Articulate the benefits and risks of treatment options
  • Demonstrate an understanding of trauma-informed systems and trauma-informed approach 
  • Identify pain and addiction recovery supports that can be accessed within the community and be able to integrate these into a comprehensive treatment plan
  • Consider contacting one key local support and Document the process of engagement
  • Demonstrate knowledge of evidence-informed medical management of common substance use disorders
  • Implement an individualized pain and addiction management plan that integrates the perspectives of patients, their social support systems, and health care providers in the context of available resources
Recommended Resources

4 Demonstrate flexibility

Learning Objectives
  • Identify treatment options that can be accessed in a comprehensive management plan for pain and addiction
  • Support patients in the identification of individual goals of care
  • Monitor effects of pain and addiction management
  • Articulate the benefits and risks of treatment options
  • Demonstrate an understanding of trauma-informed systems and trauma-informed approach 
  • Identify pain and addiction recovery supports that can be accessed within the community and be able to integrate these into a comprehensive treatment plan
  • Consider contacting one key local support and Document the process of engagement
  • Demonstrate knowledge of evidence-informed medical management of common substance use disorders
  • Implement an individualized pain and addiction management plan that integrates the perspectives of patients, their social support systems, and health care providers in the context of available resources
Recommended Resources

5 Identify and overcome barriers to care

Learning Objectives
  • Assess for motivation to change and demonstrate skills to enhance patient participation
  • Illustrate harm reduction at the individual level and the broader community and societal levels
  • Describe how intrapersonal/interpersonal, system factors, and cultural factors contribute to stigma
  • Discuss the role of stigma in the assessment and management of pain and addiction
Recommended Resources

6 Promote self-efficacy

Learning Objectives
  • Explain how health promotion strategies are important to the management of pain and addiction
  • Explain how patient agency and self-management skills are critical for effective pain management and addiction recovery
  • Describe common disorders that co-occur with pain and addiction
  • Describe common evidence-based theoretical frameworks for psychosocial counseling
  • Describe social determinants of health and identify local, provincial, and national systems and services that address them
  • Develop a resource map to aid in communicating with local agencies
Recommended Resources

7 Promote wellness

Learning Objectives
  • Explain how health promotion strategies are important to the management of pain and addiction
  • Explain how patient agency and self-management skills are critical for effective pain management and addiction recovery
  • Describe common disorders that co-occur with pain and addiction
  • Describe common evidence-based theoretical frameworks for psychosocial counseling
  • Describe social determinants of health and identify local, provincial, and national systems and services that address them
  • Develop a resource map to aid in communicating with local agencies
Recommended Resources

8 Understand the terminology and why the terminology changes

Learning Objectives
  • Compare and contract DSM-IV and DSM-5
  • Evolution of language used to describe chronic pain using the ICD11 classification system
Recommended Resources
  • RESOURCES COMING

9 Understand each role of the circle of care

Learning Objectives
  • Explain the development of an inter-professional team approach.
  • Understand the roles within a multi-disciplinary team
  • Describe the role and contribution of each team member within a patient’s care plan
Recommended Resources

10 Be aware of avenues of support

Learning Objectives
  • Explain the development of an inter-professional team approach.
  • Understand the roles within a multi-disciplinary team
  • Describe the role and contribution of each team member within a patient’s care plan
Recommended Resources

11 Understand the physiology and natural history of addiction by substance

Learning Objectives
  • Describe the short and long-term effects that common substances have on the human body
  • Describe and differentiate the withdrawal states of common substances
Recommended Resources
  • J. H. (2016). Substance use disorders (Document)
    A clinical overview of substance use disorders, focusing on epidemiology, prevention, diagnosis, complications, and management.
  • Practical Approach to Substance Use Disorder for the Family Physician (Document)
    A quick reference Booklet designed to help family physicians at all stages recognize and treat the most common substance use disorders that also cause the greatest population health effects—nicotine, alcohol, and opioids.

12 Understand the role of neuroplasticity

Learning Objectives
  • Understand the role of neuroplasticity in the development and maintenance of chronic pain
Recommended Resources

Advanced

1 Understand and promote patient agency

Learning Objectives
  • Demonstrate the inclusion of patients and others in knowledge sharing and treatment planning
  • Describe how the loss of connection interferes with recovery
  • Describe how peer support and other spiritual interventions can aid recovery.
  • Illustrate harm reduction at the individual level and the broader community and societal levels
Recommended Resources
  • RESOURCES COMING

2 Be an advocate

Learning Objectives
  • Advocate within and outside the health care system for people experiencing pain and addictive disorders
Recommended Resources
  • Overdose (Book)
    A look at Canada’s opioid crisis and unveils the many complexities of the crisis and offers a new way forward—one that may save thousands of lives.

3 Be a mentor

Learning Objectives
  • Demonstrate the ability to be a Medical Expert, Communicator, Collaborator, Leader, Health Advocate, Scholar, and Professional
Recommended Resources
  • CanMEDS Framework (Website)
    The CanMEDS framework identifies and describes the abilities physicians require to effectively meet the health care needs of the people they serve.