Session Title: msk – Case 5 Inflammatory Low Back Pain Learning Objectives

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earning Framework

Session Title: MSK – Case 5 Inflammatory Low Back Pain
Learning Objectives:
By the end of the session, learners will be able to:

Identify inflammatory versus non-inflammatory signs and symptoms
List 3 assessment tools that may be useful
Identity appropriate investigations
Appropriate access of RACE line

Tools:

Patient Questionnaire
MSK Differential Diagnosis
Investigations
RACE

Patient Populations:

Back Dominant Pain with Inflammatory History
Adult Male, 31 year old
Primary care practice

Patient	Condition	Issues	Tools
Jonathon, 31 years old	Low Back pain x 6 weeks not resolving with appropriate care and associated with prolonged morning stiffness.	Stiff and limited range of motion with > 2 hours of morning stiffness Not responding to appropriate care. Identification of inflammatory versus mechanical low back pain. Need for investigations and RACE referral	Patient Questionnaire to identify history and function. Core Tool Q 4 Red Flag MSK Differential Diagnosis for Inflammatory conditions Investigation RACE Line Access

Time: 30 minutes
Materials:

Facilitator laptop connected to internet and projector with display screen
Wireless Network connection instructions projected on display screen
Power point slide deck
Tools (1 each per attendee)
Session Evaluation Forms (1 per attendee)
Handout (1 per attendee)

References:

January 2013, Current Clinical Care, Low Back Pain
Top Low Back Pain Guidelines

Agenda:

Time	Topic	Delivery Format
3 min	Introductions and Session Overview	Didactic presentation
1 min	Objectives	Didactic presentation
15 min	Case study	Facilitated conversation
10 min	Questions	Q&A
2 min	Review and Wrap-up	Didactic presentation, Evaluation forms

Assessment:

How many participants can identify the appropriate pattern and explain the supporting history and physical findings.
Can participants list 3 assessment tools that may be useful?
Can participants screen for inflammatory low back pain signs and symptoms ?
Can participants access RACE line with appropriate reason for referral?

Procedure:

Time	Directions	Slide Showing
[10 min before session starts]	Pre-session facilitator preparations Show slide on Objectives Set up room Introduce yourself to participants as they come in	Slide 4
3 min	Introductions and Session Overview Welcome, encouragement to learn and appreciative of time commitment Use Tent cards with learners name and practice location. Session Facilitator introduces profile of group and asks that each participant introduces self on first time speaking. Show Slide 2&3 and briefly go over disclosures	Slide 1 Slide 2&3
1 min	Objectives Show Slide 4 and review intended learning objectives: By the end of the session, learners will be able to… Identify inflammatory versus non-inflammatory signs and symptoms List 3 assessment tools that may be useful Identity appropriate investigations Appropriate access of RACE line	Slide 4
15 min	Case Study (Jonathon ,31 – Inflammatory Back Pain) Present case information one slide at a time, pausing where appropriate to solicit participant input Slide 5- what else would people want to know from history (before slide 6) Slide 6- ask audience- what assessment tools would they use? Slide 7- before physical exam slide, ask the audience what kind of things they’d look for Slide 14 Slide 17- Ask audience about determination of appropriate referrals for investigation and consultation. Use the handout resources which will help guide you in facilitating participant questioning and discussion at key points [Timing reminder: you have about 2 minutes to cover each slide*]	Slides 5-18
10 min	Questions Ask if the audience has any questions Discuss questions and ask if participants have other responses to offer	Slide 18
1 min	Wrap-up Briefly summarize session Give overview of resources Review learning objectives and ask if they were achieved Hand out evaluation forms – ask participants to complete before leaving room Thank participants for their participation and provide take-home resource	Slide 19-21