No Pain Left Behind: Achieving Adequate and Equitable Pain Management in the Emergency Department (ADIEM Sponsored)
At least 75% of the ED visits’ chief complaints are pain related, with 40% of those as an exacerbation of an underlying chronic pain condition. In addition to the fact that the ED is not the optimal setting to treat acute on chronic pain, some populations have had less success than others when desperately turning to the ED for pain relief. For more than a few decades, racial and ethnic disparities in the management of pain in the ED have been consistently documented, especially for sickle cell, cancer and palliative patients. Using evidence-based data and experts' opinions, we will 1) present the unfortunate documented racial disparities in pain management in the adult, obstetric and pediatric EDs and dissect various etiologies, 2) highlight the dramatic impact of failing to appropriately treat pain in these vulnerable populations, 3) discuss found patterns of disparity and bias in the acute vs chronic settings, and 4) provide practical tools and actionable items, on the individual and institutional scale, to help ED physicians mitigate this impossible task of treating acute on chronic pain in the ED. Speakers have extensive experience working with chronic pain populations, have solicited multiple experts in various fields namely Emergency Medicine, chronic pain medicine, addiction medicine, palliative medicine and hematology /oncology; and have a known presence to the SAEM stage.
Presenters:
- Abdoul M. Kone, MD
- Malford T. Pillow, MD, MEd
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Abdoul M. Kone, MD
Baylor College of Medicine
Dr. Kone is from Ivory Coast, West African, a population with a heavy predominance in sickle cell disease. He went to medical school in an elite international military medical school (ESSAL) in Togo on the single scholarship from Ivory coast for that school. He later emigrated to the USA where he started all over from English as a Second Language to college and then Medical school at Howard University. Throughout his 4 years as a medical student, he was heavily involved with the Center for Sickle Cell Disease. He also worked at the National Institute of Health (NIH) in Maryland where he published on a protein marker of graft rejection after stem cell transplant in SCD. Dr. Kone is now an emergency medicine resident aiming to subspecialize in chronic pain management. He plans on making appropriate pain management a priority in the care of patients visiting the emergecy department. His ultimate goal is to find a sensitive marker of pain. Until then, he urges us to mainly rely on what makes us the best: compassion and empathy.
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Malford T. Pillow, MD, MEd
Baylor College of Medicine
Dr. M. Tyson Pillow completed his undergraduate training at Rice University, and his medical school training at Baylor College of Medicine in Houston, TX. After 3 years of Emergency Medicine Residency training at the University of Chicago, he returned to Baylor as faculty in the Department of Emergency Medicine. During this time, he also completed a Masters in Education program at the University of Houston. He currently serves as the Vice Chair for Faculty Affairs and Achievement for the Department of Emergency Medicine, and the Vice Chair for Education and Faculty Development for the Department of Education, Innovation & Technology at Baylor College of Medicine.
Dr. Pillow’s interests focus on education, including education technology, simulation, standardized patients, feedback and evaluation, and bedside teaching. He has received numerous teaching awards, including the John P. McGovern Teaching Award (2013, 2017, 2021), the Council of Residency Directors National Faculty Teaching Award (2012, 2022), and 6 total NRF awards. He has also delivered multiple workshops on Education Technology at ACGME annual meeting, AAMC annual meeting, national Emergency Medicine academic meetings, and even the IAMSE annual meeting.