Brief Intervention Rubric

Please complete the following post-training survey to help us assess your knowledge of the foundations of pain management after completing the training.

IMPORTANT!!
Once you complete the post-training survey and evaluation and click FINISHED, you will be able to view your test results. After viewing your results, click DONE.

If you have difficulties completing this survey, contact Amy Wales at amy.wales@miccsi.org.

Demographics

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* 1. Personal Information

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* 2. What is the 5-digit zip code of the location where you practice most often? (if you are not currently practicing, type "N/A").

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* 3. Please choose your organization from the choices below:

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* 4. Please choose your role:

Post-Training Confidence Assessment

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* 5. On a scale of 1-5 please rate your confidence in managing chronic pain.

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* 6. After attending this training, the approach that best describes how I will manage patients with chronic pain is:

Post-Training Knowledge Assessment

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* 7. Fibromyalgia or centralized pain patients are more frequently diagnosed with:

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* 8. Regarding the interplay between fibromyalgia and depression, which statement is not true

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* 9. Classes of drugs that have been shown to be efficacious in fibromyalgia and other central pain states include:

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* 10. Drugs that are generally effective in peripheral/nociceptive pain states include which of the following:

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* 11. All antidepressants are effective analgesics

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* 12. Central nervous system neurotransmitter abnormalities that are present in fibromyalgia include all of the following except:

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* 13. The clinical features of centralized pain include:

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* 14. When individuals develop centralized pain, their pain is generally less responsive to:

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* 15. Opioids are generally the most effective treatment for severe chronic pain

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* 16. Neuroimaging studies suggest that chronic pain…

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* 17. Which of the following symptoms use the same neurotransmitters and brain pathways as pain processing?

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* 18. Which statement(s) are true about Chronic Overlapping Pain Conditions (COPCs)?

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* 19. Regarding general principals of opioid tapering, which statement is not true?

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* 20. Difficult conversations with patients related to an opioid therapy taper should focus primarily on...

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* 21. SBIRT is…

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