GRADUATE COUNCIL NEW COURSE/PROGRAM PROPOSAL

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Shavonne Gray
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1 GRADUATE COUNCIL NEW COURSE/PROGRAM PROPOSAL ORIGINATING UNIT: School of Nurse Anesthesia TYPE OF ACTION: New course X New program X Fully Online Course/Program** Semester and year program will take effect: Fall 2016 NEW PROGRAM TITLE: A Post Master s/doctorate Certificate Program: TCU School of Nurse Anesthesia/American Association of Nurse Anesthetists (AANA) Post- Graduate Advanced Non-Surgical Pain Management Program Appropriate computer abbreviation (30 spaces or less): NS Adv Pain Mgmt Prog New course numbers: Post Graduate Certificate: Advanced Non-Surgical Pain Management Course Schema Semester I (fall) Semester II (spring) Semester III (summer) NRAN (1 HR) Comprehensive Pain Treatment Clinical Practicum I (80 Contact Hours) NRAN (1 HR) Comprehensive Pain Treatment Clinical Practicum II (80 Contact Hours) NRAN (1 HR) Comprehensive Pain Treatment Clinical Practicum III (80 Contact Hours)

2 NRAN (3 HR) Advanced Theoretical Foundations of Pain J. Loch NRAN (3 HR) Advanced Assessment & Diagnosis M. Wallace NRAN (3 HR) Interventional Pain Strategies for Advanced Pain Practice J. Rowles NRAN (3 HR) Imaging & Radiation Safety S. Wooden NRAN (3 HR) Advanced Pharmacological, Botanical, Herbal, and Homeopathic Treatments M. Wallace NRAN (1 HR) Functional Health and Functional Health Assessment J. Loch NRAN (1 HR) Developmental, Psychological, Emotional, Cultural Factors & Treatments Related to Pain M. Wallace NRAN (1 HR) Spiritual Aspects of Health J. Loch NRAN (1 HR) Local, Regional, and Global Structural Aspects Related to Pain J. Loch 8 HR 8 HR 6 HR Total Credits = 22 Prerequisites for new program (catalog copy): To be admitted, students must be a Certified Registered Nurse Anesthetists (CRNAs) who hold a graduate degree. Completion of the AANA Jack Neary I Workshop is required prior to enrollment in the program. This workshop includes 5 AANALearn online modules and a Physical Assessment course offered by the AANA. DESCRIPTION OF PROGRAM (catalog copy): This post-masters certificate program in advanced pain management for nurse anesthetists is comprised of a classroom component offered via distance education (didactic education) and a clinical component (hands-on clinical experience offered through one or more clinical sites). 2

3 This program is accredited by the Council on Accreditation of Nurse Anesthesia Educational Programs (COA) and meets or exceeds the COA Fellowship Standards. The goal of this postgraduate program is to approach pain management holistically by addressing the treatment of pain in ways that ultimately seek to restore normal homeostatic well-being. When a return to normal and healthy regulation is not possible, the fellow will seek to provide comfort, hope and meaning to support a patient s highest potential of human functioning. Required Courses (catalog copy): NRAN NRAN NRAN NRAN NRAN NRAN NRAN NRAN NRAN NRAN NRAN NRAN Comprehensive Pain Treatment Clinical Practicum I Advanced Theoretical Foundations of Pain Imaging and Radiation Safety Developmental, Psychological, Cultural Factors & Treatments Related to Pain Comprehensive Pain Treatment Clinical Practicum II Advanced Assessment & Diagnosis Advanced Pharmacology, Botanical, Herbal, & Homeopathic Treatments Spiritual Aspects of Health Comprehensive Pain Treatment Clinical Practicum III Interventional Pain Strategies for Advanced Pain Practice Functional Health & Functional Health Assessment Local, Regional, & Global Structural Aspects Related to Pain Fully Online Courses/Programs** All online programs, courses, and /or distance learning offerings must meet State Compliance regulations as defined by specific state legislation. TCU Distance Learning is any for-credit instruction provided to a TCU student outside the State of Texas. This includes internships, clinical, video conferencing, online, or any other delivery format that crosses state lines. Contact the Koehler Center for Teaching Excellence for guidelines. Include a letter of support from the Koehler Center with this proposal. SUPPORTING EVIDENCE OR JUSTIFICATION (For a new program attach a statement of the mission and objectives of the new program): The mission of the program is to educate Certified Registered Nurse Anesthetists (CRNAs) to be competent providers of care to patients who suffer from chronic pain. The purpose of the Advanced Pain Management program is to educate and prepare advanced pain management practitioners to deliver holistic pain management care, including comprehensive pain 3

4 management interventions and patient education. The objective of the program is to prepare CRNAs to enter this subspecialty of nurse anesthesia practice and to successfully pass the National Board of Certification and Recertification of Nurse Anesthetists (NBCRNA) subspecialty certification examination for Nonsurgical Pain Management (NSPM). The NSPM credential program measures the knowledge, skills, and abilities of NBCRNA-certified registered nurse anesthetists for practice in the NSPM field ( The outcomes for graduates of the Advanced Pain Management Program are: Spinal Anatomy for Fluoroscopic-guided Interventions The Fellow will demonstrate knowledge of the following planes of view: Anterior/Posterior Oblique Lateral Caudal/Cephalad Vertebral bodies Discs (Intervertebral) Pedicles Inferior Articular Process Superior Articular Process Spinous Process Transverse Process Interlaminar Foramen Neuroforamen The Dural sac Major muscle groups related to the spine Major vessels surrounding the spine Lumbarized segment Sacralized segment Lumbar body Identify following anatomy under fluoroscopy: Identify the following anatomy: Advance Imaging Review: The Fellow will identify the following structures: Anterior longitudinal ligament Posterior longitudinal ligament 4

5 Neuroforamen Conus medullaris Spinal canal Superior articular process Inferior articular process Vertebral body Pars interarticularis Thecal sac Spinal nerve roots Trigger point injection Lumbar interlaminar epidural Caudal epidural Cervical interlaminar epidural Thoracic interlaminar epidural Lumbar transforamenal epidural Sacroiliac joint injection Lumbar medial branch block Cervical medial branch block Occipital block Lumbar sympathetic block Lumbar radiofrequency neurolysis Cervical radiofrequency neurolysis Sacroiliac join neurolysis Anatomy/Procedural Technique: The Fellow will perform complete evaluation, form diagnostic impression, develop thorough treatment plan and describe the required follow-up management for a minimum of fifty patients. Patients presenting with the following types of pain must be included: Neuropathic pain Visceral pain Myofascial pain Bone pain Sympathetic pain (CRPS I, II) 5

6 Psychogenic pain Headache disorder Fibromyalgia Electrical injury The following syndromes/conditions must also be included: Special populations: The same will be performed for five patients within the specialpopulation category: Cancer pain/hospice Pediatric pain Occupational injury/workman s compensation 6

7 The program is comprised of 9 online courses and 3 clinical practicums for a total of 22 credit hours. The curriculum model for the Pain Management Program: Describe the intended outcomes of the course or program and how they will be assessed. 1. At the completion of the program, the student demonstrates knowledge and skills required of the area of specialty practice or concentration. Academic success is measured throughout the Program and is memorialized as course grades for each student in their permanent academic transcript. Clinical success is monitored through direct clinical mentorship and evaluation. Both formative and summative evaluation is employed to validate the demonstration of knowledge and skills. Each semester, the clinical mentor is solicited to identify: If the student s clinical performance is acceptable and they recommend progression to the next semester If the weaknesses are identified and noted, but progression is acceptable to the next semester with plans for corrective action If the student s clinical performance is unacceptable and they do not recommend progression to the next semester 7

8 2. At the completion of the program, the student demonstrates attainment of objectives/outcomes identified by the Fellowship. Terminal success for the clinical portion of the program is measured against the published Comprehensive Clinical Outcomes Measurement content. Attainment of didactic objectives is determined course-by-course by faculty through the assessment of successful completion. Only Fellows who meet or exceed performance standards in each of these areas will be recommended for graduation. ADDITIONAL RESOURCES REQUIRED: None This program is developed in partnership with the American Association of Nurse Anesthetists (Point of Contact: Bruce A. Schoneboom, PhD, CRNA, FAAN, ) and will be administered by the School of Nurse Anesthesia. Faculty: The following individuals will seek Adjunct teaching appointments at TCU in the School of Nurse Anesthesia: W. Keith Barnhill, PhD, CRNA, DAAPM Rev. Fr. Jeremiah Loch, CRNA, DOMTP (Can), PhD, DAAPM Jackie Rowles, MBA, CRNA, ANP-BC, FAADM, FAAN Steve Wooden, DNP, CRNA, NSPM-C Mindy Wallace, MSN, CRNA, ARNP Bruce A. Schoneboom, PhD, CRNA, FAAN Space: None Equipment: None Library: Yes Financial Aid: Yes Other: 8

9 CHANGE IN TEACHING LOAD: Does this change affect any other units of the University? Yes X No If yes, submit supporting statement signed by chair of affected unit. If cross-listed, provide evidence of approval by all curriculum committees appropriate to both the originating and the cross-listed units. Chair of Originating Unit: Signature: Kay K. Sanders, DNP, CRNA Kay K. Sanders, DNP, CRNA TCU School of Nurse Anesthesia Director and Professor of Professional Practice k.sanders@tcu.edu TCU Box Fort Worth, Texas office fax Revised 11/2013 9

Jack Neary I Pain Management Workshop. June 8-10, Orthopaedic Learning Center Rosemont, Illinois

Jack Neary I Pain Management Workshop June 8-10, 2018 Orthopaedic Learning Center Rosemont, Illinois Purpose: The Jack Neary Pain Management Program provides a combination of didactic and guided hands-on