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DRPS : Course Catalogue : Deanery of Clinical Sciences : Pain Management

Postgraduate Course: Neuromodulation in Clinical Practice (PAMA11087)

Course Outline
SchoolDeanery of Clinical Sciences CollegeCollege of Medicine and Veterinary Medicine
Credit level (Normal year taken)SCQF Level 11 (Postgraduate)
Course typeOnline Distance Learning AvailabilityNot available to visiting students
SCQF Credits10 ECTS Credits5
SummaryThis course builds on the knowledge gained in ¿Introduction to Neuromodulation¿ and provides students with an in-depth understanding of the science and technology, as well as the clinical aspects, of neuromodulation. This course will enable the students to recognise and triage patients for different neuromodulation technologies.
Course description The course will be structured to build on previous knowledge and will allow students to further examine the topic in a greater detail. The content will include:
Science and Technology:
1. The neuromodulation technology will be analysed in greater detail and its effects on the neural pathways will be explored. Different paraesthesia and some of the common paraesthesia-free stimulation paradigms such as conventional, burst, HF10, sub-threshold stimulation will be explored. Spinal cord stimulation (SCS), dorsal root ganglion (DRG) stimulation, peripheral nerve and sacral nerve stimulation devices will be explored.
2. A detailed analysis of the different device settings (such as frequency, amplitude, pulse width and impedance) and its clinical relevance, with regard to patient selection and troubleshooting
Clinical Aspects:
3. Students will expect to gain a research evidenced understanding of the different devices available for neuromodulation: peripheral and central
4. Students will be encouraged to understand the current evidence base and role of neuromodulation in different chronic pain conditions such as chronic back pain (including failed back surgery syndrome), headache and facial pain, pelvic pain and other neuropathic pain conditions.
5. The evidence base and the rationale behind the patient selection for the different neuromodulation technologies will be explored
6. To understand the neuromodulation service delivery as part of an integrated care pathway.
7. Students will be encouraged to think about post-neuromodulation care, why treatments "fail" or are successful, prediction of outcomes and troubleshooting for complex cases
8. Treatment pathways and cost-benefit analysis such as QALY/ HRQoL for different clinical conditions and technologies with a global perspective will also be examined
Entry Requirements (not applicable to Visiting Students)
Pre-requisites Co-requisites
Prohibited Combinations Other requirements None
Course Delivery Information
Not being delivered
Learning Outcomes
On completion of this course, the student will be able to:
  1. Critique and analyse the current available technologies (stimulation paradigms and devices) in neuromodulation and their relevance to neural pathways, patient selection and troubleshooting and current research
  2. Critique and analyse the current evidence and contemporary approach for the specific assessment and selection criteria for neuromodulaion in different chronic pain conditions
  3. Critically assess the role integrated care pathways play in the successful delivery of a neuromodulation service
  4. Assess outcome measures and research and critically understand treatment failures and subsequent management principles
  5. Develop a critical understanding of the treatment pathways and cost-benefit analysis on a global perspective
Reading List
None
Additional Information
Graduate Attributes and Skills During the course students will have to demonstrate the ability to work both independently and collaboratively with others. Their knowledge and understanding of the topic will improve but they will also learn generic approaches/skills. As the course is delivered online, it will contribute to their IT, writing and communication skills which can be applied to both clinical and academic environments. Finally, students will be expected to be able to bring together and draw from the information provided through the course during their assignment writing. Competences such as structuring of work and accurate referencing would also be expected to improve.
Keywordsneuromodulation,electricity,chronic refractory neuropathic pain,assessment,outcome measures
Contacts
Course organiserDr Sarah Henderson
Tel: 0131 242 6130
Email: Sarah.Henderson@ed.ac.uk
Course secretaryMrs Moira Henderson
Tel: (0131) 242 7355
Email: Moira.Henderson@ed.ac.uk
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