Trusting Your Patients: Objectivity and Subjectivity in Health and Health Care
Patients deceive practitioners all the time, sometimes intentionally, sometimes unintentionally. Objective analysis of the state of the patient’s condition can validate patients’ reports—but only of the state of the patient’s disease, injury, or deformity. You cannot measure the patient’s experience of the condition. You cannot measure the patient’s “health” and its effect on life quality. The apparent paradox is more troublesome for the pain practitioner who endeavors to understand the patient’s experience of pain, the patient’s story of suffering. At first instance, and finally, the practitioner must trust the patient’s narrative. There is no ethically correct alternative.
Faculty: Peter A. Moskovitz, MD
Upon completion of this activity, participants should be better able to:
- Discuss the differences between objective measurement and subjective understanding of a patient’s state of health.
- Describe how cognitive bias affects a practitioner’s ability to accurately record and report a patient’s condition.
- Apply principles of subjective communication and objective measurement to the clinical practive of pain management in a balanced, ethically appropriate way.
This 1-hour CME activity is designed for all clinicians who treat chronic pain.
Peter A. Moskovitz, MD, is a clinical professor of orthopaedic surgery and neurological surgery at George Washington University in Washington, DC, where he continues a clinical practice begun in 1974. He chairs the board of directors of RSDSA, a non-profit support, advocacy, education, and research organization for the complex regional pain syndrome (CRPS) community. His published articles span topics from spine care to the theory and practice of pain mangement, including the neurobiology of experience and awareness, particularly of the experience of health and illness and of suffering evoked by pain. His current research includes a 20-year study of the health effects of CRPS.
Staff and Content Validation Reviewer Disclosures
The staff involved with this activity and any content validation reviewers of this activity have reported no relevant financial relationships with commercial interests.
Planning Committee/Faculty Disclosure
Dr. Moskovitz reports that he has nothing to disclose.
Debra Nelson-Hogan, Director of Education for the Academy of Integrative Pain Management, reports that she has nothing to disclose.
Cathleen Coneghen, Assistant Director of Education for the Academy of Integrative Pain Management, reports that she has nothing to disclose.
The information provided at this activity is for continuing education purposes only and is not meant to substitute for the independent medical judgment of a health care provider relative to diagnostic and treatment options of a specific patient’s medical condition.
For questions regarding CME for this activity, you may reach the department of education at the Academy of Integrative Pain Management at firstname.lastname@example.org.
For successful completion of this activity, please complete a pre-test; utilize the audio recordings synched with the presentation slides to review the content, providing answers to your questions as necessary; and complete a post-test and evaluation following the activity. You will then be prompted to print your certificate. This activity should take approximately 60 minutes to complete.
This program is accredited for physicians, nurses, and psychologists. All other clinicians can submit the certificate of attendance upon completion of the program to their licensing boards for consideration of credit.
The Academy of Integrative Pain Management is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
The American Academy of Pain Management designates this educational activity for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should only claim credit commensurate with the extent of their participation in the activity.
The Academy of Integrative Pain Management is approved by the California Board of Registered Nursing, Provider Number CEP 15881 for 1 contact hour.
The Academy of Integrative Pain Management is approved by the American Psychological Association to sponsor continuing education for psychologists. The Academy of Integrative Pain Management maintains responsibility for this program and its content.
The Academy designates this activity for a maximum of 1 CE credit.
- 1.00 AMA PRA Category 1 Credit(s)™
- 1.00 APA
- 1.00 Document of Attendance
- 1.00 Nursing Credit