The 5th Vital Sign: Pain Management in the Cancer Patient Workshop

Speakers

Michael Michael McDonough

A/Prof Michael McDonough is Head of the Addiction Medicine & Toxicology Unit at Western Health (based at Western Hospital in Footscray); he has been engaged in a variety of Drug related committees including Pharmaceutical Utilisation, Medication Safety and he is currently chairman of the ADR Committee. The Addiction Medicine & Toxicology Unit at Western Health provides treatment for inpatients and outpatients referred because of tertiary problems related to Substance Use Disorders (including chronic pain patients having pharmaceutical opioid related problems).

He served on the past Coroner’s Inquiry into Heroin Overdose Deaths in Victoria, conducted research on Methadone related deaths in Victoria and had extensive medico-legal experience (Coroner, WorkCover, Medical Board etc) in the area of Drug Abuse related morbidity and mortality. He has a special interest in Quality Use of Medicines, particularly in relation to Addiction Medicine practise but also more recently, in relation to opioid use for chronic, non-cancer pain. From 2010 to 2014, A/Prof McDonough acted as Chief Adviser in Addiction Medicine to the Department of Health (Vic).

Janelle Penno

Janelle is a Senior Quality Use of Medicines and Pre-Anaesthetic Clinic Pharmacist at Peter MacCallum Cancer Centre in Melbourne, Victoria. Janelle has a special interest in perioperative medicine and acute pain management of patients presenting for cancer surgery. Janelle recently completed her Masters of Clinical Pharmacy which included a research project on patient self-administration of pre-operative analgesia. Janelle’s research interests include perioperative medicine, antimicrobial stewardship and medication safety.

Malcolm Hogg Dr. Malcolm Hogg

MBBS, Grad Dip (PM), ANZCA, FFPMANZCA, FIPP

Head of Pain Services, Melbourne Health

Clinical Associate Professor, Faculty of Medicine, Dentistry and Health Sciences, University of Melbourne

Dr Hogg supervises a co-ordinated range of services, linking the acute and interventional pain services at the Royal Melbourne Hospital City Campus with the persistent pain services at their Royal Park Campus. In addition, he supports the development of educational and clinical links with outer urban and regional services in the north western region of Victoria, through telehealth, clinical attachments and visiting lectures. Therapies offered include assessment and early treatments for those with acute pain at risk of persistent pain, interventional procedures for cancer and non-cancer pain, and allied health based pain management programs.

Dr Hogg is the immediate past president of the Australian Pain Society, and is leading the Waiting in Pain project, a systematic investigation into the provision of persistent pain services in Australia. Research activity has included investigations into the pharmacokinetics of Paracetamol and the development of persistent pain following trauma.

Natasha A/Prof Natasha Michael

MBChB FRACP FAChPM MRCPI MRCGP MSc A/Prof

Natasha Michael is Director of Palliative Medicine at Cabrini Health, Head of Palliative Care at the University of Notre Dame, Sydney School of Medicine and Adjunct Clinical Associate Professor at the Faculty of Medicine, Nursing and Health Sciences, Monash University.

She has trained and worked internationally in palliative care in the United Kingdom, Ireland, Singapore and Australia including Kings College in London, the National Cancer Centre, Singapore and Peter MacCallum Cancer Centre. In 2013 She successfully instigated the development of an integrated palliative care service across Cabrini Health, promoting a model of early integration and ambulatory palliative services for cancer patients. She has led the development of the first palliative care research program at the Cabrini Institute focusing on psycho social and psycho oncology research, models of service provision, bioethics and whole person care.

Brian A/Prof Brian Le

Associate Professor Brian Le is director of the Integrated Palliative Care Service at Peter MacCallum Cancer Centre and The Royal Melbourne Hospital at the Victorian Comprehensive Cancer Centre. Brian is a palliative care physician and trained as a medical oncologist, and remains first and foremost a clinician, working in hospital and community settings. Brian is involved with teaching and training as the chair of Palliative Medicine training for the Royal Australasian College of Physicians, responsible for training of over 200 registrars across Australia and New Zealand.

Brian is involved with policy and governance in palliative care, with advisory roles to the Victorian and New South Wales departments of Health, in areas such as end-of-life care, service access and medicinal cannabis. Brian’s research interests are varied, from clinical trials for symptomatic relief in advanced illness, to health services research in areas such as early palliative care integration, and non-malignant palliative care. Brian has authored over 40 peer-reviewed publications, and has attracted over $3 million in grant funding from the NHMRC and other funding bodies.

Dr Diarmuid McCoy

Dr Diarmuid G L McCoy is a medical practitioner of 25 years post-primary degrees. He obtained his degrees at the National University of Ireland (NUI UCC) University College Cork medical school 1991. He has fellowships from the Faculty of Anaesthetists Royal College of Surgeons in Ireland (FFARCSI) and the Australian and New Zealand College of Anaesthetists (FANZCA). In addition he is a foundation diplomat of the Faculty of Pain Medicine, College of Anaesthetists Ireland (FFPMCAI), and a fellow by examination of the Faculty of Pain Medicine FFPM ANZCA. Involved in clinical pain medicine for 18 years, he has worked in various centres (Ireland, UK, South Australia, Victoria).

He is a member of the court of examiners at the faculty of pain medicine and is a committee member of the research committee and the training unit accreditation committee (TUAC) at the faculty of pain medicine. He has delivered lectures at national and international meetings in Ireland, United Kingdom, New Zealand, Singapore, Hong Kong and Australia. He is an author of various scientific papers published in peer-reviewed journals and a book chapter.

He has been involved in clinical teaching and training in pain medicine for over a decade. He is a past director of the pain management unit University Hospital Geelong. Other activities including consultant at the medical panel’s Victoria, honorary senior lecturer Deakin University Medical School and has given evidence in civil and criminal courts. Specific interests in assessment and management of pain neuropathic and nociceptive pain in a multidisciplinary setting.

Appropriate use of pharmacological and interventional resources and selection for multidisciplinary pain management programs. Current appointments at the University Hospital Geelong Barwon Health and is a Clinical Director of Pain Matrix Pty LTD Geelong.

Noam Dr Noam Winter

Dr Noam Winter is a Melbourne-trained Anaesthetist and Pain Specialist working full-time at Western Health. His interests include the management of subacute pain, neuropathic pain and post-surgical pain syndromes. Outside of work he enjoys spending time with his family and trying new restaurants in Melbourne’s ever-evolving food scene.

Paul Paul Glare

Professor Paul Glare is the Chair of Pain Medicine in the Northern Clinical School of the University of Sydney and Director of the Pain Management Research Institute (PMRI). Prior to this appointment, Professor Glare was Chief of the Pain & Palliative Care Service, Memorial Sloan Kettering Cancer Center in New York with an affiliated appointment as Professor of Medicine at Weill Cornell Medical College.

Professor Glare is also Head of Discipline, Pain Medicine, in the Faculty of Medicine at the University of Sydney, and is on the Board of the Pain Management Research Institute (PMRI). Established in 1990, the PMRI is a joint initiative between the University of Sydney and Royal North Shore Hospital. It conducts basic and clinical research, operates an education program, and in collaboration with the Pain Management & Research Centre, treats patients with acute pain, cancer pain and chronic non-cancer pain.

After graduating from University of Sydney Medical School in 1981, Professor Glare undertook physician training at RPAH during which time he developed an interest in palliative care. Subsequently he went to the Cleveland Clinic for 2 years as a research fellow (working on opioid pharmacology in cancer pain, specifically measuring morphine and its metabolites with HPLC) before returning to Sydney as staff specialist in palliative care at RPA. Later he moved to Westmead, then RPAH as head of palliative care.

Professor Glare is a Fellow of the Royal Australasian College of Physicians and the American College of Physicians, the Faculty of Pain Medicine (ANZCA) and in the RACP Chapter of Palliative Medicine. He completed a Master of Medicine in Clinical Epidemiology at the University of Sydney, as well as a MA in Appl Ethics (Health Care). His main research interest currently is pain in cancer survivors. His other interest include the comparative effectiveness of chronic pain therapies, and the decision architecture science/social psychology/behavioural economics of decision making in pain management.

Christina Christina Prickett

Christina Prickett is a Psychologist with a Doctorate in Clinical Psychology from Monash University. Her doctoral research involved a large psychological study investigating the psychological outcomes of obesity in a bariatric surgery-seeking population. Over the past two years, Christina has worked with the Clinical Psychology Department at Peter MacCallum Cancer Centre working across the hospital in both inpatient and outpatient settings.

As part of this role Christina has also developed links within the Uro-oncology tumour stream and the Acute and Persistent Pain Clinic. In addition to working in oncology and pain, Christina has clinical experience in the areas of adult mental health and chronic disease.

Jason Jason Chou

Jason completed an adult pain medicine fellowship at the Royal Melbourne Hospital and a paediatric pain medicine fellowship at the Royal Children’s Hospital. He practices as a specialist in anaesthesia and pain medicine at Peter MacCallum Cancer Centre, The Alfred Hospital and The Austin Hospital.

He heads the Acute Pain Service at Peter MacCallum Cancer Centre and is a Clinical Senior Lecturer at the University of Melbourne.

Tim Tim Hucker

Dr Tim Hucker is a pain specialist and anaesthetist at the Peter MacCallum, Director of Victoria Pain Specialists and visiting medical officer at the Epworth groups. He is a lecturer in perioperative medicine at Monash University and journal reviewer for Anaesthesia and Intensive Care.

Main areas of interest are in prevention of chronic pain and interventional management of pain.

Alex Dr Alex Konstantatos

  • Director of Pain Services of Alfred Hospital 2000-1010 and 2012-current.
  • Specialist Anaesthetist Alfred and Cabrini Hospitals.
  • Senior Lecturer Monash University Scholl of Medicine, Nursing and Health Sciences.
  • Professor Zhejiang School of Medicine, China.
  • Specials interests in Pain Medicine include Acute Pain and Cancer Pain.

Research – 20 publications in peer reviewed Journals in areas including:

  • Ethnicity and Pain Behaviour (many joint publications between Australia and China)
  • Postsurgical Pain
  • Analgesia for uterine embolization
  • Analgesia for prostatic biopsy

Education: Part 1 Examiner for Australia New Zealand College of Anaesthetics. Principal author for Web Based educational resources for the Primary and Secondary Exams.

Established the Pain Service at Sir Run Run Shaw Hospital (SRRSH) l, Hangzhou, Zhejiang, China since 2006. Visits once to twice per year and collaborates frequently with Chinese colleagues. SRRSH was the first Hospital to receive accreditation from the Joint Commission International.