UPDATE: Re-Accreditation of Online Education
Due to popular demand, the Low Back Pain course has been re-accredited and is available until October 7, 2015 through funding received from the Ministry of Health and Long-Term Care. The online course is available to providers across Canada in both English and French, through the online platform mdBriefCase (and partner site, AdvancingIn). Please click below to access the course.
Click here to access the course on mdBriefCase (for primary care providers, students & residents)
Click here to access the course on AdvancingIn (for other healthcare providers)
Low Back Pain Patient Self-Management Video
The Centre for Effective Practice is excited to release a new patient video on Low Back Pain created by Dr. Mike Evans (Health Design Lab) and developed in collaboration with the Government of Ontario, and the Institute for Work & Health.
The video is targeted at Ontario adults who may be experiencing an episode of low back pain and is based on existing primary care provider evidence-informed standardized clinical tools and resources previously developed as part of the provincial Strategy.
Primary Care Toolkit
This toolkit was developed to assist with the assessment and management of patients with low back pain in primary care settings.
We strongly encourage organizations and providers to consider hosting or attending education sessions to provide further training on the evidence, skills and approach underpinning this toolkit. Please see the Education Tab for more information.
Clinical Tools
Developed in response to the needs identified by primary care providers to integrate multiple existing tools and evidence into a comprehensive single tool for use in practice.
CORE Back Tool
The Clinically Organized Relevant Exam (CORE) Back Tool will guide the clinician to recognize common mechanical back pain syndromes and screen for other conditions where management may include investigations, referral and specific medications. This is a focused examination for clinical decision-making in primary care. |
Download the CORE Back Tool to be completed electronically in English or French
CORE Back Tool: A Guide
This tool is an educational guide for primary care providers on the appropriate use of the CORE (Clinically Organized Relevant Exam) Back Tool. This guide is intended to provide clinicians with quick reminders, context and any necessary clarification for appropriate use of the tool. |
Supporting Tools
The following tools are aligned with the content in the CORE Back Tool and are provided for additional support when implementing the CORE Tool in your practice.
Opioid Risk ToolThis tool identifies patients who may be at risk for opioid dependency so that appropriate medication management can be planned. |
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Patient Education InventoryThis tool is an inventory for primary care providers to help identify useful patient education material, including a brief description of the tool and identifying where it aligns with patient key messages consistent with the primary care provider curriculum and tools. |
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Personal Action Planning for Patient Self ManagementThis tool provides 3 key questions for effective goal setting with patients as well as a quick guide to engage patients in defining a self-management action plan. |
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The Keele STarT Back Screening ToolThis screening tool categorizes patients by risk of persistent symptoms (low, medium or high), which allows the clinician to tailor interventions appropriately. |
Where existing tools were used and/or modified for the CORE Back Tool, the developers and authors were contacted for permission. All supporting tools have been included in this toolkit with the permission of the developers and appropriate acknowledgement is indicated on each tool.
Additional Tools for Providers and Patients
In addition to the above toolkit, the following reference tools are available for additional support:
For Providers
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For Patients
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Note that these tools are available through the websites of external organizations/groups. The developers of these reference tools are responsible for the currency, accuracy and completeness of the content published. These tools have not been translated as part of the Provincial Strategy and are currently available in English only unless otherwise indicated.