Rural PREP Grand Rounds: Group Medical Visits: An innovative solution for chronic pain management in a rural context

Thursday, March 28th, 2019
10:00 am -11:00 am, PT
11:00 am – 12:00 pm, MT
12:00 pm – 1:00 pm, CT
1:00 pm – 2:00 pm, ET

Jaclyn Thatcher, RN, DNP/FNP-S,
Washington State University

Jacob Thatcher, OMS IV,
Pacific Northwest University


Group Medical Visits (GMVs) have the potential to transform chronic pain management in rural primary care and the delivery of medical care in the United States. Research shows GMVs, or Shared Medical Appointments (SMAs), are an innovative solution to bring patients with common needs together to improve understanding, treatment, well-being, and quality of life. This presentation will explain GMV chronic pain management intervention techniques and conclusions from a rural primary practice setting in Idaho. GMV rural considerations will include: recruitment, facilitation, retention, and patient experiences.

Learning Objectives

After this presentation, participants will be able to:

  1. Identify the challenges and opportunities for treating opioid misuse and chronic pain in rural primary
    care settings.
  2. Define group medical visits, their process, and unique considerations in the rural setting.
  3. Initiate planning for group medical visits in their setting.

Pre-Session Review Content & Assignment

Prior to the Grand Rounds event, participants will:

  1. Watch “Shared Medical Appointments: A Recipe for Success

  2. Read the Schatman Interview (2012) “Rural Pain Care Challenges

  3. Read Jaber, Braksmajer, & Trilling’s (2006) “Group Visits for Chronic Illness Care: Models, Benefits and Challenges

  4. Read Wong et al. (2013) “Patient Confidentiality within the Context of Group Medical Visits: Is there Cause for Concern?

Pre-Session Activity

After reviewing the pre-session content, participants should print and answer the pre-session readiness questions below.

Questions Download


Jaclyn Thatcher

Jaclyn Thatcher, RN, DNP/FNP-S,
Washington State University

Jacob Thatcher

Jacob Thatcher, OMS IV
Pacific Northwest University