ECHO Ontario Chronic Pain/Opioid Stewardship was the first ECHO launched in Ontario in 2014. It has a unique ECHO structure with 2 Academic Centres – UHN in Toronto and Queen’s University Continuing Professional Development Office in Kingston. The mission is to link primary care providers in a supportive community of practice that will enhance their skills and confidence to manage their patients safely and effectively. 

ECHO Chronic Pain runs weekly sessions that start with a short didactic lecture followed by a de-identified patient case presented by participants. Case presenters receive recommendations from the specialist team and other community partners.
This is an accredited learning activity.  
Sessions are Thursdays from 12:30-2:00pm

Learning objectives of ECHO Chronic Pain:

  • Interpret comprehensive assessments to make an accurate and timely pain diagnosis, plan treatment and follow-up.
  • Employ assessment techniques to determine origin, track evolution, and support treatment of chronic pain.
  • Self-regulate attitudes and beliefs about patient presentations to provide safe and effective chronic pain management.
  • Develop comfort level, self-efficacy in managing chronic pain.
  • Develop ability to mentor and be mentored by colleagues in a community of practice that ultimately benefits the patient.

Facts about Chronic Pain/Opioids:

  • 1 in 5 Canadians suffer from chronic pain and the prevalence increases with age.
  • 1 in 7 Ontarians were dispensed an opioid in 2014/15.
  • 3,241 opioid-related emergency department visits in 2014.
  • 734 opioid-related deaths in Ontario in 2015.

The program is fully funded by the Ministry of Health and Long Term Care. 


Accreditation: CPD certificates will be sent to participants at the end of each cycle via email.


This is an accredited learning activity for 2 Mainpro+ credit/CPD credit per hour (3 credits per session).
You must be a registered ECHO participant to receive credits. 

 Credits for Family Physicians:
This 2-credit-per hour Group Learning program meets the certification criteria of the College of Family Physicians of Canada and has been certified by Queen’s University for up to 160 Mainpro+ credits.

Credits for Specialists:
This event is an Accredited Self-Assessment (Section 3) as defined by the Maintenance of Certification Program of The Royal College of Physicians and Surgeons of Canada, and approved by Queen’s University Office of CPD. You may claim a maximum of 80 Section 3 Self Assessment hours (credits are automatically calculated).

Credits for Others:
This is an accredited learning activity which provided up to 80 hours of Continuing Education

Please note: to receive your CME credits, you MUST:

  • complete the pre-survey questionnaire at the start of the cycle AND
  • complete the post-survey questionnaire and reflection question at the end of the cycle. 

To receive the pre and post surveys, please contact: Gina Marinakos at or



This Group Learning program has been certified by the College of Family Physicians of Canada for up to 160 Mainpro+ credits.




  • Boulanger A, Clark AJ, Squire P, et al. Chronic pain in Canada: have we improved our management of chronic noncancer pain? Pain Res Manag. 2007;12(1):39-47.