ECHO Ontario Chronic Pain/Opioid Stewardship

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.
  • Between January 2016 and March 2019, an estimated 12,800 Canadians died from an apparent opioid-related overdose.

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

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