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.

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.