Massachusetts General Hospital Department of Anesthesia, Critical Care and Pain Medicine - Faculty
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Ronald J. Kulich, PhD

Ronald J. Kulich, PhD

Position

Attending Psychologist, Mass General Center for Pain Medicine; Lecturer, Harvard Medical School

Clinical Specialty

Clinical Psychology/Pain

Professional Activities

Clinical Care: I dedicate my clinical time to the evaluation and treatment of patients with persistent pain conditions, with activities that include screening and psychological evaluation for chronic opioid therapy, screening for interventional procedures, and cognitive behavioral interventions.  Therapeutic goals include improvement in patient coping skills, maximizing adherence, and managing disability associated with chronic pain.  I coordinate a time-limited behavioral group program, focusing on short-term, cost-effective strategies for the management of pain.

Education: Work in education and training includes coordination of behavioral science teaching for the MGH Pain Fellows and medical staff.  Activities include directing the MGH Chronic Pain Rounds at the Ether Dome, as well as hosting other regional and national conferences on pain.  Past education work has included membership and chairmanships of subcommittees through the American Pain Society, Presidency of New England Pain Association for two terms, and recent co-director of the Boston Pain Forum.  Recent activities involve collaborative efforts with other institutions, including the Tufts and Harvard Dental Schools of Dental Medicine, and the Tufts Medical School.

Research: My earlier career was devoted to program development and quality improvement with private sector pain practice, while ongoing  research has addressed public policy issues with access to pain care. This includes co-authorship of the book Managed Care in Pain and recent publications addressing access to cost-effective treatment.  Recent published work has also addressed issues in forensic/medico-legal assessment, evidence in the courtroom, and risk management with opioid therapy in pain medicine practice.  

Medical Training

  • Purdue University, Dept. of Psychological Sciences, West Lafayette, Indiana, MS, Quantitative Methods
  • Purdue University, Dept. of Psychological Sciences, West Lafayette, Indiana, Ph.D. Clinical Psychology
  • Brown University School of Medicine Internship, Clinical Psychology/ Behavioral Medicine

Publications


Original Articles and Reviews

Kulich RJ, Goldberg RW. Differences in the production of photographs: An assessment technique. Perceptual and Motor Skills, 1978; 47: 223-229.

Upper D, Kantor LE, Kulich RJ, Bigwood GF,  Wurzelman H. Behavioral medicine: Broadening the interface between medicine and behavioral science. Postgraduate Medicine, 1984; 75 (3): 155-167.

Kulich RJ, Baker WK.  Psychological evaluation in the management of chronic pain and disability. Current Review of Pain , Current Science, 1997; 1: 116-125.

Kulich  RJ,  Lande, SD. Managed care: The past and future of pain management. American Pain Society Bulletin, 1997; 7 (4): 1-5.

Scrivani S, Keith D., Kulich RJ., Mehta N., Maciewicz R  Posttraumatic gustatory neuralgia: A clinical model of trigeminal neuropathic pain, Journal of Orofacial Pain, 1998; 12 (4): 287-292.

Chieng King C, Kulich RJ, Strassels K. Eating disorders and chronic pain, Current Review of Pain, Current Science; 1999; 3 (1): 78-84.

Kulich RJ. Chronic Pain, Forensic assessment, Ethical and clinical practice issues for the pain clinician,  Current Review of Pain, Current Science, 1999; 3, 1: 61-66.

Kulich RJ. Comprehensive HMO Legislation: An opportunity for better access. American Pain Society Bulletin, 1999 July/August; 5-9.

Kulich RJ, Mencher P, Bertrand C, Maciewicz R.  Post traumatic stress disorder: Assessment and Treatment: Clinical and Forensic Issues. Current Review of Pain, Current Science. 2000; 4: 36-48.

Wittink H., Michel T, Kulich RJ, Wagner A., Sukiennik A., Maciewicz R, Rogers W. Aerobic fitness testing in patients with chronic low back pain, Which test is best? Spine, 2000; 25 (13): 1704-1710.

Kulich RJ, Kreis PG, Fishman SM., Prescott JC, Pelletier NJ, Bennett P, Mehta NR. Forensic issues in pain, Review of current practice. Pain Practice. 2001; 1 (2): 119-135.

Kulich RJ, Driscoll J, Prescott J, Pelletier N, Driscoll, S, Cooke W, Correa P, Mehta N. The Daubert standard: A primer for pain specialists, Pain Medicine, 2003: 4 (1): 1-7.

Kulich  RJ, Driscoll J, Prescott J, Pelletier NJ, Driscoll S, Cooke W, Correa L, Mehta N. The Daubert Standard, A Primer for Pain Specialists, Pain Medicine. 2003; 4 (1), 1-6.

Kulich RJ, Dyer J, Driscoll S, Mehta N. Managing Pain for the Elderly, J.  Massachusetts Dental Society. Spring 2003; 51(1): S22-27.

Kulich, RJ Screening for chronic opioid therapy, Pain management rounds, 2004, 1, 4, Snell Medical Communications, Inc. www.painmanagmentrounds.org

Kulich RJ, Driscoll S, Scrivani S, Mehta, N A survey of medico-legal practice patterns among pain specialists, Pain Medicine, March 2004; 5 (1): 98-103.

Nishimori M,  Kulich RJ,   Carwood C, Okoye V, Kalso E, Ballantyne J. Successful and unsuccessful outcomes with chronic opioid therapy: A survey of physicians’ opinions.  Journal of Palliative Medicine, 9, 1, 2006.

Rochman D, Ray S, Kulich RJ, Mehta N.  Validity and utility of the Canadian Occupational Performance Measure in a craniofacial pain center. Occupational Therapy Journal of Research (in press)

Vranceanu AM, Ring D., Kulich R, Zhao M, Cowan J, & Safren S. Delivering cognitive-behavioral terapy as part of a surgical practice. Cognitive Behavioral Practice (in press)

Chandwani B, Kulich RJ, Andrew L, Scrivani SJ  Tapering Chronic Opioid Therapy in Chronic Neuropathic Facial Pain – An Interdisciplinary Approach:  Case Report. J Opioid Therapy (in press).

Kulich RJ, Scrivani S, Maciewicz: Functional Imaging in the Courts: Applications for Pain Medicine?  Pain Medicine (in press)

Proceedings of Meetings

Kulich RJ, Curran JP, Jacoby J, Mariotto MJ. The application of assertion training techniques to maladaptive consumer behavior. Proceeding of Division 23, Consumer Psychology, Purdue University, West Lafayette, Indiana; 1978.

Kulich RJ. Spectrum of Traditional Treatments and Their Costs.  Proceedings, Jaw Joints and Allied Musculo-Skeletal Disorders Foundation, Jaw Joints Foundation: Boston, Mass; 1997.

Scrivani SJ, Kulich RJ, Bindayel N, Chandwani B, Mehta NR: Neuropathic Pain Scale Base Rates in Orofacial Pain Population. Oral Surg Oral Med Oral Path Oral Rad. 103 (6), 795, June 2007

Scrivani SJ, Lobo-Lobo S, Chandwani B, Kulich RJ, Mehta NR: Assessment of Sleep Disorders in Patients with Chronic Orofacial Pain. Oral Surg Oral Med Oral Path Oral Rad. 103 (6), 795, June 2007

Book Chapters

Kulich RJ, Gottlieb B. The management of chronic pain: A cognitive-functioning approach. In: Upper, D, Ross, S, editors. Handbook of behavioral group therapy. New York: Plenum. 1985; 16: p489-507

Kulich RJ, Bienkowski DW. Primary Care Management of Low Back Pain: Prevention and Management Strategies. In: Granger C,  Selzer G, edi tors. Primary Care of the Functionally Disabled: Assessment and Management.  Lippencott Co,  1987; 12: p262-278.

Kulich, R.J.  Pain: New Trends in the Management if Acute and Chronic Pain,
In: DelOrto A, editor. Encyclopedia of Disability and Rehabilitation, Macmillan Publishing, N.Y., N.Y. 1995
 
Kulich RJ. Guide to Pain Treatment Facilities. In: Wittink H. & Michel, TH, editors. Chronic pain management for physical therapists. Boston: Butterworth-Heinemann, 1997;  p 247-263.

Kulich RJ, Baker, W. Psychological Evaluation of the Chronic Pain Patient, In: Aronoff G, editor. Evaluation and treatment of chronic pain 3rd Edition. Media, PA:Williams & Wilkins. 1998; p 301-312.

Rose B, Kulich RJ. A template for contracting with managed care. In: Lande S, Kulich R, editors, Managed care and pain: A handbook. Glenview, Ill: American Pain Society; 2000, p. 51-71.

Kulich, RJ, Andrew L Psychological assessment and behavioral treatment of chronic pain, In Ballantyne, J., editor, Massachusetts General Hospital Pain Handbook, 3rd Edition. 2005

Kulich R, Adolph M. Multidisciplinary chronic pain treatment: Minimizing financial risk. In Shatman M. Chronic Pain Management: Guidelines for Multidisciplinary Program Development. Informa Healthcare, New York, NY, 2007

Mehta N, Maloney GE, Bana D, Scrivani SJ, Kulich R, Maciewicz R: An Integrative Approach to the Diagnosis and Treatment of Head, Face and Neck Pain. In Mehta N, Maloney GE, Bana D, Scrivani SJ (eds): Head, Face and Neck Pain: Science, Evaluation and Management. 1st ed., John Wiley & Sons, Inc., Hoboken, NJ, 2008(in press).

Scrivani SJ, Mehta NR, Keith DA, Stiles A, Maciewicz RJ, Kulich RJ: Facial Pain. In Ballantyne JC, Rathmell JP, Fishman SM (eds.): Bonica’s Management of Pain, 4th Edition, Lippincott Williams & Wilkins, Philadelphia, PA., 2008 (in press).

Vranceneau AM, Kulich RJ. Psychological aspects of head and neck pain. In Mehta N, Maloney GE, Bana D, Scrivani SJ (eds): Head, Face and Neck Pain: Science, Evaluation and Management. 1st ed.,  John Wiley & Sons, Inc., Hoboken, NJ, 2008 (in press).

Kulich RJ, Vranceneau AM.  Disability in chronic head and neck pain, In Mehta N, Maloney GE, Bana D, Scrivani SJ (eds): Head, Face and Neck Pain: Science, Evaluation and Management. 1st ed.,  John Wiley & Sons, Inc., Hoboken, NJ, 2008(in press).

Editorials

Kulich RJ, Department Editor’s Commentary, Excessive treatment of pain patients: We need a better understanding. American Pain Society Bulletin. 1998 May/June; 8.

Kulich RJ, Kay R, Gibbons M, Mehta N.R. Treating the injured worker, incentives to reduce care, American Pain Society Bulletin, 2001; January/Februar; y,  7-9.

Kulich RJ  Ethical Forum: On being a legal expert.  Pain Medicine, 2004; 4(4)

Kulich RJ, Pelletier NJ Commentary: Medico-legal case report and Commentary: Inadequate in the context of terminal cancer: The Case of Lester Tomlinson, Pain Medicine. 2004; 5 (2): 225-6.

Books

Lande S, Kulich RJ, Editors. Managed care and pain. Glenview, Illinois: American Pain Society; 2000.

Clinical Communications

Kulich RJ, Jacoby J, Curran JP, Mariotto MJ. Assertion training in the consumer-salesperson interaction, A manual.  Purdue Papers in Consumer Psychology, West Lafayette, Indiana, #121, 1979.

Gibbons M & Kulich RJ. Comprehensive weight management for high risk and moderate obesity.  Consultation Report, Behavioral Medicine Associates Inc. for Community Care Systems, Inc. Boston, Mass. 1989.

Kulich RJ, Curran JP, Jacoby J, Mariotto MJ. The application of assertiveness training to the consumer salesperson interaction.  Assert, the newsletter of assertive behavior and personal development, 1979.

Kulich RJ, Warfield, CA. Relaxation in the management of pain.  Hospital Practice, 1984; 20: 12-21.

Kulich RJ, Rochman, D, Wittink H, Steinberg R. Maciewicz R, Glass R, Scrivani S, Hutcheson J, Ozel D. NEPA Subcommittee Report for Massachusetts Worker Compensation Chronic Pain Syndrome Guideline #28, Boston, MA: New England Pain Association, October, 1998.

Kulich RJ. Issues in forensics assessment: Guidelines for being an “expert witness.” New England Pain Association Newsletter. 1999 Winter: 4 (2): 15-16.

Kulich RJ, Rochman DL. New England Pain Association Subcommittee for Massachusetts Worker Compensation, Chronic pain syndrome guideline #27, Summary of report to the Mass. Dept. of Industrial Accidents. New England Pain Association Newsletter. 1999; 4 (1): 10-11.

Carr D, Kulich RJ, Sukiennik A., Barrett A, Strassels K, Wittink H. The impact of chronic pain, An interdisciplinary perspective.” Training monograph, The Richard Saltonstall Charitable Trust, Boston, MA: 2000.

Scrivani S, Kulich RJ, Israel, H.   Establishing a facial pain center. In:  Diagnosis   and Management of Facial Pain, Oral and Maxillofacial surgery clinics of North America  May 2000;12(2): 343-354.

Miller K, Kulich RJ, Balis, M.  Guideline for medico-legal practice in pain medicine: Committee Report: American Pain Society Forensic Special Interest Group May 2005

Related Links

Center for Pain Medicine

Contact Information

Clinical Office:

Center for Pain Medicine
Massachusetts General Hospital
Wang Ambulatory Care Center, Suite 324
15 Parkman Street Boston, MA 02114
Phone: 617-726-8810
Fax: 617-726-3341

Academic Office:

Division of Pain Medicine
Department of Anesthesia, Critical Care and Pain Medicine
Massachusetts General Hospital
Wang Ambulatory Care Center, Suite 333
15 Parkman Street Boston, MA 02114
Phone: 617-726-3332
Fax: 617-724-2719

Public Transportation Access: Yes
Disabled Access: Yes



 
Office Information

Department of Anesthesia,
Critical Care and Pain Medicine
Gray-Bigelow 444
55 Fruit Street
Boston, MA 02114

Public Transportation Access: Yes
Disabled Access: Yes