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I have read a scattering of articles and seen comments on making a residency for pain medicine fellowship:
lobelsteve (9-15-2005):
"PGY1-surgical prelim
PGY2-3 mo IM, 3 mo neurology, 3 mo pscyhiatry, 3 mo Ortho
PGY3-3 mo neurosurgery, 6 month acute pain service 3 mo pain clinic
PGY4-mixed acute pain and clinic depending on what practice you will be going into.
THat is an easy enough 4 years and readily modifiable to be more useful."
Pain medicine: The case for an independent medical specialty and training programs. (6-2014)
"Over the last 30 years, pain has become one of the most dynamic areas of medicine and a public health issue. According to a recent Institute of Medicine report, pain affects approximately 100 million Americans at an estimated annual economic cost of $560 to $635 billion and is poorly treated overall. The American Board of Medical Specialties (ABMS) recognizes a pain subspecialty, but pain care delivery has struggled with increasing demand and developed in an inconsistent and uncoordinated fashion. Pain education is insufficient and highly variable. Multiple pain professional organizations have led to fragmentation of the field and lack of interdisciplinary agreement, resulting in confusion regarding who speaks for pain medicine. In this Perspective, the authors argue that ABMS recognition of pain medicine as an independent medical specialty would provide much needed structure and oversight for the field and would generate credibility for the specialty and its providers among medical peers, payers, regulatory and legislative agencies, and the public at large. The existing system, managed by three ABMS boards, largely excludes other specialties that contribute to pain care, fails to provide leadership from a single professional organization, provides suboptimal training exposure to pain medicine, and lengthens training, which results in inefficient use of time and educational resources. The creation of a primary ABMS conjoint board in pain medicine with its own residency programs and departments would provide better coordinated training, ensure the highest degree of competence of pain medicine specialists, and improve the quality of pain care and patient safety."
Has there been any recent movement to truly move in this direction, or is this something that simply will not occur? Personally: I feel fortunate to be able to pursue a one-year fellowship to be able to practice in this field, but I believe that a 4-year residency would help strengthen the field of pain management and it's future prospects for those practicing.
lobelsteve (9-15-2005):
"PGY1-surgical prelim
PGY2-3 mo IM, 3 mo neurology, 3 mo pscyhiatry, 3 mo Ortho
PGY3-3 mo neurosurgery, 6 month acute pain service 3 mo pain clinic
PGY4-mixed acute pain and clinic depending on what practice you will be going into.
THat is an easy enough 4 years and readily modifiable to be more useful."
Pain medicine: The case for an independent medical specialty and training programs. (6-2014)
"Over the last 30 years, pain has become one of the most dynamic areas of medicine and a public health issue. According to a recent Institute of Medicine report, pain affects approximately 100 million Americans at an estimated annual economic cost of $560 to $635 billion and is poorly treated overall. The American Board of Medical Specialties (ABMS) recognizes a pain subspecialty, but pain care delivery has struggled with increasing demand and developed in an inconsistent and uncoordinated fashion. Pain education is insufficient and highly variable. Multiple pain professional organizations have led to fragmentation of the field and lack of interdisciplinary agreement, resulting in confusion regarding who speaks for pain medicine. In this Perspective, the authors argue that ABMS recognition of pain medicine as an independent medical specialty would provide much needed structure and oversight for the field and would generate credibility for the specialty and its providers among medical peers, payers, regulatory and legislative agencies, and the public at large. The existing system, managed by three ABMS boards, largely excludes other specialties that contribute to pain care, fails to provide leadership from a single professional organization, provides suboptimal training exposure to pain medicine, and lengthens training, which results in inefficient use of time and educational resources. The creation of a primary ABMS conjoint board in pain medicine with its own residency programs and departments would provide better coordinated training, ensure the highest degree of competence of pain medicine specialists, and improve the quality of pain care and patient safety."
Has there been any recent movement to truly move in this direction, or is this something that simply will not occur? Personally: I feel fortunate to be able to pursue a one-year fellowship to be able to practice in this field, but I believe that a 4-year residency would help strengthen the field of pain management and it's future prospects for those practicing.
