What is the deal with these new ACGME accredited pain programs? It seems there are only six in the whole nation. Is it worth going to a pain program that is accredited or is it better to go to one of those "PASSOR" approved spine fellowships? I am a PGY-4 applying to pain programs and I am like super confused. Does anyone have the scoop on the Spaulding/Harvard pain program... seems like it is more inpatient pain than interventional pain stuff. How about the other ACGME PM&R programs... I think there is one in MCV, York/Sinai, California, Baylor in OK City, Michigan and Spaulding. Anybody apply to these programs or is it worth going to at all? I heard Harvard/Spaulding interviews like >40 people for one spot. Are the other programs also this competitive. I am really late in the game and just wondering what others think about doing fellowships in pain/spine.