I could probably do very well at placing an interstim for irritable bowel syndrome, but only urology is reimbursed to protect their specialty. similarly, i am sure with my basic surgical skills, i could learn to do a simple mole removal or inject botox for wrinkles. however, i am not a board certified dermatologist or urologist
similarly, to be a board certified pain medicine physician by the ABMS, you have to go to an accredited fellowship. by bypassing this, you are saying that the establishment of the ABMS and everything it stands for is negligible, further empowering nurses, mid-levels, and quacks to become "board certified" whatevers.
yes i have worked with plenty of "board certified docs" who don't know how to treat headaches, implant a SCS, microdose, do splanchnic nerve blocks, and sure there should probably be a test similar to FIPP in our country (a successful block on a cadaver in each major region of the body, randomly chosen), however it is what we got and what we have to support. so no offense to the well trained guys that are not accredited by a fellowship but you ARE NOT BOARD CERTIFIED PAIN MEDICINE. get that straight. no matter how you twist it, you are not. keep lying to yourself, keep lying to your patients, i don't care if you get better outcomes, but this is the game and we have to play along with it. join the club correctly, don't go any back door ways. we are protecting our specialty since the ASA didn't care to protect if for anesthesiology, now as a group we have to protect ourselves
look no further than what cardiology did to protect their echocardiograms from CV anesthesiologists, or what NASS just did to protect themselves from MILD procedures.