I need advice--- I am very interested in Pain Management as a career. I originally applied for an anesthesiology residency last year hoping to get into a pain fellowship. At the time I knew that anesthesiology had most of the fellowships under their department. I was not completely in love with anesthesiology though, I figured it would be the best stepping stone to Pain. Unfortunatly, I was not selected for a spot in anesthesia. I opted to go for family as it has always interested me. I still want to go into pain management though! I understand there are some major orginizational issues that need to be ironed out. The issues of accreditation and so on. Now that family graduates are eligible to apply...I am being realistic and know that my application won't be as competitive as an anesthesiologist or PM&R, etc. How can I become more competitive? I don't want to reapply for anesthesiology again...as that is not really what I want...and I don't want to waste my time and others opportunities for this field, just to get to Pain. PMR will allow me to use my first years as an intern year and they have their own pain fellowships....and some of the anesthesiology depts are more open to PM&R....I actually enjoy the work of physiatry as well. Should I risk it and stay with family and try and apply then or should I be more aggressive and look into PM&R?