Furman Affiliating with NUMC?>

[ampaphb]

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Heard a rumor today from a highly placed source that Dr. Furman's fellowship was in negotiations to possibly affiliate with NUMC on Long Island

 

[DOctorJay]

does this mean his program will retain ACGME status?

 

[mdvol]

As fellow there, not sure if I'm a well placed source or not 😀, I can say he is working towards this affiliation and the plan to maintain accreditation looks solid.

 

[axm397]

last i heard they had already finished the paperwork. but don't think it is "official" yet

 

[lobelsteve]

Excellent. Kudos to Furman for keeping it going.

 

[Disciple]

Don't the current ACGME requirements make the whole notion of office based PM&R "pain" fellowships kind of pointless?

Why not just turn them into Interventional Spine fellowships, but with higher standards and tighter oversight, like the Orthopods and Neurosurgeons do with their fellowships?

Perhaps require that procedures by taught according to consensus "guidelines", but not to the exclusion of other accepted "guidelines", with mandatory "exposure" to certain procedures if "experience" is not available.

 

[SSdoc33]

there's something wrong when a fellowship's sponsoring institution is hundreds of miles away.

there used to be a fellowship in birmingham, alabama, but the sponsoring institution was in kansas city.

do these guys just get on the horn and call everyone who will offer to "host" them so they can maintain their status? kind of takes the whole "interdisciplinary" nature out of the pain fellowship when you have to see cancer patients who are a few time zones away.....

 

[lobelsteve]

there's something wrong when a fellowship's sponsoring institution is hundreds of miles away.

there used to be a fellowship in birmingham, alabama, but the sponsoring institution was in kansas city.

do these guys just get on the horn and call everyone who will offer to "host" them so they can maintain their status? kind of takes the whole "interdisciplinary" nature out of the pain fellowship when you have to see cancer patients who are a few time zones away.....

Kind of like pain fellowships having fellows taking OB call.

 

[drusso]

Don't the current ACGME requirements make the whole notion of office based PM&R "pain" fellowships kind of pointless?

Why not just turn them into Interventional Spine fellowships, but with higher standards and tighter oversight, like the Orthopods and Neurosurgeons do with their fellowships?

Perhaps require that procedures by taught according to consensus "guidelines", but not to the exclusion of other accepted "guidelines", with mandatory "exposure" to certain procedures if "experience" is not available.

I don't know. Our board sponsors "pain medicine" as a subspecialty. It would be nice if we actually still trained people in it.

 

[drvlad2004]

Heard a rumor today from a highly placed source that Dr. Furman's fellowship was in negotiations to possibly affiliate with NUMC on Long Island

As another well placed source 😀, the rumors of Furman's fellowship affiliating with NUMC really isn't a rumor, it is more of an open secret. This has been in the works for nearly a year. From what I have heard, things are looking good for Furman retaining ACGME status. I am not sure which other hospitals that Dr. Furman has been negotiating with but NUMC's odds look very good.

 

[Disciple]

I don't know. Our board sponsors "pain medicine" as a subspecialty. It would be nice if we actually still trained people in it.

I thought there wasn’t supposed to be a we (PM&R Pain specialists) anymore. I thought the whole idea is that now, a pain doc, is a pain doc, is a pain doc.

The other accredited private practice PM&R pain fellowships have folded. Probably some anesthesia university programs as well. Some fellowships are moving toward 18-24 months, and in a few years, the pain residency. Kind of seems like we’re still insisting on trying to force our outpt spine model to fit guidelines created to produce pain specialists.

Once a pain residency comes about, then what? Why not just make the change now instead of drawing it out for a few more years.
Maybe it’s time to close that chapter in the evolution of PM&R MSK/Spine.
Maybe it’s best that we just take the remaining spine fellowships, improve them (so there is some quality assurance and legitimacy), improve the residencies and move on.

It could be a similar model to Rads fellowships, but self regulated as the Neurosurgeons and Orthopods do. Just make sure the procedural training and educational content is held to a certain standard. In my community, I continue to hear stories of Physiatrists looking bad on technique and experience. It’s embarrassing.