1. What do you find most helpful? Give us your feedback on the 2019 SDN Member Survey to help further the SDN mission (and win prizes!)
    Dismiss Notice
  2. Dismiss Notice

how hard to get pain fellowship?

Discussion in 'Pain Medicine' started by DO_2007, Mar 14, 2007.

  1. DO_2007

    DO_2007 New Member
    2+ Year Member

    Joined:
    Jul 3, 2006
    Messages:
    61
    Likes Received:
    0
    Status:
    Resident [Any Field]
    Hello all, I'm new to this forum, I will be starting Neurology resident in July 2007, I'm from a DO school, my question is how hard to get pain fellowship after neuro resident? I'm talking about anaesthesia fellowship. Your input highly appreciated.

    Thanks
     
  2. Stimulate

    2+ Year Member

    Joined:
    Nov 9, 2006
    Messages:
    207
    Likes Received:
    2
    Status:
    Fellow [Any Field]
    It will be difficult but nothing is impossible. Find out programs that are friendly to neurologists and network, network, network. Go to conferences where you can meet people from all over. Some pain publications wouldn't hurt either.
     
  3. OP
    OP
    DO_2007

    DO_2007 New Member
    2+ Year Member

    Joined:
    Jul 3, 2006
    Messages:
    61
    Likes Received:
    0
    Status:
    Resident [Any Field]
    thank you
     
  4. Doctodd

    10+ Year Member

    Joined:
    Jul 4, 2005
    Messages:
    3,254
    Likes Received:
    383
    volunteer in your own school/program to show your committment

    T
     
    Stop hovering to collapse... Click to collapse... Hover to expand... Click to expand...
  5. Mister Mxyzptlk

    10+ Year Member

    Joined:
    May 16, 2006
    Messages:
    4,860
    Likes Received:
    982
    Status:
    Attending Physician
    If your residency director will allow it do either a rotation at your institution's pain clinic or an outside rotation at the place you'd like to train. That accomplishes two things. It shows them how serious you are about pain as a career, and it also gives you a chance to show them how smart, hard-working, etc you are.

    Even if you do the rotation at your parent institution and want to go elsewhere you will at least have made the acquaintance of the pain attendings. They can write you a good letter based on personal observation or even pick up the phone and call someone at your target program and put in a good word.
     
    Stop hovering to collapse... Click to collapse... Hover to expand... Click to expand...
  6. drusso

    Physician Moderator Emeritus Lifetime Donor Verified Expert Verified Account 10+ Year Member

    Joined:
    Nov 21, 1998
    Messages:
    7,475
    Likes Received:
    2,507
    Status:
    Attending Physician
    Get as many pain rotations and experiences as possible. Make sure you get some good procedure proctoring and letters from individuals who have watched you do procedures. Emphasize your strengths (exam skills, polyneuropathies, EMG, etc). Do an anesthesia elective as a resident!
     
  7. Stimulate

    2+ Year Member

    Joined:
    Nov 9, 2006
    Messages:
    207
    Likes Received:
    2
    Status:
    Fellow [Any Field]
    This is excellent advice. Our pain program usually takes 1 PM&R resident each year and they have always rotated through for a month during residency.
     
  8. OP
    OP
    DO_2007

    DO_2007 New Member
    2+ Year Member

    Joined:
    Jul 3, 2006
    Messages:
    61
    Likes Received:
    0
    Status:
    Resident [Any Field]
    Thank you all
     
  9. mehul_25

    mehul_25 Dude!!!
    10+ Year Member

    Joined:
    Jun 25, 2000
    Messages:
    330
    Likes Received:
    0
    Status:
    Attending Physician
    The program here also usually takes at least one physiatry resident annually. Lately there has been so much internal interest that the program has had a lot of quality applicants from within. My theory on the future of availability of pain fellowships is that as the number of programs contracts (due to the inability/unwillingness to meet the new ACGME requirements) positions will become more scarce and competitive. In this new environment, anesthesia applicants will certainly have the inside track. Truly excellent physiatry applicants will also have some opportunities although many might return to non-accredited PASSOR-type fellowships. Neurology and pyschiatry residents will face a much tougher road primarily due to lack of exposure to the fellowships. Certainly the fellowships that have historically considered non-anesthesia applicants will continue to do so, but I feel that the new requirements actually will make it more difficult for everyone but anesthesia. With regards to IM, FP, etc. I am not sure what program will truly consider these applicants and honestly I am not certain they should be considered particularly at the expense of good anesthesia or physiatry applicants.

    The advice previously posted on this thread is very accurate. Good LORs, Some research (abstracts, publications), leadership (chief, national organizations), solid in-training/SAE scores, reasonable USMLE scores, reputation of your training institution are all factors that various programs consider. Rotating within your home institition's pain program is of utmost importance as it might land you a position or generate a very strong letter on your behalf. In the end optimizing this combination of factors might be a key to obtaining a fellowship position.
     
    Stop hovering to collapse... Click to collapse... Hover to expand... Click to expand...
  10. Ligament

    Ligament Interventional Pain Management
    Physician Lifetime Donor Verified Account 10+ Year Member

    Joined:
    Jan 8, 2002
    Messages:
    4,822
    Likes Received:
    1,205
    Status:
    Attending Physician
    I FULLY agree with Mehul, *especially* the first paragraph. I suspect the new ACGME rules were initiated to shrink the number of pain fellowships out there over time.

    Similar to Mehul's program, my fellowship did not interview any outside candidates due to very strong internal interest. I believe 7 of our graduating senior anesthesiology class have secured ACGME pain fellowships! Crazy!

    4 of the 6 University of Michigan PM&R seniors secured ACGME pain fellowships. Of those that accepted, one fellowship was PM&R based and two Anesthesiology based. One of the seniors was offered a PM&R as well as an Anesthesiology based fellowship, but turned both down to go into private practice! Interestingly, none of them wanted to stay at the UofM next year for pain fellowship.

     
    Stop hovering to collapse... Click to collapse... Hover to expand... Click to expand...
  11. mehul_25

    mehul_25 Dude!!!
    10+ Year Member

    Joined:
    Jun 25, 2000
    Messages:
    330
    Likes Received:
    0
    Status:
    Attending Physician
    That is interesting...
     
    Stop hovering to collapse... Click to collapse... Hover to expand... Click to expand...
  12. mehul_25

    mehul_25 Dude!!!
    10+ Year Member

    Joined:
    Jun 25, 2000
    Messages:
    330
    Likes Received:
    0
    Status:
    Attending Physician
    At GTUH/NRH last year all three graduates secured ACGME-pain fellowships, I took an anesthesia pain fellowship, the other two accepted pm&r pain positions (one stayed at the NRH position).
     
    Stop hovering to collapse... Click to collapse... Hover to expand... Click to expand...
  13. Stimulate

    2+ Year Member

    Joined:
    Nov 9, 2006
    Messages:
    207
    Likes Received:
    2
    Status:
    Fellow [Any Field]
    A combination of a declining number of pain fellowships and an expanded applicant pool...OUCH! And I thought it was competitive when I applied. :)
     
  14. mohanl

    mohanl Junior Member
    2+ Year Member

    Joined:
    Jun 6, 2006
    Messages:
    18
    Likes Received:
    0
    Status:
    Resident [Any Field]
    I know its getting harder to get accredited pain fellowships every year from PM and R residents.
    I am curious to know wheter most of the residents end up in taking some fellowships either accredited or not .
    Is there any one who waited for one year to get in to an accredited fellowship.
    my understanding now is that if you want spine fellowship inrrespective of location or number of procedures done, you will get it. I may be wrong.
    Any views please.
     
  15. arik79

    arik79 Junior Member
    5+ Year Member

    Joined:
    Jan 20, 2006
    Messages:
    43
    Likes Received:
    0
    Status:
    Resident [Any Field]
    which program are you at?? why is it a pre-req that someone has a rotation??
     
  16. MLF17

    7+ Year Member

    Joined:
    Jan 24, 2008
    Messages:
    4
    Likes Received:
    0
    Status:
    Resident [Any Field]
    It is getting harder but not impossible. Most people end up landing one. As for spine fellowships, you are correct - there are many good ones out there, and I anticipate that the number will grow even further.
     

Share This Page