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15+ Year Member
Feb 20, 2002
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Hi all, this message is for Stinky Tofu, Drusso, or anyone else with the real-world knowledge:

Let's say that one goes through a PM&R residency and a fellowship (pain, spine, MSK, etc.) that makes him/her competent in interventional procedures and EMG.

That said, what happens when that person is in a pain group with other big-shot anesthesiologists who know NOTHING about EMG or diagnosing (or even pain, really) but walk around with a fluoroscopy needle mumbling things like "i think we oughta go into the fluoroscopy suite for an ESI..." And, by God, they're the ones trained in Interventional procedures, right?

I guess what I'm asking is this: IS A PHYSIATRIST GOING TO GET SHAFTED INTO ONLY DOING ELECTRODIAGNOSTICS AND MEDS in a pain practice, while the anesthesiologists gobble up all the lucrative procedures?

This is, of course, assuming that the jobs in pain will be attainable through PM&R.

Can anyone please calm my anxiety and confusion/ignorance about this issue? I would appreciate it.

Thanks, Frank


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Nov 21, 1998
Over the rainbow
Attending Physician
In a word, no. Why would a group cut its nose off to spite its face? A physiatrist will probably be valued for their EMG skills (keeping EMG dollars in the group) and interventional skills (again keeping indirect dollars via facility fees, office-fees, etc in the group). There should be *plenty* of work to go around.

Stinky T

I agree with drusso, it doesn't really make sense for a group that you're part of to block you from doing procedures. You are part of the group because they wanted you there and it doesn't really make sense for them not to utilize your skills. Also, Pain jobs are definitely attainable through PM&R. I worked with one of the major Pain groups in CT and they were specifically looking for Interventional Physiatrists. Physiatrists have a lot to offer Pain groups because on top of the procedures, we can do EMGs and attract a different set of patients.
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