Pain Match 2024

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klumpke

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Match data just released for this past cycle. Looks like ~33% of programs did not fill which is crazy.

What downstream consequences do you guys think this will have? Do we anticipate this will help with the over-saturation desirable cities issues in the years to come?
 
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Let them go unfilled. We need less spots. We don't need to be scraping the bottom of the barrel for future colleagues

We have an epidemic of chronic pain in this country: 1 in 5 adults by some estimates.
The amount of Modic changes I see gets worse and worse every day.
Sacroiliac joints are literally crumbling a part before our eyes.
Neuropathic pain of the cluneal nerves, medial branches, genicular nerves, and other small un-named nerves is colossal.

We need pain doctors who can treat these problems. Not pain noctors, therapeutic nihilists, or psychobabble poo-poo heads.
 
hmm...

an epidemic of chronic pain with an epidemic of new injections, procedures, surgeries..

all while chronic pain increases in incidence.


Got it.
 
hmm...

an epidemic of chronic pain with an epidemic of new injections, procedures, surgeries..

all while chronic pain increases in incidence.


Got it.


"It’s hard to pin down a singular definition of pain. The study defined people with chronic pain as those who said they had pain most days, or every day, over the previous three months. And chronic pain itself can be a disease, said Dr. Prasad Shirvalkar, an associate professor of anesthesia and neurological surgery at the University of California, San Francisco, who studies pain management. He added that it could take years for some patients to get an accurate diagnosis for conditions that cause chronic pain, and that over a third of cases occur with no clear cause.

“It’s like a fire alarm going off, but there’s no fire,” he said.

Even when doctors can diagnose conditions that cause chronic pain, many aren’t equipped to treat it. “There really is an underappreciation in the medical community about pain management,” said Dr. Michael Bottros, clinical operations chief and medical director of pain services at the Keck School of Medicine at the University of Southern California. And because pain is “nebulous” and varies from person to person, he added, it can be difficult to pinpoint the appropriate treatments."
 
Maybe this is the push for residency instead of a fellowship….

Cut the spots.

Side note, what’s status of those nass fellowships?
 
Some of these programs are exceptionally bloated (>7-8 fellows). There’s no need for this except that it allows academic attendings to live a Cush life and staffing for in-patient acute and chronic pain services which are not particularly beneficial for pain physicians in their training.

The fellowship numbers will go back up once anesthesia job market cools off.
 
Curious about which programs did not fill. It was interesting reading the Discord and Google spreadsheet since the impressions of quite a few programs are inaccurate (both underrating and overrating).
 
Curious about which programs did not fill. It was interesting reading the Discord and Google spreadsheet since the impressions of quite a few programs are inaccurate (both underrating and overrating).
You mean which ones didn't fill? There's a list in the discord channel.
 
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