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Pain medicine fellowship after child neurology residency

Staphylococcus Aureus

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    Has anyone seen a child neurology resident (Boarded in neuro) get a pain fellowship? Is this realistic or even possible? It looks like Boston childrens has a pediatric pain fellowship, any experiences with this or similar programs?
     
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    Orin

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      Has anyone seen a child neurologist (Boarded in neuro) get a pain fellowship? Is this realistic or even possible? It looks like Boston childrens has a pediatric pain fellowship, any experiences with this or similar programs?
      I think it's feasible if you've got a fear of not being a trainee.

      Cincy children's might be another option.

      Generally those are combo peds anesthesia/pain type positions. You're a bit limited by the neurology training, but it would a useful niche for the abdominal pain and headaches in that population.

      It's a hard one though to figure out how till be meaningfully employed outside of academic locations.
       
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      hyperalgesia

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        Thanks, I suppose my main question is would pain PDs consider a child neuro applicant?
        I would just focus on the neuro aspect with the side benefit of the esoteric specialty of pediatric pain. Neuro is very pertinent. Programs often like to diversify their class. Convince them you have something unique to offer the class.
         
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        Orin

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          To clarify I’m interested in treating both peds and adult patients and not limiting my inquiry to the pediatric specific pain fellowships.

          My fault. That's a very different question. At that point they're just looking at you as a neurology resident. The usual pathway is fine, but you'll want to establish relationships with PDs at the place you're looking at. Your application may be stacked as compared with a conventional anesthesia/PMR person as you've had a few more years to pad it with things, but you need to establish that you have had exposure to pain (good letter from your local program) and that you're trainable.

          1. Look at places with large classes, ideally 4+, as you're going to find them more willing to take atypical people due to the risk of a bad fit. The fellowship is just a year so it's a lot easier to take people that're already knowledgeable about things and polish, rather than really train them up.
          2. Reach out to those PDs when you've got things figured out. A good time may be the gap after the rank lists go in and before the match happens for the year prior. In this case the first two weeks of October might be a good time.
          3. Get to the interview stage and figure out how they train non-Anes/non-PMR people. Show insight into your weakness/gaps, and then give them comfort by talking about your exposure to stuff like clinic flow, procedures, reading MRIs, etc.

          It's a sales thing. Good luck.
           
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          NTF

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            Cincinnati children's pain fellows have been peds trained, anesthesia trained, rehab trained and heme-onc trained. I'd email PD's directly but I think many peds pain programs would be happy to have a qualified motivated child neuro trained fellow.
             
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