Pain Medicine Fellowship Question

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stookie

Slick Nasty
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If you did a residency in PM&R and would like to do a fellowship in pain med. can you do an anesthesia pain med fellowship or are you limited only to pm pain med. fellowships?
 
yes as a physiatrist you can do anesth. pain med fellowship as can anesthesiologists (obviously), neurologists, and psychiatrists. i think that's all they're open to.

the doc I did research with is a DO who did PM&R at Temple and gas based interventional pain at Hershey.

-J
 
Many anesthesia programs take anywhere from one to a few physiatrists. Not all programs are open to PM&R though. Typically a phone call to the department will get you that info.
 
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axm397 said:
I think the new ACGME requirements for ACGME accredited pain fellowships are that there can only be one pain fellowship per program and that program has to have at least two components of PM&R, psych, neuro, and anesthesia. I think this requirement starts year 2007.

http://www.aapmr.org/passor/resources/painmeda.htm

We just had a nice presentation about this; thanks Ligament!

ACGME changes off the top of my head:
You can't have both a Gas and PMR program at the same institution
You need to have multidisciplinary faculty
Mandatory rotations in palliative pain, chronic pain, etc. on top of acute pain
Changes go into effect July of 2007
 
I heard a lot about this on the fellowship interview trail. It will be interesting to see what happens to some of the ACGME-accredited fellowships that are private practice based and are not able to offer some of new requirements (i.e. psych).

Additionally, the development of new fellowships should also be interesting. Great time for PM&R to get in on the ground floor.
 
Physiatrists can indeed do anesthesia-based fellowships. One goal of the new ACGME change is to help make Pain Medicine a true sub-specialty and not the turf of one field. Pain is very multidisciplinary.

Sleep Medicine is really the model that the ACGME is going after in terms of developing multidisciplinary sub-specialty programs. Sleep Medicine is a fellowship accessible either through IM/pulmonology, psych, ENT, psych, neurology, and peds.

FAQ on sleep medicine programs

My experience is that most good anesthesia programs are interested in what non-anesthesiologist physicians bring to the table. There are still a handful of programs that use pain fellows to cover OR's etc and this is not kosher by the new ACGME standards. I think that the benefits of "cross training" in different specialties is rewarding.