Pain Medicine Residency

[Spine Specialist]

My dream pain medicine residency curriculum:

Prelim year:

2 months of general surgery to learn basic surgical skills
2 months of orthopedics
2 months of neurology
1 month of rheumatology
1 month of psychiatry
1 month of diagnostic radiology
1 month of internal medicine
2 months of elective

PGY 2-4
12 months of outpatient physiatry/EMG
6 months of anesthesiology or 3 months
3 months of musculoskeletal/sports/orthopedics
3 months of neurosurgery/oncology/interventional radiology
1 year of learning interventional skills

Who should have the leadership of pain medicine residency programs?Physiatry training programs? or anesthesia?
Please discuss.

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[md2k]

you're nuts

 

[Spine Specialist]

you're nuts

you are right. I am nuts abt pain medicine. I am in with pain medicine and wanna be the Albert Schweitzer of 21st century if i can.

 

[DigableCat]

Unless there was a homebase Pain Medicine Department, I doubt this would be feasible or even attractive to applicants. Being a worker in many departments but a member of none, does create a bit of an identity crisis. And it wouldnt be the first time I've heard of this. My friend who is in a combined ER/IM residency feels this way right now. And he only has to rotate between 2 departments.

This appears to be more of a transitional rotating internship for 3 years. And if there is anything I've learned as a 1-2 month rotator of other departments, it's that I'm not considered truly a part of. They will usually just consider you the extra help(and the person who gets to be on call XMAS, New Years, Easter, etc). Like other programs, it would be nice if there was a sense of graduated responsibility within one department. For example: a Pain Intern, Pain Resident, Pain Chief Resident, Pain Attending. Until these responsibilities are delegated and fostered, it will feel more like 4 years of being a Pain Pseudo-Intern....and a four year Intern in ANY field sucks.

 

[Spine Specialist]

Unless there was a homebase Pain Medicine Department, I doubt this would be feasible or even attractive to applicants. Being a worker in many departments but a member of none, does create a bit of an identity crisis. And it wouldnt be the first time I've heard of this. My friend who is in a combined ER/IM residency feels this way right now. And he only has to rotate between 2 departments.

This appears to be more of a transitional rotating internship for 3 years. And if there is anything I've learned as a 1-2 month rotator of other departments, it's that I'm not considered truly a part of. They will usually just consider you the extra help(and the person who gets to be on call XMAS, New Years, Easter, etc). Like other programs, it would be nice if there was a sense of graduated responsibility within one department. For example: a Pain Intern, Pain Resident, Pain Chief Resident, Pain Attending. Until these responsibilities are delegated and fostered, it will feel more like 4 years of being a Pain Pseudo-Intern....and a four year Intern in ANY field sucks.

Digcat-

I completely agree with your point abt having an identity crisis in the initial stages and my dream curriculum looking like a rotating internship. Any new experiment will have its own initial struggle and will get better. Pain medicine residency is definitely going to produce better quality pain physicians.

I guess AAPMR and ASA is already working on introducing pain medicine residency training. ASIPP CEO Manchikanti was also mentioning during recent cadaver course that it is his and Gabor Racz dream to bring on pain medicine residency training soon. People like us who are future leaders of this speciality should spill our ideas here..... how to make our field better? That is the purpose of this pain rounds forums..right?

 

[analgesic]

Digcat-

I completely agree with your point abt having an identity crisis in the initial stages and my dream curriculum looking like a rotating internship. Any new experiment will have its own initial struggle and will get better. Pain medicine residency is definitely going to produce better quality pain physicians.

I guess AAPMR and ASA is already working on introducing pain medicine residency training. ASIPP CEO Manchikanti was also mentioning during recent cadaver course that it is his and Gabor Racz dream to bring on pain medicine residency training soon. People like us who are future leaders of this speciality should spill our ideas here..... how to make our field better? That is the purpose of this pain rounds forums..right?

Dig and PS,

I hope we are moving toward an integrated pain residency. However,if a pain residency is created then what will happen to all the pain fellowships? Likewise, what do you think will happen to all the Anesthesia/PM&R candidates waiting to start a fellowship who are already in residency? Hopefully, issues such as these will not make starting a pain residency problematic.