PM&R Pain Medicine & Subspecialty Fellowship FAQ's

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Pain Specialist said:
Friends-

I am a PMR-based ACGME/Anes Pain fellow who is applying for jobs in academic practice Vs group practice in academic setting. How do i negotiate for percentage in procedures i am going to do after regular base salary? I hope you understand my question.

Any suggestions or advice from practicing pain folks or others will be really appreciated. Thanks!

I am not yet in practice, but my understanding, having spoken to both recruiters and potential employers, is that your productivity bonus is typically a percentage of collections or gross revenues, over some multiple of your salary. If, for instance, you were being paid a salary of 200K, the bonus might be 25% of collections in excess of 400K.

The other relevant point regarding a collection-based bonus is the status of accounts receivables if you were to chose to leave the practice. Clearly, you take the hit up front while the practice is waiting for collections. Yet the default seems to be that the practice owns the ARs upon separation, unless you are able to negotiate otherwise.

Hope that helps.

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I'll be job hunting next year (ACGME Anes Pain Fellow starting in July), so what's the market like? I'm interested in private practice...not academics. Would prefer So Cal but am not limited to that area. :D
 
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Bump...anyone have any insights? Thanks! :D
 
Ligament said:
I dont know where that info comes from. I can tell you for a fact that the University of Michigan has TWO separate pain fellowships. One is run by PM&R, and takes two fellows per year. The other is run by anesthesiology and takes two per year.

Maybe some regulations have changed? Best, Ligament

I don't know why this post by Ligament popped into my mind, but for some reason....given what I'd heard about not having more than one institution with the same fellowship I wondered how this might be as well.

It looks like U. Michigan, much like the UCLA-GLA PM&R program was able to get their fellowships approved because it is primary sponsor is through the VA medical system. Maybe that's all alot of the PM&R programs need to do. Get funding through the VA.

http://www.med.umich.edu/pmr/edu/resprgm.htm#glance

" Two positions are available for the VAMC-based fellowship; upon completion you will be eligible to take the pain management certification exam. "
 
Are Pain fellowships strictly limited to Anes, Neuro, PM&R and psychiatry?

Lets say I wanted to Med/Peds and then do Pain Fellowship, is that possible?

Thanks
 
Evil X said:
Are Pain fellowships strictly limited to Anes, Neuro, PM&R and psychiatry?

Lets say I wanted to Med/Peds and then do Pain Fellowship, is that possible?

Thanks

No, you an be from any specialty at all! FP, IM, pathology!! However, securing a spot is a little bit tougher. Also, finding a specialty board (anes, pmr, psych, neuro) that will allow you to take the ABMS recognized board exam is another problem. But it can be done. I know an ER guy who did a pain fellowship that applied through PMR board and they allowed him to sit for the exam. Also, there are other boards that only want you to pay a fee and you become a diplomat and can call yourself board certified. But these are scams.... Only ABMS recognized boards mean anything when it comes to board certification. You can read about it at: painphysicians.org

Good luck!
 
Nanomed9999 said:
I am applying for PM&R residencies and am looking for programs with an emphasis on interventional procedures. An alternative would be a program with a good deal of elective opportunities.

I am definitely planning to do an interventional pain fellowship after residency.

1. What are the top programs with an emphasis on interventional procedures?

I've heard that Ohio State has good interventional emphaisis, while RIC, which is most definitely top tier, has a large number of electives.

2. To get into a top tier interventional pain fellowship (not spine fellowship), do you feel it's more important to go to a top tier program or to a program that may not be top tier, but has excellent interventional exposure.

Thanks very much for the feedback

emory offers lots of exposure to interventional procedures
 
I was looking through the pain threads and people kept mentioning Texas Tech and Beth Isreal as the better programs with well founded reputations. What would be the equivalent programs from MSK/Spinal intervention stuff? And what do people think about Emory vs HSS for that kind of fellowship?
 
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