Progress

[Disciple]

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To: PASSOR Members

On behalf of the PASSOR Board of Governors, I'm happy to forward to you the official announcement from the ABPMR that the American Board of Medical Specialties has approved the ABPMR's application for subspecialization in sports medicine. Essentially, PM&R now joins with Family Medicine, ER Medicine, Pediatrics, and Internal Medicine in the Sports Medicine Subspecialization. Qualified PM&R physicians and graduating fellows may sit for the same test that these disciplines take and, upon successful completion, be awarded the Sports Medicine Subspecialty Certificate by the ABPM&R. Further details will be forthcoming from the ABPM&R.

ABPMR Subspecialty Certification
Sports Medicine

On September 19, 2006 , the American Board of Medicine Specialties (ABMS) approved the ABPMR application to join with four other ABMS Board s to grant Sports Medicine subspecialty certification. The other ABMS Board s are: the American Board of Family Medicine (ABFM), the American Board of Internal Medicine (ABIM), the American Board of Pediatrics (AB Peds ), and the American Board of Emergency Medicine (ABEM).

The ABFM will administer the subspecialty examination and the ABPMR will credential and issue the subspecialty certificates for ABPMR diplomates. The first examination will be in 2007 or 2008.

For a period of five years from the time of the first examination for ABPMR Diplomates only, there will be a practice category eligibility using a formula which takes into account the following factors:
· Five years of Sports Medicine practice with an average of greater than 20% of the individual's practice in that category, and

· Continuing medical education relevant to Sports Medicine

Physiatrists who have successfully completed residency training in PM&R will be able to enter existing training programs in Sports Medicine (the majority currently are in Family Medicine) and then sit for the certifying examination. PM&R training programs will be able to develop subspecialty residencies in Sports Medicine to expand the opportunities for training in musculoskeletal sports medicine.

New information will be posted on the ABPMR website when application and examination requirements, as well as timelines, are determined.

Anthony M Tarvestad JD , Executive Director, ABPMR





Hell Yeah!

It's about @*$#!! time! 🙂

 

[mehul_25]

That is awesome!!

 

[drusso]

Good news indeed.

 

[fozzy40]

Is there an official link on the Web to this statement?

 

[drvlad2004]

To: PASSOR Members

On behalf of the PASSOR Board of Governors, I'm happy to forward to you the official announcement from the ABPMR that the American Board of Medical Specialties has approved the ABPMR's application for subspecialization in sports medicine. Essentially, PM&R now joins with Family Medicine, ER Medicine, Pediatrics, and Internal Medicine in the Sports Medicine Subspecialization. Qualified PM&R physicians and graduating fellows may sit for the same test that these disciplines take and, upon successful completion, be awarded the Sports Medicine Subspecialty Certificate by the ABPM&R. Further details will be forthcoming from the ABPM&R.

ABPMR Subspecialty Certification
Sports Medicine

On September 19, 2006 , the American Board of Medicine Specialties (ABMS) approved the ABPMR application to join with four other ABMS Board s to grant Sports Medicine subspecialty certification. The other ABMS Board s are: the American Board of Family Medicine (ABFM), the American Board of Internal Medicine (ABIM), the American Board of Pediatrics (AB Peds ), and the American Board of Emergency Medicine (ABEM).

The ABFM will administer the subspecialty examination and the ABPMR will credential and issue the subspecialty certificates for ABPMR diplomates. The first examination will be in 2007 or 2008.

For a period of five years from the time of the first examination for ABPMR Diplomates only, there will be a practice category eligibility using a formula which takes into account the following factors:
· Five years of Sports Medicine practice with an average of greater than 20% of the individual's practice in that category, and

· Continuing medical education relevant to Sports Medicine

Physiatrists who have successfully completed residency training in PM&R will be able to enter existing training programs in Sports Medicine (the majority currently are in Family Medicine) and then sit for the certifying examination. PM&R training programs will be able to develop subspecialty residencies in Sports Medicine to expand the opportunities for training in musculoskeletal sports medicine.

New information will be posted on the ABPMR website when application and examination requirements, as well as timelines, are determined.

Anthony M Tarvestad JD , Executive Director, ABPMR





Hell Yeah!

It's about @*$#!! time! 🙂

Finally!!!!!!!!!!!!!!!

 

[rehab_sports_dr]

Awesome news. And I think this adds additional value to PM+R sports and spine fellowships, if you are interested in seeing sports medicine patients.

 

[Taus]

relatively naive questions here:

Is this a bigger win b/c it helps to legitimize PM&R in the field of Sports Medicine, or will it help add something tangible to the training and practice of "PASSOR-style" fellowship opportunities? Do you think more PM&R residents will now seek out some of the FP-dominated primary care sports medicine fellowships or will those completing PM&R fellowships just sit for the Sports Med boards (ie what will this really add to the latter groups practice?)

 

[drusso]

relatively naive questions here:

Is this a bigger win b/c it helps to legitimize PM&R in the field of Sports Medicine, or will it help add something tangible to the training and practice of "PASSOR-style" fellowship opportunities? Do you think more PM&R residents will now seek out some of the FP-dominated primary care sports medicine fellowships or will those completing PM&R fellowships just sit for the Sports Med boards (ie what will this really add to the latter groups practice?)

It's hard to know. Fundamentally what it does is correct a wrong decision perpetrated onto the field. When Sports Medicine fellowships were being developed PM&R should have been "at the table" having a strong voice in defining the field. Instead we opted to act alone. My understanding is that the predominant point of view among leaders in the field at the time was that Sports Medicine was part and parcel of PM&R training and carving off a portion of it into a fellowship experience was counter-productive in the long-term. What happened next was that Sports Medicine came to be dominated by primary care and orthopedic surgery. There were always physiatrists involved and active in the field, but without formal recognition and broader access to fellowships the ability of physiatrist to exert their influence was limited. I think that any time the specialty has an opportunity to highlight its value it should.

 

[Ligament]

good timing. now that many of our pain fellowships are getting wiped out due to new 2007 fellowship regulations, we have another one to mess up.

 

[mehul_25]

has anyone heard any definitive information on which PM&R pain programs are out?

I have heard rumors of Windsor and Furman, but they are just rumors.

 

[Disciple]

relatively naive questions here:
Do you think more PM&R residents will now seek out some of the FP-dominated primary care sports medicine fellowships?

Probably initially, until the ABPMR accredites the necessary number of PM&R sports fellowships. So, lets hope we've learned from our mistakes and do it right this time.

If you look at the letter above, it appears there will be a "grandfather" clause, expiring sometime around 2012 or 2013. So, residents and new grads between now and then may have a problem depending on how lax eligibility requirements are (eligibility by practice experience) to take this exam and depending whether fellowships are accredited quickly enough and in a large number.

Sure hope I'll be able to take this exam.

Don't really want to do another fellowship.

Uh oh, looks like I may have to start covering highschool football next week.

 

[Disciple]

has anyone heard any definitive information on which PM&R pain programs are out?

I have heard rumors of Windsor and Furman, but they are just rumors.

I think a safe estimate is that many of the ambulatory based fellowships will have to drop out, so probably half of the total. I would expect that the rest would be able to adapt.

This is one reason I think it's time to change strategy regarding PM&R "pain". Having a total of six fellowships is essentially useless. Unless of course Physiatrists can gain strong influence within gas fellowships.

But realistically speaking....

 

[paz5559]

I think a safe estimate is that many of the ambulatory based fellowships will have to drop out, so probably half of the total. I would expect that the rest would be able to adapt.

This is one reason I think it's time to change strategy regarding PM&R "pain". Having a total of six fellowships is essentially useless. Unless of course Physiatrists can gain strong influence within gas fellowships.

But realistically speaking....

Not sure why you think the 6 other felowships will remain

PROGRAM REQUIREMENTS FOR FELLOWSHIP
EDUCATION IN PAIN MEDICINE

II Institution

D. ... There may be only one ACGME-accredited pain medicine program
within a sponsoring institution ...

Any reason to believe the anesthesia programs at Colorado, UCLA, MCV, etc will be willing to NOT be the primary fellowship program for their institution?

 

[mehul_25]

MCV no longer has an anesthesia-based pain fellowship so they should be safe. I have heard that the PM&R UCLA program is sponsored by the VA and the Anesthesia program through the University so they might be safe on a technicality.

 

[DigableCat]

Not sure why you think the 6 other felowships will remain

PROGRAM REQUIREMENTS FOR FELLOWSHIP
EDUCATION IN PAIN MEDICINE

II Institution

D. ... There may be only one ACGME-accredited pain medicine program
within a sponsoring institution ...

Any reason to believe the anesthesia programs at Colorado, UCLA, MCV, etc will be willing to NOT be the primary fellowship program for their institution?

The UCLA PM&R pain program is technically through the VA(which is where the parent residency program is located)...not UCLA(although the fellows do rotations with attendings that have academic positions there). Hence avoiding that issue.

 

[Disciple]

Not sure why you think the 6 other felowships will remain

PROGRAM REQUIREMENTS FOR FELLOWSHIP
EDUCATION IN PAIN MEDICINE

II Institution

D. ... There may be only one ACGME-accredited pain medicine program
within a sponsoring institution ...

Any reason to believe the anesthesia programs at Colorado, UCLA, MCV, etc will be willing to NOT be the primary fellowship program for their institution?

My mistake.

So maybe the damage is even worse than it initially appeared.

 

[mehul_25]

of the 11 currently accredited PM&R pain programs, the following would likely be at greatest risk of lossing accreditation:

Univ of Colorado
Emory-Windsor
Sinai-Furman
Univ of Missouri-Goodman
Temple-Falco

these are probably borderline but will likely be safe because of secondary affiliations:

VA/UCLA
Spaulding
Univ of Michigan (already merged with Anesthesia program)

Definitely safe:

NRH
LSU
MCV

 

[rehab_sports_dr]

RIC has an ACMGE accedited pain program, which is new. It is, as I understand it, a truly joint program between anasthesia and PM+R

 

[mehul_25]

that must be really new because it is not yet on the acgme website. that will be a great fellowship with all the resources RIC has to offer. any addition of that caliber is a boost the physiatry.