Journal article
The current state of training in pain medicine fellowships: An Association of Pain Program Directors (APPD) survey of program directors
Pain practice, Vol.24(7), pp.895-903
03/30/2024
DOI: 10.1111/papr.13373
PMID: 38553945
Abstract
The Accreditation Council for Graduate Medical Education (ACGME) approved the first pain medicine fellowship programs over three decades ago, designed around a pharmacological philosophy. Following that, there has been a rise in the transition of pain medicine education toward a multidisciplinary interventional model based on a tremendous surge of contemporaneous literature in these areas. This trend has created variability in clinical experience and education amongst accredited pain medicine programs with minimal literature evaluating the differences and commonalities in education and experience of different pain medicine fellowships through Program Director (PD) experiences. This study aims to gather insight from pain medicine fellowship program directors across the country to assess clinical and interventional training, providing valuable perspectives on the future of pain medicine education.
This study involved 56 PDs of ACGME-accredited pain fellowship programs in the United States. The recruitment process included three phases: advanced notification, invitation, and follow-up to maximize response rate. Participants completed a standard online questionnaire, covering various topics such as subcategory fields, online platforms for supplemental education, clinical experience, postgraduate practice success, and training adequacy.
Surveys were completed by 39/56 (69%) standing members of the Association of Pain Program Directors (APPD). All PDs allowed fellows to participate in industry-related and professional society-related procedural workshops, with 59% encouraging these workshops. PDs emphasized the importance of integrity, professionalism, and diligence for long-term success. Fifty-four percent of PDs expressed the need for extension of fellowship training to avoid supplemental education by industry or pain/spine societies.
This study highlights the challenge of providing adequate training in all Pain Medicine subtopics within a 12-month pain medicine fellowship. PDs suggest the need for additional training for fellows and discuss the importance of curriculum standardization.
Details
- Title: Subtitle
- The current state of training in pain medicine fellowships: An Association of Pain Program Directors (APPD) survey of program directors
- Creators
- Sayed Emal Wahezi - Montefiore Medical CenterTrent D Emerick - University of PittsburghMoorice Caparó - Montefiore Medical CenterHeejung Choi - Northwestern UniversityYashar Eshraghi - Ochsner Health SystemTahereh Naeimi - Montefiore Medical CenterLynn Kohan - University of VirginiaMagdalena Anitescu - University of ChicagoThelma Wright - University of Maryland Medical CenterRene Przkora - Florida CollegeKiran Patel - NYU Langone HealthTim J Lamer - Mayo ClinicSusan Moeschler - Mayo ClinicUgur Yener - Montefiore Medical CenterJonathan Alerte - Montefiore Medical CenterRadhika Grandhe - University of New MexicoAlexander Bautista - University of LouisvilleBoris Spektor - Emory UniversityKristen Noon - The Ohio State University Wexner Medical CenterRajiv Reddy - UC San Diego Health SystemUzondu C Osuagwu - The University of Texas MD Anderson Cancer CenterAnna Carpenter - West Virginia UniversityFrederic J Gerges - St. Elizabeth's Medical CenterDanielle B Horn - Jackson Memorial HospitalCasey A Murphy - University Medical Center New OrleansChong Kim - MetroHealth Medical CenterScott G Pritzlaff - University of California Davis Medical CenterCameron Marshall - Westchester Medical CenterGwynne Kirchen - Medical College of WisconsinChristine Oryhan - Franciscan HealthTejinder S Swaran Singh - University of IowaDawood Sayed - University of Kansas Medical CenterTimothy R Lubenow - Rush University Medical CenterNalini Sehgal - UW Health University HospitalCharles E Argoff - Albany Medical Center HospitalAmit Gulati - Memorial Sloan Kettering Cancer CenterMiles R Day - Texas Tech University Health Sciences CenterNaum Shaparin - Montefiore Medical CenterNabil Sibai - Henry Ford Health SystemAnterpreet Dua - Augusta UniversityMeredith Barad - Stanford University
- Resource Type
- Journal article
- Publication Details
- Pain practice, Vol.24(7), pp.895-903
- DOI
- 10.1111/papr.13373
- PMID
- 38553945
- eISSN
- 1533-2500
- Language
- English
- Electronic publication date
- 03/30/2024
- Academic Unit
- Anesthesia
- Record Identifier
- 9984581220902771
Metrics
7 Record Views