From the Department of Orthopedic Surgery and Rehabilitation Medicine, SUNY Downstate Medical Center, Brooklyn, New York.
Am J Phys Med Rehabil. 2018 Apr;97(4):298-303. doi: 10.1097/PHM.0000000000000871.
Exposure to interventional pain procedures is now a required component of training in physical medicine and rehabilitation residencies as mandated by the Accreditation Council for Graduate Medical Education. Data regarding resident exposure and competency in these procedures remain limited. Objectives were to determine the volume and type of exposure physical medicine and rehabilitation residents have to interventional pain procedures and to obtain faculty-perceived opinions regarding competency of incoming fellows as it pertains to interventional pain management. Online surveys were sent to program directors of physical medicine and rehabilitation residencies and fellowship directors of interventional spine, sports medicine, and pain medicine fellowships. Surveys inquired about educational methods, the volume of procedures in which residents actively participate, and faculty-perceived competency of trainees performing procedures. Thirty-nine residency programs and 27 fellowships responded to the surveys. Of the 39 residencies that responded, there was great variation in the exposure residents receive. Most programs reported that residents have moderate exposure to common procedures such as ultrasound-guided knee injections and lumbar epidural injections. In addition, while most residency program directors report graduates to be "fairly prepared" (33%) to "well prepared" (20.5%) with regard to spine procedures, most fellowship directors (63%) describe incoming fellows to be at the "beginner" level.
介入性疼痛治疗程序的暴露现在是物理医学和康复住院医师培训的必修组成部分，这是由研究生医学教育认证委员会规定的。关于住院医师在这些程序中的暴露和能力的数据仍然有限。目的是确定物理医学和康复住院医师接触介入性疼痛治疗程序的数量和类型，并获得教师对即将到来的研究员在介入性疼痛管理方面的能力的看法。向物理医学和康复住院医师培训计划主任和介入性脊柱、运动医学和疼痛医学研究员培训主任发送了在线调查。调查询问了教育方法、住院医师积极参与的程序数量以及教师对进行程序的学员能力的看法。39 个住院医师培训计划和 27 个研究员培训计划对调查做出了回应。在做出回应的 39 个住院医师培训计划中，住院医师的暴露情况存在很大差异。大多数计划报告说，住院医师对常见程序（如超声引导下的膝关节注射和腰椎硬膜外注射）有中等程度的接触。此外，虽然大多数住院医师培训计划主任报告说，毕业生在脊柱手术方面“相当有准备”（33%）到“准备充分”（20.5%），但大多数研究员培训计划主任（63%）将即将到来的研究员描述为处于“初学者”水平。
