Department of Anesthesiology, University of Florida College of Medicine, Gainesville, FL.
Massachusetts General Hospital Pain Center, Boston, MA.
Pain Physician. 2018 Jan;21(1):E43-E48.
We hypothesized that there is a gap between expectations and actual training in practice management for pain medicine fellows. Our impression is that many fellowships rely on residency training to provide exposure to business education. Unfortunately, pain management and anesthesiology business education are very different, as the practice settings are largely office- versus hospital-based, respectively.
Because it is unclear whether pain management fellowships are providing practice management education and, if they do, whether the topics covered match the expectations of their fellows, we surveyed pain medicine program directors and fellows regarding their expectations and training in business management.
A survey.
Academic pain medicine fellowship programs.
After an exemption was obtained from the University of Texas Medical Branch Institutional Review Board (#13-030), an email survey was sent to members of the Association of Pain Program Directors to be forwarded to their fellows. Directors were contacted 3 times to maximize the response rate. The anonymous survey for fellows contained 21 questions (questions are shown in the results).
Fifty-nine of 84 program directors responded and forwarded the survey to their fellows. Sixty fellows responded, with 56 answering the survey questions.
The responder rate is a limitation, although similar rates have been reported in similar studies.
The majority of pain medicine fellows receive some practice management training, mainly on billing documentation and preauthorization processes, while most do not receive business education (e.g., human resources, contracts, accounting/financial reports). More than 70% of fellows reported that they receive more business education from industry than from their fellowships, a result that may raise concerns about the independence of our future physicians from the industry. Our findings support the need for enhanced and structured business education during pain fellowship.
Business education, practice management, fellowship training, curriculum development, knowledge gaps, private practice.
我们假设在疼痛医学研究员的实践管理培训中存在期望与实际培训之间的差距。我们的印象是，许多研究员依靠住院医师培训来接触商业教育。不幸的是，疼痛管理和麻醉学的商业教育有很大的不同，因为实践环境分别主要是基于办公室和基于医院。
由于不清楚疼痛管理研究员是否提供实践管理教育，如果他们提供，所涵盖的主题是否符合他们的研究员的期望，我们调查了疼痛医学项目主任和研究员在商业管理方面的期望和培训。
一项调查。
学术疼痛医学研究员计划。
在德克萨斯大学医学分校机构审查委员会（#13-030）获得豁免后，向疼痛计划主任协会的成员发送电子邮件调查，并转发给他们的研究员。主任被联系了 3 次，以最大限度地提高回复率。针对研究员的匿名调查包含 21 个问题（问题在结果中显示）。
84 名项目主任中有 59 名回复并将调查转发给他们的研究员。有 60 名研究员做出了回应，其中 56 名回答了调查问题。
回复率是一个限制，尽管在类似的研究中也报告了类似的比率。
大多数疼痛医学研究员接受了一些实践管理培训，主要是关于计费文件和预授权流程，而大多数研究员没有接受商业教育（例如，人力资源、合同、会计/财务报告）。超过 70%的研究员报告说，他们从行业获得的商业教育多于从他们的研究员那里获得的教育，这一结果可能引起人们对我们未来医生独立性的担忧。我们的研究结果支持在疼痛研究员中加强和结构化商业教育的需求。
商业教育、实践管理、研究员培训、课程开发、知识差距、私人执业。
