Education Program, Division of Pain Medicine, Department of Anesthesiology and Pain Medicine, School of Medicine, University of California, Davis, Sacramento, California.
Department of Anesthesiology and Pain Medicine, School of Medicine, University of California, Davis, Sacramento, California.
Pain Med. 2018 Sep 1;19(9):1725-1736. doi: 10.1093/pm/pnx344.
The Accreditation Council for Graduate Medical Education (ACGME) has recently implemented milestones and competencies as a framework for training fellows in Pain Medicine, but individual programs are left to create educational platforms and assessment tools that meet ACGME standards.
In this article, we discuss the concept of milestone-based competencies and the inherent challenges for implementation in pain medicine. We consider simulation-based education (SBE) as a potential tool for the field to meet ACGME goals through advancing novel learning opportunities, engaging in clinically relevant scenarios, and mastering technical and nontechnical skills.
The sparse literature on SBE in pain medicine is highlighted, and we describe our pilot experience, which exemplifies a nascent effort that encountered early difficulties in implementing and refining an SBE program.
The many complexities in offering a sophisticated simulated pain curriculum that is valid, reliable, feasible, and acceptable to learners and teachers may only be overcome with coordinated and collaborative efforts among pain medicine training programs and governing institutions.
住院医师规范化培训认证委员会（ACGME）最近采用里程碑式和能力标准作为疼痛医学住院医师培训的框架，但各个项目仍需创建符合 ACGME 标准的教育平台和评估工具。
本文讨论了基于里程碑的能力标准的概念以及在疼痛医学中实施的固有挑战。我们认为基于模拟的教育（SBE）是该领域的一个潜在工具，可以通过提供新的学习机会、参与临床相关场景以及掌握技术和非技术技能来实现 ACGME 的目标。
突出了疼痛医学中 SBE 的文献稀少，并描述了我们的试点经验，该经验体现了一项新兴努力，在实施和完善 SBE 计划时遇到了早期困难。
提供一个复杂的模拟疼痛课程，使其具有有效性、可靠性、可行性和对学习者和教师的可接受性，可能只有通过疼痛医学培训项目和管理机构之间的协调和合作努力才能克服。
