Mariano Edward R, Rosenquist Richard W
Department of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine Stanford, California, USA Anesthesiology and Perioperative Care Service, Veterans Affairs Palo Alto Health care System.
Pain Management Department, Cleveland Clinic Foundation.
Curr Opin Anaesthesiol. 2018 Oct;31(5):643-648. doi: 10.1097/ACO.0000000000000639.
The purpose of this review is to provide the background and rationale for pursuing accreditation of regional anesthesiology and acute pain medicine (RAAPM) fellowships, explain specific steps and challenges in the process, and forecast the future of fellowship training.
In 2016, the first fellowship program in RAAPM was able to apply for accreditation from the Accreditation Council for Graduate Medical Education (ACGME). The establishment of this newly accredited subspecialty fellowship and the announcement of the first accredited programs represented a tremendous achievement in anesthesiology training and medical education in general and was the culmination of nearly 4 years of dedicated effort.
Programs with initial ACGME accreditation are on a 2-year term and will be reviewed to evaluate adherence to the program requirements and the quality of fellowship training. Deficiencies identified will need to be resolved or face loss of accreditation. However, a program's maintenance of accreditation represents a commitment to its fellows to provide a training experience that can be held as a benchmark for all programs.
本综述旨在提供区域麻醉与急性疼痛医学（RAAPM）专科培训申请认证的背景和基本原理，解释该过程中的具体步骤和挑战，并预测专科培训的未来发展。
2016年，首个RAAPM专科培训项目得以向毕业后医学教育认证委员会（ACGME）申请认证。这一新认证亚专科培训项目的设立以及首个认证项目的公布，总体而言是麻醉学培训和医学教育领域的一项巨大成就，也是近4年不懈努力的成果。
最初获得ACGME认证的项目为期2年，之后将接受审查，以评估其是否符合项目要求以及专科培训质量。发现的不足之处需加以解决，否则将面临失去认证的风险。然而，一个项目维持认证状态意味着承诺为其学员提供一种可作为所有项目标杆的培训体验。
