Jishu Jessan, Hanan Saad, Shahid Farhan, LaForteza Alexandra, Shrestha Sanjay
Family Medicine, Tulane University School of Medicine, New Orleans, USA.
Family Medicine, Louisiana State University Health Sciences Center, Alexandria, USA.
Cureus. 2024 Nov 30;16(11):e74841. doi: 10.7759/cureus.74841. eCollection 2024 Nov.
The use of interventional pain medicine (IPM) has been growing over the past few years, offering relief to patients suffering from acute and chronic pain who have failed conservative therapies. Pain is one of the top complaints that family physicians encounter, yet there is no official pain medicine (PM) fellowship or recognized training program that favors family medicine graduates. Although family medicine residency programs allot a certain amount of time to teaching trainees in PM, this is considerably insufficient and does not dedicate ample time for procedural treatments. This review explains the increasing demand for IPM and provides several arguments for family physicians to provide all aspects of PM, including interventional treatments. It is recommended that pain fellowships recognize family physicians as being ideal candidates for their programs and identify their potential and competencies to perform interventional procedures.
在过去几年中,介入性疼痛医学(IPM)的应用一直在增加,为那些保守治疗失败的急慢性疼痛患者提供了缓解。疼痛是家庭医生遇到的最常见主诉之一,但目前尚无官方的疼痛医学(PM)专科培训项目或认可的培训计划青睐家庭医学专业毕业生。虽然家庭医学住院医师培训项目会安排一定时间教授学员疼痛医学,但这远远不够,也没有为程序性治疗留出足够时间。本综述解释了对IPM日益增长的需求,并为家庭医生提供全方位疼痛医学服务(包括介入性治疗)提出了几点理由。建议疼痛专科培训项目将家庭医生视为其项目的理想人选,并明确他们进行介入性操作的潜力和能力。