Wahezi Sayed E, Yener Ugur, Naeimi Tahereh, Choi Heejung, Eshraghi Yashar, Pritzlaff Scott G, Emerick Trent, Hunter Corey W, Caparo Moorice, Schatman Michael E, Ahadian Farshad, Argoff Charles, Deer Timothy, Sayed Dawood, Day Miles, Abd-Elsayed Alaa, Lo Bianco Giuliano
Department of Physical Medicine & Rehabilitation, Montefiore Medical Center, Bronx, NY, USA.
Department of Anesthesiology, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
J Pain Res. 2024 Dec 31;17:4573-4582. doi: 10.2147/JPR.S487990. eCollection 2024.
Pain medicine care has expanded to encompass a wider range of conditions, necessitating updated education and training for pain specialists to utilize emerging technologies effectively. A national survey was conducted through several verified Pain organizations regarding pain physician employers' perspectives on pain medicine fellowship training and education. The survey aimed to gather insights from a diverse range of geographic locations, practice types (academic and private practice), and practice settings. The findings emphasize the need for educational programs to adapt to the evolving landscape of pain medicine.
A survey was disseminated through several national professional pain societies, including the AAPM, ASIPP, NANS, and ASPN, and Pain DocMatters forum, an online verified pain physician forum to ensure a wide reach among potential respondents. The survey received responses from 196 participants, 39 from the Pain DocMatters forum and 157 through pain societies' channels.
Most survey respondents reported a need for additional training and experience beyond what is offered during the one-year ACGME-approved fellowship. Professionalism and basic interventional skills were identified as the highest valued attributes of pain physician candidates by potential employers. Employers rated spinal cord stimulator (SCS) trials as the most important advanced procedure for trainees to learn. Other advanced procedures such as SCS implants, PNS implants, interspinous spacers, and percutaneous procedures involving the vertebral body were also rated as either very important or somewhat important by most respondents. A significant gap in training has been identified, with only 7% of respondents feeling that fellows were adequately prepared to independently practice in the current educational model. A vast majority of respondents stated that fellows need additional training following graduation from fellowship to practice independently.
Training programs should provide more robust education to prepare their graduates for independent practice.
疼痛医学护理已扩展至涵盖更广泛的病症，这就需要为疼痛专科医生提供更新的教育和培训，以便他们有效地利用新兴技术。通过几个经过验证的疼痛组织开展了一项全国性调查，了解疼痛科医生雇主对疼痛医学 fellowship 培训和教育的看法。该调查旨在从不同地理位置、执业类型（学术和私人执业）以及执业环境中收集见解。研究结果强调了教育项目适应疼痛医学不断变化格局的必要性。
通过几个全国性专业疼痛协会开展了一项调查，这些协会包括美国疼痛医学学会（AAPM）、美国介入和疼痛医师学会（ASIPP）、北美神经调控学会（NANS）和美国脊柱介入医师学会（ASPN），以及 Pain DocMatters 论坛，这是一个经过在线验证的疼痛科医生论坛，以确保能广泛触及潜在受访者。该调查收到了 196 名参与者的回复，其中 39 份来自 Pain DocMatters 论坛，157 份通过疼痛协会渠道收到。
大多数调查受访者表示，除了美国研究生医学教育认证委员会（ACGME）批准的为期一年的 fellowship 期间所提供的培训外，还需要额外的培训和经验。专业素养和基本介入技能被潜在雇主视为疼痛科医生候选人最有价值的特质。雇主将脊髓刺激器（SCS）试验评为学员需要学习的最重要的先进手术。其他先进手术，如 SCS 植入、外周神经刺激（PNS）植入、棘突间间隔器以及涉及椎体的经皮手术，大多数受访者也将其评为非常重要或有些重要。已发现培训方面存在显著差距，只有 7%的受访者认为 fellows 在当前教育模式下已做好独立执业的充分准备。绝大多数受访者表示， fellows 在完成 fellowship 毕业后需要额外培训才能独立执业。
培训项目应提供更全面的教育，使其毕业生为独立执业做好准备。
