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The case for pain medicine.

Scott M Fishman1, Rollin M Gallagher, Daniel B Carr

  • 1Division of Pain Medicine, Department of Anesthesiology & Pain Medicine, University of California, Davis, Sacramento, California 95817, USA. smfishman@ucdavis.edu

Pain Medicine (Malden, Mass.)
|September 16, 2004
PubMed
Summary

Pain Medicine is a developing specialty facing fragmentation, hindering its ability to address the public health crisis of undertreated pain. Formal recognition and a unified approach are crucial for effective pain management.

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Area of Science:

  • Pain Medicine
  • Medical Specialties
  • Healthcare Policy

Background:

  • Pain Medicine has emerged from various specialties, leading to diverse practice styles.
  • The specialty's identity is currently unstable and faces fragmentation risks.
  • An ongoing public health crisis of undertreated pain exists.

Purpose of the Study:

  • To present the case for Pain Medicine as a distinct medical discipline.
  • To highlight the challenges threatening the specialty's establishment.
  • To advocate for the recognition and consolidation of Pain Medicine.

Main Methods:

  • Review of the current state of Pain Medicine.
  • Analysis of factors contributing to the field's fragmentation.
  • Examination of the relationship between specialty recognition and pain treatment adequacy.

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Main Results:

  • Pain Medicine possesses unique knowledge, treatments, and educational requirements.
  • Lack of formal recognition and field fragmentation impede progress.
  • The current approach to undertreated pain remains inadequate.

Conclusions:

  • Pain Medicine requires formal recognition as a discrete specialty.
  • Addressing fragmentation is essential for advancing pain management.
  • Unified efforts are necessary to combat the undertreatment of pain.