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Pain medicine--a new credential in Canada
Patricia Morley-Forster1, Jolanta Karpinski2,3,4
1Professor, Department of Anesthesiology and Perioperative Medicine, Western University, London, Canada.
Pain Medicine is now a recognized subspecialty in Canada, with training programs established in 2014. This initiative aims to develop experts in comprehensive pain management and its associated challenges.
Area of Science:
- Medical Education
- Pain Management
- Subspecialty Development
Background:
- Pain Medicine achieved formal subspecialty recognition in Canada in 2010 by the Royal College of Physicians and Surgeons of Canada.
- The first training program commenced at Western University in July 2014, marking a significant step in formalizing pain medicine education.
Purpose of the Study:
- To document the developmental process of Pain Medicine as a distinct discipline in Canada.
- To outline the established training pathways, curriculum structure, and assessment methodologies for the subspecialty.
Main Methods:
- The development process involved a phased approach with formal approvals from the Committee on Specialties, initiated in 2007.
- The article details multiple entry routes, a 2-year curriculum, competency assessment, and a practice-eligibility route for certification.
- Accreditation processes for new training programs across Canada are also discussed.
Main Results:
- Formal recognition and the establishment of a structured 2-year subspecialty training program.
- Defined entry routes, curriculum objectives, and assessment procedures are now in place for Pain Medicine trainees.
- The program is designed to train clinicians in a multidisciplinary setting, preparing them for diverse pain management challenges.
Conclusions:
- The new Pain Medicine training program will produce experts skilled in managing acute, chronic, and cancer-related pain.
- These specialists will be equipped to lead in education, research, advocacy, and administration within the evolving field of pain medicine.
- The program aims to enhance the prevention, diagnosis, treatment, and rehabilitation of pain conditions across Canada.
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