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Trainee Insight into Pain Fellowship Programs: A Critical Evaluation of the Current Educational System by the APPD.
Sayed Emal Wahezi1, Tahereh Naeimi1, Moorice Caparo1
1Department of Physical Medicine and Rehabilitation, Montefiore Medical Center, NY.
Pain Physician
|August 1, 2024
Summary
Trainees are drawn to pain medicine fellowships by procedural training opportunities, not extended program lengths. Program directors must adapt strategies to maintain applicant interest in this growing medical subspecialty.
Area of Science:
- Medical Education
- Pain Medicine
- Surgical Training
Background:
- Pain medicine has grown significantly since its recognition as a subspecialty in 1992.
- This growth includes an increase in programs, diversity of specialties, and applicant interest.
- These changes necessitate adaptations in educational models for pain medicine fellowships.
Purpose of the Study:
- To investigate the motivations and expectations of applicants to pain medicine fellowship programs.
- To gather insights into trainees' interests and reasons for pursuing pain medicine.
- To inform the improvement and remodeling of pain medicine fellowship programs nationwide.
Main Methods:
- An online survey was administered to pain medicine fellowship applicants and current fellows in the US in 2023.
- The survey was designed by the Association of Pain Program Directors (APPD) board members.
- Participants responded to a 12-question survey regarding their fellowship motivations and expectations.
Main Results:
- Procedural volume and diversity were key factors influencing applicants' decisions to join pain fellowships.
- A majority of trainees (70%) preferred not to extend fellowship duration to 2 years.
- Half of the surveyed trainees expressed a desire to enter private practice post-fellowship.
Conclusions:
- Procedural training is a significant draw for pain medicine fellowship applicants.
- Extending fellowship duration is not favored by current trainees.
- Program directors need innovative strategies to attract and retain applicants in the evolving field of pain medicine.
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