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The Application Process for Accreditation Council for Graduate Medical Education (ACGME) Interdisciplinary Pain Medicine Fellowship: Pathway for Board Certification, Debunking the Myths and Overcoming Bias. 2014

Category Interventional Frederick E. Weiss, MD, PT, DPT
Wade Wong , DO, FACR, FAOCR
John Michels, MD
Rick Obray, MD
Johanna Bell, MSE
Purpose Radiologists have been integral practitioners and pioneers in pain management for many years. Only a handful, however, have sought board certification in pain medicine. This oral presentation will discuss the new process (as of 2013) for applying to ACGME accredited pain medicine fellowships and dispel myths about which medical specialties are eligible for these fellowships. Materials & Methods The field of pain medicine has undergone drastic changes in recent years. There has been an increased emphasis on multidisciplinary care and how different fields can contribute to patient care. Traditionally, pain medicine has been dominated by anesthesiology and to a lesser extent, physical medicine and rehabilitation. There have been an increasing number of neurologists and psychiatrists, as well. Traditionally, if a radiologist had been interested in pain management, a fellowship in musculoskeletal, interventional or neuroradiology was sought as opposed to a pain medicine fellowship. Very recent policy changes have both limited and created new opportunity for radiologists to become primary pain management providers. These policy changes will be discussed. Results National Residency Matching Program (NRMP) outcomes data will be presented for this first application cycle. Data from the single radiologist match applicant will be presented. Anonymized commentary and opinions from pain fellowship program directors and coordinators from around the country will be shared and discussed on the perspective of a radiologist entering the field of pain medicine. Obstacles and strategies for overcoming bias will be presented to maximize the opportunity for fellowship interview and a successful match. Additionally, the process for applying for board certification through the sponsoring boards will be presented. Conclusion Radiologists have had a major impact on the field of pain medicine. The process for becoming board certified in pain medicine has changed and the climate of the interdisciplinary nature of pain medicine favors the progression of radiologists into the field. Overcoming bias is difficult but attainable; the process for board certification has its challenges that can be overcome. References J.J. Freeman, R.K. Kilani, C.D. Lascola, L. Gray, and D.S. Enterline. Trends in Spinal Pain Management Injections in Academic Radiology Departments. Am J Neuroradiol 2013 34: 247-251 National Resident Matching Program http:www.nrmp.org The American Board of Physical Medicine and Rehabilitation http://www.abpmr.org The American Board of Radiology http://theabr.org The American Board of Psychiatry and Neurology http://www.abpn.com The American Board of Anesthesiology http://www.theaba.org