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Woodrow A, Teramoto M, Thapliyal M, Christiansen S. Procedural education for cancer-related pain in Pain Medicine fellowships: a national program survey. Reg Anesth Pain Med 2024; 49:440-447. [PMID: 37652574 PMCID: PMC11187366 DOI: 10.1136/rapm-2023-104630] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2023] [Accepted: 08/22/2023] [Indexed: 09/02/2023]
Abstract
INTRODUCTION Cancer-related pain is ubiquitous. Targeted procedural interventions may be an important and underutilized method for improving cancer-related pain and quality of life. The goal of this study was to determine the baseline educational experience and perceived post-graduation comfort of Pain Medicine fellows in performing procedures that can be used for cancer-related pain. METHODS Using Qualtrics, a 16-question survey was distributed to graduating fellows at accredited Pain Medicine Fellowship programs in the USA in June 2022. The fellows' experience and comfort level performing eight procedures was analyzed using summary descriptive statistics and contingency table analysis with statistical significance determined by Pearson's χ2 test. RESULTS Survey respondents represented 30% of fellows among 44% of Pain Medicine programs during the 2021-2022 academic year. The majority of respondents reported no experience performing 7 of the 8 procedures for cancer-related pain (56.1%-90.6%). Graduating fellows reported overall comfort performing sympathetic neurolysis (65.7%), spinal cord stimulator trials (85.7%) and implantations (66.0%), but not intrathecal pump trials (36.9%) and implantations (31.3%), peripheral nerve stimulator implantations (41.7%), vertebral augmentations (31.3%), and vertebral body radiofrequency ablations (16.7%). CONCLUSIONS Experience performing 10 or more of the surveyed procedures, personal interest in treating cancer-related pain, and attendance of cancer-related pain lectures were found to significantly increase comfortability in performing cancer-related pain procedures post graduation, whereas cadaver-based learning did not. This study highlights the need for more robust procedural education for cancer-related pain and identifies procedural experience in non-cancer patients and lectures on cancer-related pain as ways to bridge this educational gap.
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Affiliation(s)
- Alex Woodrow
- Anesthesiology and Perioperative Medicine, Oregon Health & Science University, Portland, Oregon, USA
| | - Masaru Teramoto
- Physical Medicine and Rehabilitation, University of Utah Hospital, Salt Lake City, Utah, USA
| | - Mrinal Thapliyal
- Anesthesiology and Perioperative Medicine, Oregon Health & Science University, Portland, Oregon, USA
| | - Sandy Christiansen
- Anesthesiology and Perioperative Medicine, Oregon Health & Science University, Portland, Oregon, USA
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Bittman RW, Friedberg EB, Fleishon HB, Prologo JD. Global Approach to the Patient with Pain in Interventional Radiology. Semin Intervent Radiol 2018; 35:342-349. [PMID: 30402017 DOI: 10.1055/s-0038-1673362] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/22/2022]
Affiliation(s)
- Ross W Bittman
- Department of Radiology and Imaging Sciences, Emory University School of Medicine, Atlanta, Georgia
| | - Eric B Friedberg
- Department of Radiology and Imaging Sciences, Emory University School of Medicine, Atlanta, Georgia
| | - Howard B Fleishon
- Department of Radiology and Imaging Sciences, Emory University School of Medicine, Atlanta, Georgia.,Department of Radiology, Emory Johns Creek Hospital, Johns Creek, Georgia
| | - J David Prologo
- Department of Radiology and Imaging Sciences, Emory University School of Medicine, Atlanta, Georgia
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Kim HT, Kim SY, Byun GJ, Shin BC, Lee JY, Choi EJ, Choi JB, Hong JH, Choi SW, Kim YD. State of education regarding ultrasound-guided interventions during pain fellowships in Korea: a survey of recent fellows. Korean J Pain 2017; 30:287-295. [PMID: 29123624 PMCID: PMC5665741 DOI: 10.3344/kjp.2017.30.4.287] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/16/2017] [Revised: 09/17/2017] [Accepted: 09/19/2017] [Indexed: 12/03/2022] Open
Abstract
Background Recently, the use of ultrasound (US) techniques in regional anesthesia and pain medicine has increased significantly. However, the current extent of training in the use of US-guided pain management procedures in Korea remains unknown. The purpose of the present study was to assess the current state of US training provided during Korean Pain Society (KPS) pain fellowship programs through the comparative analysis between training hospitals. Methods We conducted an anonymous survey of 51 pain physicians who had completed KPS fellowships in 2017. Items pertained to current US practices and education, as well as the types of techniques and amount of experience with US-guided pain management procedures. Responses were compared based on the tier of the training hospital. Results Among the 51 respondents, 14 received training at first- and second-tier hospitals (Group A), while 37 received training at third-tier hospitals (Group B). The mean total duration of pain training during the 1-year fellowship was 7.4 months in Group A and 8.4 months in Group B. Our analysis revealed that 36% and 40% of respondents in Groups A and B received dedicated US training, respectively. Most respondents underwent US training in patient-care settings under the supervision of attending physicians. Cervical root, stellate ganglion, piriformis, and lumbar plexus blocks were more commonly performed by Group B than by Group A (P < 0.05). Conclusions Instruction regarding US-guided pain management interventions varied among fellowship training hospitals, highlighting the need for the development of educational standards that mandate a minimum number of US-guided nerve blocks or injections during fellowships in interventional pain management.
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Affiliation(s)
- Hyung Tae Kim
- Department of Anesthesiology and Pain Medicine, Presbyterian Hospital, Jeonju, Korea
- Committee on Ultrasound in Pain Medicine, Korean Pain Society, Seoul, Korea
| | - Sae Young Kim
- Department of Anesthesiology and Pain Medicine, Kyungpook National University Medical Center, School of Medicine, Kyungpook National University, Daegu, Korea
- Committee on Ultrasound in Pain Medicine, Korean Pain Society, Seoul, Korea
| | - Gyung Jo Byun
- Department of Anesthesiology and Pain Medicine, Pusan National University Yangsan Hospital, School of Medicine, Pusan National University, Yangsan, Korea
- Committee on Ultrasound in Pain Medicine, Korean Pain Society, Seoul, Korea
| | - Byung Chul Shin
- Mac Pain Clinic, Seoul, Korea
- Committee on Ultrasound in Pain Medicine, Korean Pain Society, Seoul, Korea
| | - Jin Young Lee
- Department of Anesthesiology and Pain Medicine, Samsung Medical Center, School of Medicine, Sungkyunkwan University, Seoul, Korea
- Committee on Ultrasound in Pain Medicine, Korean Pain Society, Seoul, Korea
| | - Eun Joo Choi
- Department of Anesthesiology and Pain Medicine, Seoul National University Bundang Hospital, Seongnam, Korea
- Committee on Ultrasound in Pain Medicine, Korean Pain Society, Seoul, Korea
| | - Jong Bum Choi
- Department of Anesthesiology and Pain Medicine, Ajou University Hospital, Suwon, Korea
- Committee on Ultrasound in Pain Medicine, Korean Pain Society, Seoul, Korea
| | - Ji Hee Hong
- Department of Anesthesiology and Pain Medicine, Keimyung University Dongsan Medical Center, School of Medicine, Keimyung University, Daegu, Korea
- Committee on Ultrasound in Pain Medicine, Korean Pain Society, Seoul, Korea
| | - Seung Won Choi
- Department of Anesthesiology and Pain Medicine, Wonkwang University Hospital, School of Medicine, Wonkwang University, Wonkwang Institute of Scinece, Iksan, Korea
| | - Yeon Dong Kim
- Department of Anesthesiology and Pain Medicine, Wonkwang University Hospital, School of Medicine, Wonkwang University, Wonkwang Institute of Scinece, Iksan, Korea
- Committee on Ultrasound in Pain Medicine, Korean Pain Society, Seoul, Korea
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