Article

The purposes of this project were to propose an educational module to instruct
pain medicine fellows in the appropriate performance of interventional pain
management techniques and to verify procedural competency through objective
evaluation methodology. Eight board-certified pain medicine physicians spanning
two fellowship programs trained seven fellows using a standardized
competency-based module. Assessment tools address the basic competencies outlined
by the Accreditation Council for Graduate Medical Education (American Board of
Anesthesiology Pain Medicine Content Outline). The seven fellows demonstrated
proficiency in every segment of the evaluation module. Objective measures
compared the fellows' performance on standardized procedure checklists
administered 9 mos into training; fellows in the 2012-2013 academic year also
received testing at the 3-mo mark. Support for the assessment module is
demonstrated by appropriate performance of interventional procedures, with
improvement noted from 3-mo to 9-mo testing, successful completion of
chart-stimulated oral examinations, proper performance of relevant physical
examination maneuvers, and completion of program-specific medical knowledge
written tests. The fellows were evaluated via patient surveys and 360-degree
global rating scales, maintained procedure logs, and completed two patient-care
reports; these were reviewed by program directors to ensure adequate completion.
The standardized educational module and evaluation methodology presented provide
a potential framework for the definition of baseline competency in the clinical
skill area of interventional pain management.

Langue : ANGLAIS