Affiliation:
1. 1 Department of Anesthesiology, University of Florida College of Medicine, Gainesville, FL
Abstract
Background: We hypothesized that there is a gap between expectations and actual training in
practice management for pain medicine fellows. Our impression is that many fellowships rely on
residency training to provide exposure to business education. Unfortunately, pain management
and anesthesiology business education are very different, as the practice settings are largely officeversus hospital-based, respectively.
Objective: Because it is unclear whether pain management fellowships are providing practice
management education and, if they do, whether the topics covered match the expectations of their
fellows, we surveyed pain medicine program directors and fellows regarding their expectations and
training in business management.
Study Design: A survey.
Setting: Academic pain medicine fellowship programs.
Methods: After an exemption was obtained from the University of Texas Medical Branch
Institutional Review Board (#13-030), an email survey was sent to members of the Association
of Pain Program Directors to be forwarded to their fellows. Directors were contacted 3 times to
maximize the response rate. The anonymous survey for fellows contained 21 questions (questions
are shown in the results).
Results: Fifty-nine of 84 program directors responded and forwarded the survey to their fellows.
Sixty fellows responded, with 56 answering the survey questions.
Limitations: The responder rate is a limitation, although similar rates have been reported in
similar studies.
Conclusions: The majority of pain medicine fellows receive some practice management training,
mainly on billing documentation and preauthorization processes, while most do not receive
business education (e.g., human resources, contracts, accounting/financial reports). More than
70% of fellows reported that they receive more business education from industry than from their
fellowships, a result that may raise concerns about the independence of our future physicians
from the industry. Our findings support the need for enhanced and structured business education
during pain fellowship.
Key words: Business education, practice management, fellowship training, curriculum
development, knowledge gaps, private practice
Publisher
American Society of Interventional Pain Physicians
Subject
Anesthesiology and Pain Medicine
Cited by
5 articles.
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