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History and evolution of regional anesthesiology and acute pain medicine fellowship training.
Shapiro, David Michael; Hargett, Mary J; Kopp, Sandra; Neal, Joseph M; Mariano, Edward R; Liguori, Gregory.
Afiliación
  • Shapiro DM; Department of Anesthesiology, Perioperative and Pain Medicine, Mount Sinai Medical Center, New York, New York, USA david.shapiro@mountsinai.org.
  • Hargett MJ; Department of Anesthesiology, Critical Care and Pain Management, Hospital for Special Surgery, New York, New York, USA.
  • Kopp S; Department of Anesthesiology, Mayo Clinic Graduate School for Biomedical Sciences, Rochester, Minnesota, USA.
  • Neal JM; Department of Anesthesiology, Virginia Mason Medical Center, Seattle, Washington, USA.
  • Mariano ER; Department of Anesthesiology and Perioperative Care Service, VA Palo Alto Health Care System, Palo Alto, California, USA.
  • Liguori G; Department of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, Stanford, California, USA.
Reg Anesth Pain Med ; 45(4): 311-314, 2020 04.
Article en En | MEDLINE | ID: mdl-32001624
INTRODUCTION: In 2016, individual training programs in regional anesthesiology and acute pain medicine (RA/APM) became eligible for accreditation by the Accreditation Council for Graduate Medical Education (ACGME), thereby culminating a process that began 15 years earlier. Herein, we review the origins of regional anesthesia training in the USA, the events leading up to accreditation and the current state of the fellowship. METHODS: We reviewed pertinent literature on the historical aspects of RA/APM in the USA, related subspecialty training and the formation and current state of RA/APM fellowship training programs. Additionally, a survey was distributed to the directors of the 74 RA/APM fellowships that existed as of 1 January 2017 to gather up-to-date, program-specific information. RESULTS: The survey yielded a 76% response rate. Mayo Clinic Rochester and Virginia Mason Medical Center likely had the first structured RA/APM fellowships with formalized curriculums and stated objectives, both starting in 1982. Most programs (86%), including ACGME and non-ACGME fellowships, came into existence after the year 2000. Six responding programs have or previously had RA/APM comingled with another subspecialty. Eight current programs originally offered unofficial or part-time fellowships in RA/APM, with fellows also practicing as attending physicians. DISCUSSION: The history of RA/APM training in the USA is a tortuous one. It began with short 'apprenticeships' under the tutelage of the early proponents of regional anesthesia and continues today with 84 official RA/APM programs and a robust fellowship directors' group. RA/APM programs teach skills essential to the practice and improvement of anesthesiology as a specialty.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Educación / Becas / Dolor Agudo / Anestesia de Conducción / Anestesiología Tipo de estudio: Qualitative_research Límite: Humans País/Región como asunto: America do norte Idioma: En Revista: Reg Anesth Pain Med Asunto de la revista: ANESTESIOLOGIA / NEUROLOGIA / PSICOFISIOLOGIA Año: 2020 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Educación / Becas / Dolor Agudo / Anestesia de Conducción / Anestesiología Tipo de estudio: Qualitative_research Límite: Humans País/Región como asunto: America do norte Idioma: En Revista: Reg Anesth Pain Med Asunto de la revista: ANESTESIOLOGIA / NEUROLOGIA / PSICOFISIOLOGIA Año: 2020 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido