THE FACULTY OF PAIN MEDICINE of
THE ROYAL COLLEGE OF ANAESTHETISTS
Complete and return to the
Regional Advisor in Pain Medicine for your region
March 2011 (V2.2)
REVIEW FORM FROM SCHOOLS OF ANAESTHESIA AND HOSPITALS SEEKING TO PROVIDE HIGHER & ADVANCED TRAINING IN PAIN MEDICINE FOR ANAESTHETISTS
March 2011
INTRODUCTION
There is no formal process of recognition or approval of Schools of Anaesthesia or hospitals seeking to provide higher & advanced training in pain medicine for anaesthetists. The details of the training environment and training programme are provided in the curriculum, The CCT in Anaesthetics2010, and in the Faculty publication, Providing Advanced Training in Pain Medicine for Anaesthetists: guide for Regional Advisers, Trainers and Trainees (June 2010).
The Faculty appoints Regional Advisors in Pain Medicine (RAPM) who will be able to advise hospitals and Anaesthetic schools about their proposed Pain Medicine training programmes. In some instances it is be desirable for hospitals within close geographical proximity or within a School of Anaesthesia to combine to create a comprehensive training programme, and in such cases the individual centres may offer training at only one particular level e.g. Higher, or an area of expertise within pain medicine e.g. one of the Advanced optional sub-specialty interests.
The RAPM and the Faculty of Pain Medicine Training & Assessment Committee (FPMTAC) will be pleased to advise Schools of Anaesthesia and individual hospitals on their suitability to be a provider of Higher and Advanced training in pain medicine. This review form will aid the RAPM and the members of the FPMTAC when they assess the proposed training programme.
The arrangements for trainees undertaking advanced training must not detract from the training in pain medicine that has to be provided for all trainee anaesthetists at various stages of their training. The training for CT1-2, ST3-4 and higher training in ST5-7 are described in the curriculum, The CCT in Anaesthetics 2010.
Complete separate sections when appropriate for each hospital or institution in the training scheme, and return to the Regional Adviser in Pain Medicine for your region. These details should be updated and returned to the RAPM every 3 years.
1 DETAILS OF TRAINING CENTRE
1.1 Name of Hospital 1.4 Phone number (hospital)
1.2 Address and postcode (of hospital) 1.5 Phone number (pain service)
1.6 Fax number (hospital) 1.6 Fax number (hospital)
1.3 Name of Trust 1.7 Fax number (pain service)
1.7 School of Anaesthesia
1.8 Main hospital for which advanced pain training will be based
1.9 Other hospitals included in the training scheme; indicate if only for Higher training
1.10 Location of Palliative Care Unit included in training scheme
1.11 Regional Advisor in Pain Medicine (name and email)
1.12 Regional Advisor in Anaesthesia (name and email)
1.13 Educational Supervisors for Training in Pain Medicine (each hospital)
1.14 College Tutor in this Hospital (name and email)
1.15 Any other useful email addresses
2 SITES OF REGIONAL SPECIALITIES
Tick the box if on site of the main centre or provide address
2.1 Neurology
Main Centre
2.2 Neurosurgery
Main Centre
2.3 Orthopaedic Surgery
Main Centre
2.4 Rehabilitation medicine
Main Centre
2.5 Palliative medicine
Main Centre
2.6 Oncology
Main Centre
2.7 Psychiatry
Main Centre
2.8 Clinical Psychology
Main Centre
2.9 Paediatric Pain
Medicine Centre
HOSPITAL SPECIFIC INFORMATION
Please complete pages 4-11 for each hospital in the training scheme.
4 NAME OF HOSPITAL
5 PAIN MEDICINE SERVICE: MEDICAL STAFFING
5.1 Consultant staff
Complete for all Consultants with some or all day-time PAs exclusively devoted to Pain Medicine.
NAME / PARENT SPECIALTY / QUALIFICATIONS / PAIN PAs/WEEK5.2 Consultant PAs for pain medicine per week
5.3 SAS staff
Complete for all SAS staff with some or all day-time PAs exclusively devoted to Pain Medicine.
NAME / GRADE / PARENT SPECIALTY / QUALIFICATIONS / PAs/WEEK5.4 SAS grade sessions for pain medicine per week
5.5 Other staff
Complete for all clinical non-medical staff of the pain medicine service not mentioned above e.g. Specialist Nurses, Psychologists, Physiotherapists, Pharmacists, Occupational Therapists, etc.)
NAME / PARENT SPECIALTY / QUALIFICATIONS / SESSIONS/WEEK6 MANAGEMENT OF PAIN SERVICES
6.1 Consultant responsible for acute pain service
6.2 Consultant responsible for chronic pain service
6.3 Consultant responsible for audit in Pain Medicine Unit
7 DIRECTORATES FOR PAIN SERVICES
DIRECTORATE / CLINICAL DIRECTOR (NAME) / QUALIFICATIONS / SPECIALTYFor acute pain:
For chronic pain:
8 INFORMATION RELATED TO THE PAIN MEDICINE SERVICE
8.1 Clinical activity
ACTIVITIES / NUMBEROutpatient consultation sessions per week include telephone clinics
Treatment sessions per week
Number of treatment sessions with dedicated image intensifier and radiographer available
Inpatient beds - total available in hospital
Inpatient beds - available solely for pain medicine
Ward rounds per week medical and/or nursing
8.2 Does the Pain Medicine Service have the following facilities?
FACILITIES / ‘Y’ OR ‘N’Separate office accommodation
Access to library with up-to-date pain therapy texts and journals
Trainee’s office with dedicated facilities for IT and internet access
Consultant and SAS doctor office(s)
Administration staff (state whole time equivalents)
Clerical staff (state whole time equivalents)
Secretarial support (state whole time equivalents)
Audit assistant/clerk (state whole time equivalents)
8.3 Does the Pain Medicine Service have?
FACILITIES / N/A or DETAILSPain Management Programme (give details)
Patient Support or Education Groups (give details)
Written protocols used in the Pain Medicine Service (give examples and enclose copies)
Written protocols or guidelines for general practitioners (give examples and enclose copies)
Patient information material (give examples and enclose copies)
9 FACILITIES FOR TRAINING AND EDUCATION
Does the Unit have the following? (note additional questions within the table).
FACILITIES / ‘Y’ or ‘N’ (including details if applicable)Daily ward rounds with consultant or nurse specialist
Nurses with higher qualification relevant to Pain Medicine
(state qualification in each case)
List the number of WTE for each post
Access to radiation safety training
Formal teaching sessions
(state duration and number per week):
Audit meetings (state frequency)
Regular case discussion/MDT and/or journal review meetings
(state frequency & type)
Library facilities
Internet access
A role in training of medical students
A role in the training of nursing students
A role in the training of any other healthcare professionals
An on-going program of research into the mechanisms or management of pain
(provide details)
Joint clinics with other specialties
(provide details)
10 CURRENT TRAINING ARRANGEMENTS FOR TRAINING IN PAIN MEDICINE
10.1 Trainee information
TRAINEE GRADE / SPECIALTY / PERIOD OF EACH ATTACHMENT (wks) / NO. OF SESSIONS PER WEEK / REGULAR OR OCCASIONAL?10.2 How many trainees are/would be rostered to be within the unit at any one time?
MON / TUES / WED / THURS / FRIAM / CT 1, 2
ST3, 4
Higher or Advanced Pain trainee
PM / CT1, 2
ST3, 4
Higher or Advanced Pain trainee
10.3 Are trainees guaranteed protected sessions in the pain medicine unit?
YES NO
10.4 How many trainees could undertake Higher or Advanced Pain Medicine training at this hospital at the same time?
Higher: / Advanced:CELLS BELOW ONLY For hospitals applying only for sub-specialty Advanced modules:
Spinal Cord Stimulation / Paediatric Pain Medicine
Cancer Pain / Intrathecal Drug Delivery
11 PROPOSED TRAINING PROGRAMME
Describe the proposed training programme and indicate if this is for Higher alone, Advanced or only for a sub-specialty interest of Advanced training. Please include all details or rotations and secondments (enclose additional material if you wish).
12 STATISTICAL INFORMATION FOR THE PAIN SERVICE
12.1 Is the Unit linked to the Hospital Information System?
YES NO
12.2 Do you produce an annual report or report of statistical information?
YES NO
If yes, please attach a recent copy or the relevant part of your business plan.
12.3 How many referrals to your service have there been in each of the last three years?
YEARS / ACUTE PAIN / CHRONIC PAIN / CANCER RELATED PAIN20__
20__
20__
12.4 Review of the last 12 months
IN THE LAST 12 MONTHS …What % of chronic pain patients were referred from GPs? / %
What % of chronic pain patients were referred from other hospitals? / %
What % of chronic pain patients were referred from other pain services? / %
What % of chronic pain patients were aged less than 16 years? / %
What % of chronic pain patients were aged over 75 years? / %
How many patients in your hospital had PCA for acute pain?
How many patients in your hospital had epidurals for acute pain?
How many nerve blocks were performed for chronic pain or cancer related pain in your Unit?
How many neuroablative procedures (e.g. chemical, cryotherapy or radio frequency) were performed in your Unit?
How many patients had acupuncture in your Unit?
How many patients had TENS in your Unit?
How many neurosurgical procedures (e.g. percutaneous cordotomy) for pain were performed for patients from your Unit?
How many spinal drug delivery systems were implanted for patients from your Unit?
How many SCS systems were implanted for patients from your Unit?
How many patients from your unit attended a pain management programme?
How many patients had individual psychology from your unit?
13 AVAILABILITY OF OTHER SERVICES
FACILITY / ON-SITE(Y or N) / ELSEWHERE
(give location) / AVAILABILITY (immediate, 24hr etc.)
Pathology services
Imaging services
Isotope scans
CT
MRI
Ultrasound
PET scan
Neurophysiology
Nerve conduction studies/
electromyography
Microneurography
Pharmacy:
Pain clinic pharmacist
Pharmacist ward rounds
Physiotherapy:
Medical engineering
Chaplaincy
Occupational therapy
Social work
Medical appliances
Prosthetics
Chiropody/podiatry
Dietetics
Interpreter services
14 THE PROPOSED TRAINING PROGRAMME AND FACILITIES
Provide any additional comments below on the proposed training programme and facilities.
15 NAME AND SIGNATURE OF THE LOCAL PAIN MEDICINE EDUCATIONAL SUPERVISOR (LPMES) FOR TRAINING IN PAIN MEDICINE
15.1 Name of Educational Supervisor 15.2 Signature of LPMES
15.3 Date declaration signed
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