This report is to be completed by the RAPM for each region; it will inform the Pain Medicine Quality Nexus and provide an update to the Faculty of Pain Medicine about regional concerns or successes related to training in pain medicine.
The application form must be completed online, in full, using the Word version of the document. We will pre-populate as much of the report as possible; please feel free to update any incorrect information.
Please return your completed report to no later than DATE. If you have any queries please contact the Faculty on 020 7092 1728 or use the email address above.
Regional Advisor
Contact No.
TPD
Contact No.
2.1Please complete the table below with a list of trainees within your region:
Higher or Advanced / Name / Rotation/Based / Approx. Start & Completion Date2.2Do you have any trainees who are currently on an out of programme experience? Yes No
If yes, please indicate where:
2.3Do you have any post-CCT trainees within your region? Yes No
If yes, please indicate at which centre:
Please indicate how many trainees you assessed at:
6 months 12 months
2.4Please provide information about any concerns you have had with trainees; be specific to individual trainees where appropriate (this information will remain confidential):
2.5Please indicate how many trainees within your region passed or failed the FFPMRCA examinations in the last 6 months.
MCQPass Fail
SOEPass Fail
2.6Have trainees within your region raised any issuesrelating to training? Yes No
If yes, please give details (this information will remain confidential)
2.7Have any trainees within your region gained their CCT in the last 6 months? Yes No
If yes, please provide details of their current employment if known:
3.1How many posts are there currently available per year in your region?
Higher Advanced
If any of these posts are currently unfilled, please indicate below:
Higher Advanced
3.2Please indicate if any of the Optional sub-specialty interests below (as defined in the curriculum)are available/accessible within your region:
Cancer PainPaediatric Pain Medicine Spinal Cord Simulation Intra-Thecal Drug Delivery
3.3Please provide details of any formal teaching/training which takes place within your region:
3.4Is this teaching/training available to ‘out of region’ trainees? Yes No
3.5Is there any difficulty in your region with trainees being required to undertake anaesthetic service to the detriment of their Higher or Advanced Pain Training?
THIS SECTION WILL ONLY BE ADDED IF THE TRAINEE SURVEY HIGHLIGHTS ANY ISSUES REGIONALLY OR NATIONALLY.
PLEASE READ THE ADDITIONAL INFORMATION BELOW BEFORE COMPLETING PART 5
5.1Please use they key below to complete the ‘Training Provided’ column:
B = Basic Pain Training
I = Intermediate Pain Training
H = Higher Pain Training
A = Advanced Pain Training
We are aware that most (if not all) hospitals in your region will provide at least one of the above; if they don’t, please include them in the list and state ‘none provided’.
5.2Please provide any details of visits you’ve undertaken during the last year/since the last report; these can include pastoral visits as RAPMs, Deanery-lead visits or virtual visits (where you have sought information about the Trust via email or phone conversations with the consultants and trainees).
5.1Please provide details of hospitals within your region which offer Pain Medicine Training:
Hospital Name / Training Provided5.2Have you undertaken any visits to Pain Medicine sites in the last year/since submitting the previous report? Yes No
If yes, please attach your report from the visit.
5.3Have you had any concerns or organisational problems in the last 6 months you would like to make the Faculty aware of?
If there are any examples of good practice in the last 6 months you would like the Faculty to be aware of, please list them here:
PLEASE READ THE ADDITIONAL INFORMATION BELOW BEFORE COMPLETING PART 6
Please fill in the table with details of Consultants in your region who have at least one daytime clinical commitment in Pain Medicine.
DCC-PAs (Pain) – please provide the average Direct Clinical Care Programmed Activities that this consultant provides per week.
The ‘Chronic, Acute & Paediatric’ column is to ensure we include those Anaesthetic Consultants who also work in Acute or Paediatric Pain as well as Chronic Pain Consultants. Please use the key below to the complete this column and include all areas of Pain Medicine the Consultants work in:
A = Acute Pain
C = Chronic Pain
P = Paediatric Pain
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Name / Hospital / LPMES(Y/N) / DCC-PAs (Pain) / Chronic, Acute & Paediatric / Comments
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