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Credentialing Recommendations for the PM&R Specialist Performing Interventional Pain Management Procedures

The following document was created by PASSOR and endorsed by the American Academy of Physical Medicine and Rehabilitation Board of Governors.

The performance of interventional pain management procedures is common practice in physical medicine. AAPM&R has developed guidelines to assist hospitals and ambulatory surgery centers to assess the qualifications of a physical medicine specialist (also called physical medicine and rehabilitation specialist or a physiatrist) performing interventional pain management procedures. These guidelines are for those who cannot demonstrate documented proficiency by an Accreditation Council for Graduate Medical Education (ACGME) approved residency education program in PM&R or ACGME approved residency education program (fellowship) in PM&R pain medicine.

 

4 Individual must have successfully completed an ACGME approved physical medicine and rehabilitation residency training program.
4 Individual must have American Board of Physical Medicine and Pain Medicine subspecialty certification,
 

or

 
 

Satisfactory completion of 12 months of formal training in Pain Medicine, or fellowship in which 50% or greater time is spent on interventional spine and pain procedures.
 

or

 
 

Documented completion of 50 Category 1 CME hours in specific topic related information and 100 Category 2 CME hours under the direct supervision of an individual who has been credentialed by a JCAHO organization to perform the procedure(s) for which privileges are sought,
 

or

 
 

Documented completion of 200 Category 2 CME hours under the direct supervision of an individual who has been credentialed by a JCAHO organization to perform the procedure(s) for which privileges are sought.
4 Individual must have documented proficiency with the practical application of the interventional pain management procedures and techniques for the requested privileges. For newly developed procedures, the individual must have documentation of didactic training in that particular procedure and documented proficiency with technically similar procedures.
4 Individual must be proficient in the reasonable management of complications related to the procedure as defined by the local medical community.

 

approved 11-08-98 (981104)

amended 09-21-02 (020911)

amended 12-13-04 (P041204)

amended 06-07-08 (P080411)

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