Do pain medicine fellowship programs provide education in practice management? A survey of pain medicine fellowship programs

Rene Przkora, Ajay Antony, Andrew McNeil, Gary J. Brenner, James Mesrobian, Richard Rosenquist, Amr E. Abouleish

Research output: Contribution to journalArticlepeer-review

7 Scopus citations


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 office-versus 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.

Original languageEnglish (US)
Pages (from-to)E43-E48
JournalPain physician
Issue number1
StatePublished - Jan 1 2018
Externally publishedYes


  • Business education
  • Curriculum development
  • Fellowship training
  • Knowledge gaps
  • Practice management
  • Private practice

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine


Dive into the research topics of 'Do pain medicine fellowship programs provide education in practice management? A survey of pain medicine fellowship programs'. Together they form a unique fingerprint.

Cite this