Pain Education and Knowledge (PEAK) Consensus Guidelines for Neuromodulation: A Proposal for Standardization in Fellowship and Training Programs

J Pain Res. 2023 Sep 13;16:3101-3117. doi: 10.2147/JPR.S424589. eCollection 2023.ABSTRACTThe need to be competent in neuromodulation is and should be a prerequisite prior to completing a fellowship in interventional pain medicine. Unfortunately, many programs lack acceptable candidates for these advanced therapies, and fellows may not receive adequate exposure to neuromodulation procedures. The American Society of Pain and Neuroscience (ASPN) desires to create a consensus of experts to set a minimum standard of competence for neurostimulation procedures, including spinal cord stimulation (SCS), dorsal root ganglion stimulation (DRG-S), and peripheral nerve stimulation (PNS). The executive board of ASPN accepted nominations for colleagues with excellence in the subject matter of neuromodulation and physician education. This diverse group used peer-reviewed literature and, based on grading of evidence and expert opinion, developed critical consensus guides for training that all accredited fellowship programs should adopt. For each consensus point, transparency and recusal were used to eliminate bias, and an author was nominated for evidence grading oversight and bias control. Pain Education and Knowledge (PEAK) Consensus Guidelines for Neuromodulation sets a standard for neuromodulation training in pain fellowship training programs. The consensus panel has determined several recommendations to improve care in the United States for patients undergoing neuromodulation. As neuromo...

Source: Pain Physician - September 20, 2023 Category: Anesthesiology Authors: Scott G Pritzlaff Johnathan H Goree Jonathan M Hagedorn David W Lee Kenneth B Chapman Sandy Christiansen Andrew Dudas Alexander Escobar Christopher J Gilligan Maged Guirguis Amitabh Gulati Jessica Jameson Christopher J Mallard Melissa Murphy Kiran V Patel Source Type: research