Deciding on 3 options re:wisest path toward opening Solo Pain practice
Hey folks,
This is a question for those of you who are either currently Solo Pain docs , have worked as solo in the past, or have a solid handle/experience on the business aspect of Pain management. I’ve worked in academic Pain practice and will leave that job soon. I did some locum in the past. I bill for my own visits and procedures, not much else in terms of managing/financial stuff at that job. I want to go solo in the next 1-2 years, but I don’t have much experience with the business...
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Source: Student Doctor Network - December 18, 2021 Category: Universities & Medical Training Authors: 1gooddoc Tags: Pain Medicine Source Type: forums
I want to do it all... Is that too much?
I'm an MS4 applying PM&R this cycle. My interests are mainly in the outpatient setting. I like MSK, injections, diagnostic/injection US, botox injections, pain management and love sports patients. I am very well read in chronic pain management (for an MS4) and I am 99% sure that I will pursue this fellowship after residency (and yes, I genuinely enjoy pain, I didn't just see the big $$$).
So my question is, can these different domains comingle in a PM&R practice? For example, could I...
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Source: Student Doctor Network - December 15, 2021 Category: Universities & Medical Training Authors: Magnus Acus Tags: PM&R Source Type: forums
Those in FM, what would you like to learn/know about Pain Medicine?
Hi y'all,
I plan on giving a presentation to a large local family medicine group and I'm reaching out to see what YOU would like to learn from someone who is in pain management. This may be one presentation or a short series. Ideally, this would be useful and practical. So, think more 'what is the best muscle relaxant' and less of the esoteric 'different opioid subtypes receptors.' I hope that made sense. Below are some ideas. I'm open to hearing from YOU.
Which muscle relaxant to...
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Source: Student Doctor Network - November 28, 2021 Category: Universities & Medical Training Authors: DrMDAware Tags: Family Medicine Source Type: forums
Space management software
Do any of you work in a place that uses a space management software to ensure rooms are efficiently used? (Source: Student Doctor Network)
Source: Student Doctor Network - November 19, 2021 Category: Universities & Medical Training Authors: hyperalgesia Tags: Pain Medicine Source Type: forums
Interventional Pain Med Questions & Future
Hi interventional pain physicians, I’m currently a medical student in the US and after countless hours of shadowing (in clinic, OR etc.) and doing a ton of research on what the field is like, I’m pretty set on interventional pain. I’m fortunate enough to know a director of pain management at a local hospital through mutual friends so I’ve seen a ton about the field in terms of witnessing procedures, consults etc. and had a few questions that I wanted to get different perspectives on. I...
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Source: Student Doctor Network - November 1, 2021 Category: Universities & Medical Training Authors: BSM_OTO Tags: Pain Medicine Source Type: forums
Offering to Expand VA Pain Services?
I know even getting accepted/credentialed to start a VA job that is being recruited for can take a long long time. However, I noticed the city I am looking to practice pain management in has no VA hospital, but has a "VA Clinic" where they have ophtho/gyn/GI/derm/primary care, etc. Is there any chance I could reach out to the VA and ask if they would open a pain management office within that clinic to provide pain management to local vets? Closest real VA hospital is a couple hours away...
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Source: Student Doctor Network - November 1, 2021 Category: Universities & Medical Training Authors: SgtThunderfistMD Tags: Pain Medicine Source Type: forums
Looking for full-time position in or near Boston
Looking for a position for full time pain in Boston and/or nearby suburbs. Please PM. (Source: Student Doctor Network)
Source: Student Doctor Network - October 4, 2021 Category: Universities & Medical Training Authors: paindoc001 Tags: Pain Management Positions Source Type: forums
Question about MGMA Data
I know this has been discussed previously but I read conflicting info. The comp figure listed for pain management in MGMA, does this refer to base only or base plus wRVU productivity above the base/performance incentives? (Source: Student Doctor Network)
Source: Student Doctor Network - September 27, 2021 Category: Universities & Medical Training Authors: NY172 Tags: Pain Medicine Source Type: forums
Pain Management Physicians in Scranton, PA/surrounding area
Hi, I was wondering if anyone knows of any pain management docs in Scranton, PA or surrounding area (private practice or hospital employed). I'm looking to learn more about local market and network. Thank you. (Source: Student Doctor Network)
Source: Student Doctor Network - September 26, 2021 Category: Universities & Medical Training Authors: Sully2000 Tags: Pain Medicine Source Type: forums
New Medicare LCD for epidural treatment under proposal
FYI, limitations are being proposed for Epidural Injection as treatment option for chronic pain
This proposed LCD on Epidural Procedures for Pain Management services was announced on June 10, 2021. This nationwide policy contains many onerous changes that will detrimentally affect patient access to care. ASIPP is aware and already contacting congress members, but getting your patients to complain can also help.
Please see below for important points but one of the bigger points...
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Source: Student Doctor Network - September 15, 2021 Category: Universities & Medical Training Authors: -Sojourner- Tags: Pain Medicine Source Type: forums
Arthrodesis of the Spine by the Non-Spine Surgeon
AANS/CNS Position Statement on Arthrodesis of the Spine 8.21.21
Patient safety and optimal outcomes are maximized by team-based treatment of patients with either trauma or degenerative diseases of the spine involving a collaborative relationship between neurosurge
www.cns.org
It was only a matter of time until the spine surgeon spoke out against what is happening in our pain management world right now with the spinal simplicity and other "fusion devices." (Source: Student Doctor Network)
Source: Student Doctor Network - September 12, 2021 Category: Universities & Medical Training Authors: buddababa Tags: Pain Medicine Source Type: forums
Ketamine nasal spray
I am taking over mgmt of a WC patient previously managed at BWH whose treatment included intranasal ketamine filled from a compounding pharmacy… I have not ever prescribed ketamine for outpatient management. Got me thinking… Anyone using SPRAVATO off label for pain mgmt? (Source: Student Doctor Network)
Source: Student Doctor Network - July 26, 2021 Category: Universities & Medical Training Authors: metadr Tags: Pain Medicine Source Type: forums
Concerns about Equity and Bias in New Revised CDC Guidelines
See attached.
Observations on CDC Guideline for Prescribing Opioids – United States, 2022
This document outlines the observations of the Opioid Workgroup on the updated CDC Guideline for Prescribing
Opioids. CDC recommendations for prescribing opioids for outpatients with pain outside of sickle cell disease-related
pain management, cancer pain treatment, palliative care, and end-of-life care. The observations presented here follow
the ordering of the draft Guideline.
Overall Observations...
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Source: Student Doctor Network - July 18, 2021 Category: Universities & Medical Training Authors: drusso Tags: Pain Medicine Source Type: forums
referral for pre-procedure medications only
Hey just wanted to see what the general consensus is. We had a patient who called who wanted to be seen, as primary care physician wanted the patient to go to pain management for just pre-procedure pain medication and anxiolytic. Sounds like the patient only wants 1-2 tablets of each. Assuming you have room on your schedule, would you see this patient knowing that is all the patient wants and that the patient will not be following back up with you? (Source: Student Doctor Network)
Source: Student Doctor Network - July 10, 2021 Category: Universities & Medical Training Authors: promethius Tags: Pain Medicine Source Type: forums
Ankle blocks for DPN
Met a well trained doc who routinely performs bilateral ankle blocks (0.75% bup, betamethasone, ketorolac) for PN involving the feet. Reports several months of relief. Any similar experiences?
Early in my career pain management consisted of determining the sensory innervation of the area of complaint and then doing a “nerve block” with local anesthetic and steroid. Over time I’ve moved away from that but perhaps I need to reconsider? (Source: Student Doctor Network)
Source: Student Doctor Network - July 10, 2021 Category: Universities & Medical Training Authors: NJPAIN Tags: Pain Medicine Source Type: forums
