AAPM Pain Fellowship Excellence Award Submission Form
The annual Pain Medicine Fellowship Excellence Award, presented by the American Academy of Pain Medicine, honors accredited Pain Fellowship Programs in the U.S. that offer an outstanding learning experience for their fellows. These programs are accredited by the ACGME and aim to prepare fellows to provide the highest standard of care for patients experiencing pain.
Institution:
Address:
Phone:
Email:
example@example.com
Type of Program:
*
Chronic Pain
Acute Pain
Other
Other
If other:
Is the program ACGME-accredited?
*
Yes
No
Program Number:
*
You can find your program number here: https://apps.acgme.org/ads/Public/Reports/Report/1
Number of ACGME accredited positions:
*
Number of years accredited:
*
Are there citation that have affected accreditation?
*
Yes
No
If yes, please explain:
Program Director Name:
*
Program Director Title:
Summary of Excellence
In 250 words or less, please describe your programs initiatives to promote excellence in each of the following areas. We strongly encourage providing detailed information for the committee's decision-making.
Please describe your program's initiatives to promote and enhance academic endeavors, including innovations in education and research.
*
(Include any program-produced content for peer-reviewed publications, book chapters, curriculum items, and presentations at national and regional conferences; and received awards and recognition, grants, monetary awards, and/or other funding for fellows' research).
0/250
Discuss any techniques your program uses to include evidence based clinical care and patient safety into the curriculum and clinical practice.
*
0/250
Please discuss methods by which your program encourages DEI (diversity, equity, and inclusion).
*
0/250
Please describe methods by which your program promotes interdisciplinary/teamwork regarding all the pain-related disciplines - PM&R, Neurology, Anesthesia, etc.
*
0/250
Describe ways in which your program incorporates education and experience in practice management.
*
0/250
Please describe ways in which your program balances academic and education with clinical workload.
*
0/250
The previous questions are about traditional metrics of success. Are there any programs or aspects of your fellowship to add to its excellence that you would like to share with us?
*
0/250
Submit
Should be Empty: