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.
Anonymous Review Process
To support an objective evaluation process, AAPM removes identifying program information before applications are distributed to the review committee. Please avoid including institution names, program director or faculty names, or other identifying details in your narrative responses whenever possible. Specific examples and outcomes are encouraged.
Institution:
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Address:
Phone:
Program Director Name:
*
Email:
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example@example.com
Type of Program:
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Chronic Pain
Acute Pain
Other
Other
If other:
Is the program ACGME-accredited?
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Yes
No
Program Number:
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You can find your program number here: https://apps.acgme.org/ads/Public/Reports/Report/1
Number of ACGME accredited positions:
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How many years has your fellowship program been continuously ACGME-accredited?
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Has your fellowship program received any ACGME citations during its most recent accreditation review?
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Yes
No
If yes, please provide a brief explanation of the citation(s), any corrective actions taken, and their current status.
Fellowship Excellence Evaluation
In 250 words or less, please describe your programs initiatives to promote excellence in each of the following areas.
1. Academic Excellence, Education & Research: How does your program promote academic excellence through education and research? Share examples of educational initiatives, scholarly activities, or achievements that support fellow development.
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0/250
2. Evidence-Based Clinical Care & Patient Safety: How does your program incorporate evidence-based care and patient safety into fellowship training? Share examples of educational practices or initiatives that support safe, effective patient care.
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0/250
3. Interdisciplinary Training & Collaboration: How does your program incorporate interdisciplinary care into fellowship training? Share examples of how fellows learn from and work alongside other specialties or disciplines.
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0/250
4. Practice Management Education: How does your program prepare fellows for the business and administrative aspects of pain medicine? Share examples of training in areas such as coding, reimbursement, documentation, or practice operations.
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0/250
5. Educational Balance & Fellow Development: How does your program balance clinical responsibilities with educational opportunities while supporting fellows' well-being and work-life balance? Please share examples of how your program helps fellows manage the demands of fellowship training.
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0/250
6. Additional Areas of Excellence: Is there anything else that makes your fellowship program stand out? Share any additional initiatives or accomplishments not covered above.
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0/250
Submit
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