[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-seo-443932-105":3,"detail-sidebar-cat-0-en-105":72,"doc-detail-443932-en":122},{"code":4,"msg":5,"data":6},0,"ok",{"site_id":7,"language":8,"slug":9,"title":10,"keywords":11,"description":12,"schema_data":13,"social_meta":65,"head_meta":67,"extra_data":69,"updated_unix":71},105,"en","emergency-physicians-in-pain-medicine-workforce-trends-competency-overlap-gaps-and-opportunities-for-integration-abstract","Emergency physicians in pain medicine - Workforce trends, competency overlap, gaps, and opportunities for integration - Abstract","","Pain is a leading complaint in Emergency Department visits, yet few Emergency Physicians (EPs) historically pursued fellowship training in Pain Medicine. Applications have increased rapidly, but no systematic work had mapped how Emergency Medicine (EM) training overlaps with required Pain Medicine fellowship competencies. This study compares ACGME Pain Medicine program requirements with core EM documents to classify competency overlap, identify gaps, and suggest targeted integration through electives, mentorship, and flexible curricula.",{"@graph":14,"@context":64},[15,34,55],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/document/","Document",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/document/research-report/","Research & Report",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/document/emergency-physicians-in-pain-medicine-workforce-trends-competency-overlap-gaps-and-opportunities-for-integration-abstract/443932/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/emergency-physicians-in-pain-medicine-workforce-trends-competency-overlap-gaps-and-opportunities-for-integration-abstract/443932.png","ImageObject",300,407,{"name":42,"@type":43},"Taylor Morgan","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-10-01","2026-09-29",true,{"@type":52,"interactionType":53,"userInteractionCount":26},"InteractionCounter",{"@type":54},"ViewAction",{"@type":56,"mainEntity":57},"FAQPage",[58],{"name":59,"@type":60,"acceptedAnswer":61},"What competency gaps were identified and how might they be addressed?","Question",{"text":62,"@type":63},"Gaps included electrodiagnostic interpretation, advanced imaging, rehabilitation prescription strategies, long-term opioid management, and advanced fluoroscopic and neuromodulation procedures. The study recommends structured opportunities such as electives, mentorship, and flexible curricula.","Answer","https://schema.org",{"og:url":32,"og:type":66,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":68,"canonical":32},"index,follow",{"doc_id":70,"site_id":7},443932,1790820374,{"code":4,"msg":73,"data":74},"success",[75,79,83,87,92,97,102,106,111,114,118],{"id":22,"doc_module":4,"doc_module_name":25,"category_name":76,"show_sort_weight":77,"slug":78},"Story & Novel",90,"story-novel",{"id":26,"doc_module":4,"doc_module_name":25,"category_name":80,"show_sort_weight":81,"slug":82},"Literature",80,"literature",{"id":33,"doc_module":4,"doc_module_name":25,"category_name":84,"show_sort_weight":85,"slug":86},"Exam",70,"exam",{"id":88,"doc_module":4,"doc_module_name":25,"category_name":89,"show_sort_weight":90,"slug":91},5,"Comic",60,"comic",{"id":93,"doc_module":4,"doc_module_name":25,"category_name":94,"show_sort_weight":95,"slug":96},6,"Technology",50,"technology",{"id":98,"doc_module":4,"doc_module_name":25,"category_name":99,"show_sort_weight":100,"slug":101},7,"Healthcare",40,"healthcare",{"id":103,"doc_module":4,"doc_module_name":25,"category_name":29,"show_sort_weight":104,"slug":105},8,30,"research-report",{"id":107,"doc_module":4,"doc_module_name":25,"category_name":108,"show_sort_weight":109,"slug":110},9,"Religion & Spirituality",20,"religion-spirituality",{"id":109,"doc_module":4,"doc_module_name":25,"category_name":112,"show_sort_weight":109,"slug":113},"World Cup","world-cup",{"id":115,"doc_module":4,"doc_module_name":25,"category_name":116,"show_sort_weight":115,"slug":117},10,"Lifestyle","lifestyle",{"id":119,"doc_module":4,"doc_module_name":25,"category_name":120,"show_sort_weight":88,"slug":121},19,"General","general",{"code":4,"msg":73,"data":123},{"doc_id":70,"user_id":124,"nickname":42,"user_avatar":125,"doc_module":4,"category_id":103,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":126,"file_id":127,"file_url":128,"file_type":129,"file_size":130,"view_count":26,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":93,"language":131,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":132,"faqs":133,"seo_title":134,"seo_description":12,"update_tm":135,"read_time":136},1099523885336,"https://ap-avatar.wpscdn.com/davatar_276721f389ce27ea32af1340a28f341c","Interventional Pain Medicine 5 (2026) 100722  \nContents lists available at ScienceDirect  \nInterventional Pain Medicine  \njournal [homepage:](homepage: www.journals.elsevier.com/interventional-pain-medicine)[ www.journals.elsevier.com/interventional-pain-medicine](homepage: www.journals.elsevier.com/interventional-pain-medicine)  \n| Emergency physicians in pain medicine: Workforce trends, competency overlap, gaps, and opportunities for integration |  | |\n| --- | --- | --- |\n| A R T I C L E I N F O\u003Cbr>Keywords: Fellowship Multidisciplinary Competency ACGME\u003Cbr>ABEM | A B S T R A C T\u003Cbr>Background: Pain is a leading complaint in Emergency Department (ED) visits, yet historically, few Emergency Physicians (EPs) have pursued fellowship training in Pain Medicine. In recent years, however, applications from EPs have risen sharply, contrasting with declines in other specialties. Despite this growth, there has been no systematic analysis of how Emergency Medicine (EM) training overlaps with the required competencies of the Pain Medicine fellowship. To our knowledge, this study represents the first such effort.\u003Cbr>Methods: We systematically compared the Accreditation Council for Graduate Medical Education (ACGME) Program Requirements for Pain Medicine with five core EM training documents: the ACGME Program Requirements for EM, ACGME EM Milestones, ACGME Key Index Procedures, ACGME Procedure Logs, and the American Board of Emergency Medicine (ABEM) EM Model of Clinical Practice. Each ACGME Pain Medicine Program Requirement was evaluated by a group of Pain and EM physicians for its degree of overlap with these EM training frameworks and categorized as having significant, partial, or minimal overlap in competency. Results: EM training exhibits a strong overlap with Pain Medicine in patient care, encompassing neurologic and musculoskeletal evaluation, psychiatric assessment, and the diagnosis of acute and chronic pain. EPs also demonstrate procedural strengths in airway management, intravenous access, ultrasound-guided interventions, life support, procedural sedation, managing emergencies, along with medical knowledge in acute pain management, medication detoxification, and treatment of substance use disorders. Gaps were identified in the interpretation of electrodiagnostic studies, advanced imaging, prescription of rehabilitation strategies, long-term opioid management, and advanced fluoroscopic and neuromodulation procedures. These findings highlight EM’s strong foundation in acute care and procedures, while clarifying domains that require targeted fellowship training.\u003Cbr>Conclusions: EPs contribute valuable skills to Pain Medicine but require structured opportunities to address predictable training gaps. Electives, mentorship, and flexible curricula may help bridge these deficiencies. |  |\n\n1. Introduction  \nPain is the leading complaint in over half of ED visits, with chronic pain accounting for 16 %[1–5]. EPs manage pain across a wide range of conditions—from cancer and sickle cell disease to spine pathology, migraines, and trauma. Despite this overlap, relatively few EPs have historically pursued fellowship training in Pain Medicine. As of early 2025, only 55 physicians held Pain Medicine subspecialty certification, accounting for 1.2 % of the 4773 subspecialty credentials granted by ABEM—the fewest of any recognized field [6].  \nPain Medicine has long been multidisciplinary, commonly drawing fellows from Anesthesiology, Physical Medicine and Rehabilitation (PM&R), Neurology, and Psychiatry. The ACGME formally added EM to this group in 2014, recognizing the relevance of pain training for EPs [7]. Since that time, the applicant pool has shifted considerably: between 2019 and 2023, Pain fellowships saw a 45 % decline in Anesthesiology applicants and a 15 % decline overall, while applications from EM increased nearly 300 %—the most significant growth of any  \nbase specialty [7,8].  \nThis rapid growth is likely due to several factors. EM ","cbCaikwWI5EqBh40","https://ap.wps.com/l/cbCaikwWI5EqBh40","pdf",2105797,"English","# Abstract\n# 1. Introduction\n## Pain burden in the Emergency Department\n## Multidisciplinary background and growth in EM applicants\n## Drivers of increased applications and integration questions\n# 2. Material and methods\n## Qualitative synthesis approach\n## Review group","[{\"question\":\"What competency gaps were identified and how might they be addressed?\",\"answer\":\"Gaps included electrodiagnostic interpretation, advanced imaging, rehabilitation prescription strategies, long-term opioid management, and advanced fluoroscopic and neuromodulation procedures. The study recommends structured opportunities such as electives, mentorship, and flexible curricula.\"}]","Emergency physicians in pain medicine - Workforce trends, competency overlap, gaps, and opportunities for integration - Abstract | PDF",1790706112,15]