Curriculum and curriculum guidance

Pain Medicine curriculum

The curricula for all stages of Pain Medicine training are contained within the CCT in Anaesthetics.

In addition, the Faculty has produced the expanded curriculum guidance below for Advanced Pain Trainees to help frame the curriculum in wider detailed learning.

Below is a non-exhaustive but indicative list of clinical conditions that the trainee should have the knowledge and skills to diagnose and manage by the end of their Advanced training:

  • Acute Pain – Surgical and Non-surgical
  • Mechanical neck pain
  • Cervical Radicular Pain
  • Mechanical Low back pain
  • Lumbar radicular pain
  • Thoracic spinal pain and chest wall pain
  • Sacrococcygeal pain
  • Single muscle myofascial syndromes
  • Fibromyalgia
  • Widespread generalised pain
  • Post-surgical scar pain
  • Brachial plexus injury
  • Lumbosacral plexus injury
  • Peripheral nerve injuries
  • Peripheral neuropathies
  • Pain from vascular insufficiency
  • Common headache syndromes
  • Cranial nerve neuralgias
  • Post-herpetic neuralgia
  • Pain from spinal cord injury or pathology
  • Phantom limb and stump pain
  • Central post-stroke pain
  • Complex regional pain syndromes

The core learning outcomes from Advanced training is for the doctor to be capable of delivering all aspects of pain medicine as an independent practitioner. This implies:

  • Having a comprehensive knowledge of Pain Medicine service delivery
  • Being able to assess a wide variety of patients with pain using a biopsychosocial model including, history taking, physical examination, psychological assessment and interpretation of investigations
  • Being aware of the treatment options available to provide effective management for patients with acute, chronic and cancer pain
  • Pharmacology of simple analgesics, opiates, NSAIDs, anticonvulsants, and antidepressant drugs
  • Becoming technically proficient in a range of procedures for Pain Medicine.
  • Having the communication and organisational skills to be an effective member of the multi-disciplinary Pain Medicine team
  • Demonstrates empathy when caring for patients with pain
  • Providing clinical leadership in the development of comprehensive pain medicine services, for the benefit of both patients and the organization acting as an effective teacher of Pain Medicine topics
  • Being able to assess evidence from research related to Pain Medicine including notes in epidemiology section below
  • In addition, the curriculum for advanced pain training, gives further detail on psychological treatments, Interventional treatments, Neuromodulation, and Surgical treatments for pain