Higher Pain Training

Higher Pain Training is an optional unit in the Anaesthetics CCT but is essential for future Pain Medicine consultants. 

  • Doctors who wish to practice solely in Acute/Inpatient Pain will generally undertake only Higher Pain Training and not progress to Advanced Pain Training.
  • Doctors who go on to also practice in Chronic/Outpatient pain, will need Higher Pain Training to progress to Advanced Pain Training.

During Higher Pain Training, trainees should become fully competent in the assessment and management of acute surgical, acute non-surgical and acute on chronic pain in all patients and circumstances. They should have knowledge and skills in the management of chronic and cancer pain and become an effective member of a multi-professional pain management service.

The Faculty has published a guide for Regional Advisors, Trainers and Trainees on the provision of Higher and Advanced Pain Training.

All Higher Pain Trainees should register with the Faculty

FPM Guidance on Higher Pain Training for Inpatient Pain Medicine

Higher pain training is a requirement for trainees wishing to work in an inpatient pain service.  This advice document outlines curriculum learning outcomes for Higher Pain Training for trainees in anaesthesia intending to lead an inpatient pain service and post-CCT anaesthetists taking on this role. You can access the document below.

The preamble for the higher pain training section of the CCT in anaesthesia curriculum already states “the College and the FPM recommend that trainees considering a future consultant post with an interest in acute pain medicine undertake Higher level pain training as a minimum”. This advice is not being followed in most cases, and a recent national survey highlighted the need for a more comprehensive training programme for trainees wishing to work within or lead inpatient pain services.

Some of the skills required of inpatient pain consultants overlap with other higher and advanced training modules. These skills, including non-technical / human factors and regional anaesthesia may not be fully developed by the end of higher pain training. It is expected that trainees will focus on these aspects during their advanced anaesthesia training.

This advice document outlines curriculum learning outcomes for higher pain training for trainees in anaesthesia intending to lead an inpatient pain service and post CCT anaesthetists taking on this role.

This document may be used to tailor higher pain training for those wishing to work in inpatient pain management who do not intend to progress to advanced pain training. This approach does not pre-clude trainees from advanced pain training and is intended to provide advice for Regional Advisers, LPMESs and Trainees.

Ready for the next level? Find out about Advanced Pain Training