Operative Plan for Implementing the Pyramid Model.
Operative Plan for Implementing the Pyramid Model.
| Pyramid Level | Definition | The Vision | Operative Steps to Realize the Vision |
|---|---|---|---|
|
| |||
| Primary care physicians in the community—“pain trustees” | Generally family practitioners but also orthopedic surgeons and neurologists | Will know how to manage the pain of the majority of patients in the community by a “mechanism-derived pain medicine” and “bio-psycho-social” approach | Advanced training during residency or in a school of pain medicine Upon completion of pain training will receive a certificate as “pain trustee” |
| Secondary care physicians—pain and musculoskeletal medicine diploma-certified | Physicians who have undergone advanced training and who consult for the primary care physicians in their catchment area | Will coordinate pain problems in their area Will have advanced training and skills | Studies toward a diploma of 300 hours’ theoretical and practical training Upon completion of studies will receive a certificate, “Diploma in Pain and Musculoskeletal Medicine” |
| Tertiary care pain specialists | Physicians who are board-certified in pain medicine | Will complete a full board certified pain medicine residency program Will be able to coordinate pain management and teaching at all levels | Training in a recognized certified pain program |