27 Having completed their training program, secondary care physicians will be able to run multi-disciplinary regional community-based pain selleck inhibitor clinics, treat patients referred from primary clinics, and refer some patients to the tertiary clinics. Secondary care physicians will enjoy the professional support of the tertiary pain centers. They will subsequently be able to tutor other primary care physicians undertaking pain medicine training. Vision for Pain-certified Secondary Care Physicians Certified secondary care physicians are the professional backbone of pain treatment in

the community. They are certified in pain and musculoskeletal medicine, having gained extensive knowledge and proficiency in the field. They are able to manage Inhibitors,research,lifescience,medical the care of a large part of community patients in pain and master several therapeutic techniques. They are also trained to work in a multidisciplinary approach and to collaborate with other care givers such as manual therapists, psychologists, and others. TERTIARY PAIN CENTER PHYSICIANS These physicians, specialists and residents in pain medicine,

are the professional Inhibitors,research,lifescience,medical head of the pyramid. They Inhibitors,research,lifescience,medical practice their specialty, diagnosing, treating, researching, and teaching pain medicine. As part of their work they collaborate with secondary care and tertiary pain clinics. Vision for Tertiary Pain Center Physicians These physicians are of the highest level of skill and training in treating patients in pain, in medical knowledge and experience, in research, and finally in teaching pain medicine to care givers in all levels of the pyramid. They aim to improve the treatment of pain through improved diagnosis and treatment, medical research, and teaching. Inhibitors,research,lifescience,medical In addition to the three levels of the pyramid described in the previous paragraphs, we consider highly important the optimization of pain medicine training given to all physicians. We suggest this be done by implementing a structured educational program in pain medicine, which will be a part of the formal syllabus of all faculties of medicine. THE RAMBAM SCHOOL OF PAIN MEDICINE MODEL (SEE APPENDIX) Since October 2010, three yearlong

programs have been Inhibitors,research,lifescience,medical Calpain completed involving 80 physicians and 2 dentists ( Table 2 ). A fourth program started in October 2013 with 27 primary care physicians and 12 nurses. Each program has consisted of 18 bi-weekly, 6 academic hour meetings. The major incentive of these programs for the physicians has been their desire to gain knowledge and skills in dealing with patients suffering from pain. Up till now they have felt inadequate in treating pain patients in their family practice. Course content includes 50% hands-on training with clinical laboratories. A few of the participants come from health medical organizations that reimburse a modest fee (approximately 40NIS or 12USD) for trigger point therapy. Participants who completed the courses received a certificate of “Pain Trustee,” testifying to 108 hours of education in pain medicine.