64B15-14.0051. Training Requirements for Physicians Practicing in Pain Management Clinics

Effective July 1, 2012, physicians who have not met the qualifications set forth in subsections (1) through (6), below, shall have successfully completed a pain medicine fellowship that is accredited by the Accreditation Council for Graduate Medical Education (ACGME) or the American Osteopathic Association (AOA) or a pain medicine residency that is accredited by ACGME or the AOA. Prior to July 1, 2012, physicians prescribing or dispensing controlled substance medications in pain management clinics registered pursuant to Section 459.0137(1), F.S., must meet one of the following qualifications:

(1) Board certification by a specialty board recognized by the American Board of Medical Specialties (ABMS) and holds a sub-specialty certification in pain medicine; or a Certificate of Added Qualification in Pain Management by the American Osteopathic Association;

(2) Board certification in pain medicine by the American Board of Pain Medicine (ABPM);

(3) Successful completion of a pain medicine fellowship that is accredited by the Accreditation Council for Graduate Medical Education (ACGME) or the American Osteopathic Association (AOA) or a pain medicine residency that is accredited by the ACGME or the AOA;

(4)(a) Successful completion of a residency program in physical medicine and rehabilitation, anesthesiology, neurology, neurosurgery, or psychiatry approved by the ACGME or the AOA;

(b) Successful completion of a residency program in family practice, internal medicine, or orthopedics approved by the AOA; or

(c) Current Certificate of Added Qualification approved by the AOA in hospice, palliative medicine or geriatric medicine.

(5) Current staff privileges at a Florida-licensed hospital to practice pain medicine or perform pain medicine procedures;

(6) Three (3) years of documented full-time practice, which is defined as an average of 20 hours per week each year, in pain-management and attendance and successful completion of 40 hours of in-person, live-participatory AMA Category I or AOA Category IA CME courses in pain management that address all the following subject areas:

(a) The goals of treating both short term and ongoing pain treatment;

(b) Controlled substance prescribing rules, including controlled substances agreements;

(c) Drug screening or testing, including usefulness and limitations;

(d) The use of controlled substances in treating short-term and ongoing pain syndromes, including usefulness and limitations;

(e) Evidenced-based non-controlled pharmacological pain treatments;

(f) Evidenced-based non-pharmacological pain treatments;

(g) A complete pain medicine history and a physical examination;

(h) Appropriate progress note keeping;

(i) Comorbidities with pain disorders, including psychiatric and addictive disorders;

(j) Drug abuse and diversion, and prevention of same;

(k) Risk management; and

(l) Medical ethics.

In addition to the CME set forth in subsection (6) above, physicians must be able to document hospital privileges at a Florida-licensed hospital; practice under the direct supervision of a physician who is qualified in subsections (1) through (4) above; or have the practice reviewed by a Florida-licensed risk manager and document compliance with all recommendations of the risk management review.

(7) Upon completion of the 40 hours of CME set forth above, physicians qualifying under subsection (6) above, must also document the completion of 15 hours of in-person, live participatory AMA Category I or AOA Category IA CME in pain management for every year the physician is practicing pain management.

Rulemaking Authority 459.0137(4) FS. Law Implemented 459.0137 FS. History–New 11-8-10, Amended 3-16-11, 3-26-12, 7-3-12.