Table 1.

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
RMMJ Rambam Maimonides Medical Journal Rambam Health Care Campus 2013 October; 4(4): e0027. ISSN: 2076-9172
Published online 2013 October 29. doi: 10.5041/RMMJ.10134