title: Preliminary evaluation of an educational model for promoting positive team attitudes and functioning among pain medicine fellows.
abstract: OBJECTIVE
  In response to the Accreditation Council for Graduate Medical Education's (ACGME) new pain medicine fellowship requirement, which emphasizes multidisciplinary training strategies aimed at providing improved clinical care for pain patients, we developed a multidisciplinary team training education model for trainees in our institution's Fellowship Program in Pain Medicine. Although the biopsychosocial model guides the delivery of care by multidisciplinary pain teams, there is a gap on how to improve team attitudes and functioning within an already extensive pain medicine curriculum. The current study aimed to fill that gap by developing and incorporating an educational model that focuses on interpersonal relationships among team members and strategies for improving team performance over time.
  Here, we provide a brief overview of our institution's pain medicine fellowship training program highlighting how we have included a team training component into lectures, interdisciplinary case conferences, and journal club articles that focus on topics in the ACGME pain medicine curriculum. We present data from a team attitude and functioning assessment battery administered to 11 pain medicine fellows at the outset and end of their fellowship.
  
  
  CONCLUSIONS
  Mean assessment scores increased from the beginning of the fellowship to the end of the fellowship on interdisciplinary pain team knowledge, current team skills, and attitude toward health care teams. The current study demonstrated effective ways for assessing team attitudes and functioning and including this educational component into a 1-year pain medicine curriculum. Based on our results, we will continue to teach and model effective teamwork in an effort to enhance our trainees' attitudes toward working on an interdisciplinary pain team.
authors.affiliation: Department of Pain Medicine, The University of Texas M. D. Anderson Cancer Center, Houston, Texas 77030-4009, USA. dnovy@mdanderson.org
authors.forename: Diane
authors.initials: D
authors.lastname: Novy
authors.forename: Basem
authors.initials: B
authors.lastname: Hamid
authors.forename: Larry
authors.initials: L
authors.lastname: Driver
authors.forename: Lakshmi
authors.initials: L
authors.lastname: Koyyalagunta
authors.forename: Joseph
authors.initials: J
authors.lastname: Ting
authors.forename: Marco
authors.initials: M
authors.lastname: Perez
authors.forename: Virginia F
authors.initials: VF
authors.lastname: Schneider
authors.forename: Phillip
authors.initials: P
authors.lastname: Phan
authors.forename: Mike
authors.initials: M
authors.lastname: Hernandez
authors.forename: Allen W
authors.initials: AW
authors.lastname: Burton
mesh_terms: D001291:Attitude of Health Personnel; D005257:Fellowships and Scholarships; D006801:Humans; D017145:Models, Educational; D010146:Pain / Q000503:physiopathology; D059408:Pain Management; D010166:Palliative Care / Q000379:methods; D010348:Patient Care Team; D011795:Surveys and Questionnaires; D013663:Teaching; D000078329:Workforce