title: Core Competencies in Integrative Pain Care for Entry-Level Primary Care Physicians.
abstract: OBJECTIVE
  The objective was to develop a set of core competencies for graduating primary care physicians in integrative pain care (IPC), using the Accreditation Council for Graduate Medical Education (ACGME) domains. These competencies build on previous work in competencies for integrative medicine, interprofessional education, and pain medicine and are proposed for inclusion in residency training.
  
  
  METHODS
  A task force was formed to include representation from various professionals who are involved in education, research, and the practice of IPC and who represent broad areas of expertise. The task force convened during a 1.5-day face-to-face meeting, followed by a series of surveys and other vetting processes involving diverse interprofessional groups, which led to the consensus of a final set of competencies.
  
  
  RESULTS
  The proposed competencies focus on interprofessional knowledge, skills, and attitudes (KSAs) and are in line with recommendations by the Institute of Medicine, military medicine, and professional pain societies advocating the need for coordination and integration of services for effective pain care with reduced risk and cost and improved outcomes. These ACGME domain compatible competencies for physicians reflect the contributions of several disciplines that will need to be included in evolving interprofessional settings and underscore the need for collaborative care.
  
  
  CONCLUSIONS
  These core competencies can guide the incorporation of KSAs within curricula. The learning experiences should enable medical educators and graduating primary care physicians to focus more on integrative approaches, interprofessional team-based, patient-centered care that use evidence-based, traditional and complementary disciplines and therapeutics to provide safe and effective treatments for people in pain.
authors.affiliation: Department of Family Medicine, Anesthesiology & Pain Medicine, University of Washington School of Medicine, Seattle, WA, USA.
authors.forename: Heather
authors.initials: H
authors.lastname: Tick
authors.affiliation: Department of Medicine and School of Public Health, Office of Medical Education Research and Development, School of Medicine, Academy for the Advancement of Educational Scholarship, LSUHealth-New Orleans.
authors.forename: Sheila W
authors.initials: SW
authors.lastname: Chauvin
authors.affiliation: Regenerative Orthopedic Institute, Seattle, WA, USA.|Department of Anesthesiology & Pain Medicine, University of Washington School of Medicine, Seattle, WA, USA.
authors.forename: Michael
authors.initials: M
authors.lastname: Brown
authors.affiliation: Department of Biochemistry, Molecular and Cellular Biology Director, Center for Innovation and Leadership in Education (CENTILE), Georgetown University School of Medicine, Washington, DC, USA.
authors.forename: Aviad
authors.initials: A
authors.lastname: Haramati
mesh_terms: D002983:Clinical Competence / Q000592:standards*; D004503:Education, Medical, Graduate / Q000592:standards*; D006801:Humans; D007396:Internship and Residency / Q000592:standards; D010146:Pain / Q000188:drug therapy; D059408:Pain Management; D018802:Patient-Centered Care / Q000592:standards; D058007:Physicians, Primary Care / Q000592:standards*; D014481:United States
keywords: Core Competencies; Curriculum; Education; Health Professions; Integrative Medicine; Interprofessional; Pain Management