Change of Scope Application: Pain Medicine 2026

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  1. Click ‘Get Form’ to open the Change of Scope Application: Pain Medicine in the editor.
  2. Begin by filling out your personal information, including your surname, given names, CPSO number, and date of birth. Ensure accuracy as this information is crucial for processing your application.
  3. In Part I, specify your proposed practice location. If it differs from your current address, provide the new details clearly.
  4. Complete Part II by detailing your current and proposed practice structure. Indicate the personnel you work with and how many patients you see weekly in both settings.
  5. For Part III, outline any continuing professional development activities you've undertaken that relate to pain medicine. This helps demonstrate your commitment to maintaining competence.
  6. In Part IV, list potential clinical supervisors who will oversee your practice changes. Their approval is necessary before proceeding.
  7. Review all sections for completeness and accuracy before submitting the application via email to cosre@cpso.on.ca.

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The American Board of Medical Specialties (ABMS) currently offers Pain Medicine certification for multiple specialties including Anesthesiology, Physical Medicine and Rehabilitation (PMR), Neurology, Psychiatry, Family Medicine, Emergency Medicine, and Radiology.
Most fellowships will not care about about your Step 3/Level 3 score except that you passed. In fact, the more competitive fellowships often look more highly on your Step 1 and 2 scores. Take whichever you think will be easier / cheaper.
Pain is arguably the most competitive anesthesiology fellowship, though match rates are still 70-80% (can check the match reports). However, there are a very wide range of fellowships, and I think their quality varies more than anesthesiology residency programs.
What are Top 10 Highest Paying Cities for Pain Fellowship Trained Anesthesiologist Jobs CityAnnual SalaryMonthly Pay San Francisco, CA $463,275 $38,606 Santa Clara, CA $461,806 $38,483 Sunnyvale, CA $461,497 $38,458 Livermore, CA $461,236 $38,4366 more rows
For example, your primary care physician may prescribe an over-the-counter medication to help ease your pain for a short duration of time, while your interventional pain management physician will often perform a procedure that can block the pain or permanently correct the problem that is causing your pain.

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The Pain Medicine Fellowship Excellence Award recognizes Pain Medicine Fellowship Programs that provide exceptional learning experiences to their fellows, preparing them to deliver the highest standard of care to patients with pain.

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