Physician Training

The CPM training program is designed to meet the College of Physicians and Surgeons of Ontario (CPSO) mandated Change in Scope of Practice supervision requirements for physicians preparing for interventional pain practice in Ontario. CPM requires that new CPM physicians will already be licensed to practice medicine in Ontario and have successfully completed the 6-part CPM basic training program:

  1. CPM Pain Primer (2 days)
  2. MSK Focus Course (2 days)
  3. McMaster Interventional Cadaver Course (1 day)
  4. CPM Preceptorship (3 days)
  5. Consultation Days (3 days)
  6. Intense Preceptorship (3 days)

Pain Primer:

This 2-day, mainly didactic program takes place at our CPM Centre located in Mississauga. It covers the basics of pain pathophysiology, assessment, diagnosis, multi-disciplinary treatment planning, pharmacotherapy and an introduction to interventional pain medicine. This course is fully accredited for 11 MAINPRO M1 study credits by the College of Family Physicians of Canada (CFPC).

MSK Focus Course:

This 2-day course takes place in downtown Toronto and is provided by Dr. Julia Alleyne, a well-known expert in MSK Medicine in Canada. It will be a combination of didactic and hands-on training using programmed patients, where you will review MSK physical examination, diagnosis and treatment planning. This course is fully accredited for 14 MAINPRO M1 credits from the CFPC and for Category 1 MOCOMP credits from the Royal College of Physicians and Surgeons of Canada. For more information, click here.

McMaster Interventional Pain Cadaver Course:

This course is co-taught by Dr. Norm Buckley, Professor and Chair, Department of Anesthesia at McMaster University, along with an experienced CPM clinician. It is fully accredited by the CFPC and RCPSC by McMaster University. It consists of a 1-day, hands-on, practical workshop demonstrating the most commonly utilized interventional pain procedures and takes place in the cadaver lab at McMaster Medical Centre.

CPM Preceptorship:

You will be paired up with experienced CPM clinicians on 3 separate days to learn first-hand about the CPM assessment and treatment process, forms, billing, seeing and performing some interventions and learn other practical skills. You will be expected to assess a new patient, formulate a diagnosis, present a treatment plan and dictate a consultation note. The CPM preceptorship will usually take place after the first 3 components of training are completed but there may be exceptions, in some circumstances.

Once the Pain Primer and MSK Focus courses are completed, you can ask to take your preceptorship before the Interventional Course is completed. This will allow you to begin seeing patients at CPM, doing consultations and becoming familiar with pharmacotherapy and the role of multidisciplinary treatments. However you will NOT be allowed to provide interventional treatments at CPM until you complete the McMaster course and obtain approval of your Change of Scope application and training plan by the College of Physicians and Surgeons of Ontario.

Consultation Days and Intense Preceptorship: 

You will spend 3 days doing consults on your own patients in your practice location. The CPM Medical Director will observe you on the first of these days to help you learn how to do a comprehensive pain consultation and formulate a treatment plan. You will present your treatment plans to both an experienced CPM physician and your Clinical Supervisor on the 4th and 5th precepting days. He/she will shadow you and supervise interventional treatments while you see these patients in follow up as well as other new consultations in your practice location.

Supervision:

All new physicians who require a CPSO approved Change in Scope of Practice must participate in a supervised interventional pain practice for a total of 900 hours (450 hours of High Level Supervision and 450 hours of Moderate and Low Level Supervision. There may be a few exceptions.

Individual consideration by the CPM Medical Director will be given to those physicians who have already been approved by CPSO to include Interventional Pain Management (IPM) in their scope of practice or who have previously taken relevant specialty training. The CPSO may also take past relevant training into consideration when determining the number of hours and level of supervision that is required.

Please note that the supervision requirement only applies specifically to IPM and not to other outpatient pain management. Pain management practice (i.e. consultation, pharmacotherapy optimization) without Level 2 interventions can be started at CPM after the Training Physician completes the first 4 parts of the CPM Basic Training Program. The CPSO/CPM Supervision Program is an essential component of the new CPM Physician’s training process and all relevant documentation must be completed and submitted before the applicant will be granted approval for independent pain management practice at CPM.

If you would like more information on practice opportunities with CPM Centres for Pain Management, please fill out the form below: