In general, the 'best' path to attain a fellowship is to rotate with the particular program you are interested in. This allows you the surest way to demonstrate your skill set and catch the faculties attention.
Not to dissuade you though, it will most likely be very difficult for you to secure a pain fellowship out of a psychiatry residency. Most fellowships take Anesthesia > PM&R > Neurology.
Best Regards.
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Do Pain Fellowships look at USMLE scores?
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