This is a one-year fellowship leading to board certification in Pain Medicine by the American Board of Anesthesiology. This fellowship is accredited by the Accreditation Council of Graduate Medical Education (ACGME). The Pain Medicine Fellowship Program began in July 2012. The program accepts two fellows per year. The didactic program consists of a three weekly morning Pain Medicine subspecialty lecture series; MCQ test every Friday, Wednesday morning Morbidity and Mortality conference, and a monthly journal club. The educational program follows the ACGME guidelines with rotations I anesthesiology, neurology, psychiatry, and physical medicine and rehabilitation designed to augment the clinical and educational experience.
Fellows participate in new or ongoing clinical research that leads to the publication and presentation of an abstract and eventual publication in peer-reviewed literature. The Pain Medicine Fellows gain experience in acute, chronic, cancer pain management. The acute pain medicine service actively manages acute postoperative and cancer pain in the inpatient setting. It also provides consultations and serves as a resource for other services. The service commonly utilizes PCA pumps, thoracic and lumbar epidural catheters, intrathecal catheters, and peripheral nerve plexus catheters.
The Pain medicine Clinic serves patients with chronic pain, cancer related pain and nerve or musculoskeletal injuries. Interventional procedures performed within the pain Medicine Clinic include trigger point injections, local anesthetic injections of peripheral nerves, epidural steroid injections, stellate ganglion blocks and intravenous anesthetic blocks. Fluoroscopic guided procedures include neurolytic celiac plexus blocks, selective nerve root injections, lumbar sympathetic blocks and facet injections among others. In addition, cryoablation is performed in select patients. Training in advanced techniques including radiofrequency ablation, intrathecal infusion therapy and spinal cord stimulation is provided on site.
There are numerous areas of research which are being developed and the fellows are expected to participate in new or ongoing clinical research that results in the publication of an abstract, presentation of the abstract either orally or in poster format at a major meeting and eventual conversion to a manuscript to publish in a peer reviewed journal. In addition, there are opportunities to create case reports or subject reviews for publication. Education skills are an important part of developing a successful pain practice. This may take the form of educating other physicians, in-servicing nurses or speaking to workman’s compensation nursing care coordinators. In order to prepare you for this you will be involved in the education of residents and medical students during their pain rotation. You will also participate in journal clubs and morbidity and mortality presentations.