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Anesthesiology The course of training exposes residents and fellows to a wide variety of acute, chronic and cancer pain in the adult and pediatric setting. The learning experience encompasses all aspects of medical, behavioral, interventional and complementary techniques in pain management. These include: Medical management Opioids Fluoroscopically Guided Spinal Injections Translaminar epidural injections Interventional Procedures Botox Neuroablative Procedures Radiofrequency Neuromodulation Spinal Cord Stimulator Placement Implantable technologies (in cooperation with neurosurgery) Spinal Cord Stimulation Acupuncture Traditional Chinese Medicine Approach Behavioral Approaches Cognitive Behavioral Therapy Trainees on the pain rotation gain clinical experience in the inpatient and outpatient setting in both the adult and pediatric population. Palliative care is also an integral part of the training program. Trainees are exposed to all the above techniques of therapy. All interventions are performed in our own interventional suite. The pain center has a state of the art C-arm fluoroscopy unit (laser aiming and hard copy capable). Also available is a radiofrequency generator and cryo generator. The fellowship program is truly multidisciplinary with interdepartmental conferences and participation. There are extensive learning opportunities in conjunction with the departments of Neurology,Neurosurgery, Psychiatry and Physical Medicine and Rehabilitation. Faculty from other departments hold joint appointments in the Department of Anesthesiology. Elective rotations at outside institutions may also be done during the fellowship. This fellowship program is ACGME accredited and provides eligibility for entry into the process for Subspecialty Certification in Pain Management of the American Board of Anesthesiology. Pain Management Educational Activities Journal Club Journal club is led by Dr. Weinberger. Papers are presented by the fellows and the rotating residents. It is attended by faculty, fellows and residents. Journal club focuses on presentation and discussion of current literature and articles from peer reviewed journals. Dr. Mathew’s Ikea lounge Resident Lecture series This series, led by Dr. Mathew, is catered towards the Anesthesiology residents on the Pain rotation. The topics addressed encompass the basics in pain medicine including basic terminology, pain pathophysiology, pharmacology of commonly prescribed analgesic agents, equianalgesic concepts and opioid rotation, brief review of common pain syndromes and their management. Behavioral Medicine Lectures This series is led by Dr. Nomita Sonty and focuses on psychological aspects of chronic pain. Fellow lecture series This series of didactic lectures led by Dr. Mathew is attended by fellows and residents. It focuses on pain topics based on the recommended fellowship curriculum from the ACGME and IASP. Pain Board Review A review of pain key words and board prep is conducted by Dr. Mathew for residents and fellows. Residents complete an exit exam based on the key words on the last Wednesday of their pain rotation. Case Conference/M and M rounds A Multidisciplinary, monthly conference that includes all Pain center faculty andtrainees as well as invited staff from other departments. Selected cases are presented and discussed. In addition to being an educational tool, the conference also strives to improve patient care through open discussion of treatment successes and failures. This is an integral part of the QA process at the pain center.
Neurosurgery Spine Conference Residents and Fellows participate in the Neurosurgery Spine conference / Journal club. This is conducted by the department of neurosurgery. Pain and Addiction Conference Pain Management Center Faculty Michael L. Weinberger, M.D. Assistant Clinical Professor in Anesthesiology Medical School: University of Pennsylvania School of Medicine Anthony (Robin) Brown, M.B.Ch.B., F.F.A. (S.A.) Anis Dizdarevc, M.D. Leena Mathew, M.D. Debra Miller-Saultz, MS, APRN-BC, FNP John Saroyan, M.D., F.A.A.P. William Schechter, M.D., F.A.A.P. Nomita Sonty, Ph.D. Mary Ellen Tresgallo, MS, MPH, APRN-BC, FNP Elsa Wuhrman, MS, APRN-BC, ACNP, FNP
For further information, write or contact: Tara E. Brant
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The Pain Fellowship Program in the Department of Anesthesiology is an ACGME approved multidisciplinary pain fellowship. Applicants who have completed an ACGME approved residency in one of the following disciplines are eligible to apply:
