PAIN MEDICINE FELLOWSHIP

The Division of Pain Medicine of The Emory University Department of Anesthesiology offers an ACGME approved multidisciplinary fellowship program. Areas of training include acute, chronic and cancer pain management and palliative care. In accordance with ACGME requirements there are rotations with physiatry, psychiatry and neurology. There is also exposure to the use of therapies ranging from multidisciplinary treatment to nerve blocks and implantable devices. The fellowship meets the requirements which qualify the fellow for subspecialty board certification in Pain Management by the American Board of Anesthesiology and the American Board of Pain Medicine. In addition to clinical training, fellows participate in teaching and have the opportunity for research related to pain medicine.


CLINICAL ROTATIONS

The fellowship is for a minimum of 12 months. The acute pain rotation is divided between Emory University Main Campus and Emory University Midtown Hospitals, with the majority of the acute pain aspect of the fellowship spent atEmory University Midtown , also the location of the Emory Center for Pain Management. Some of the time on the service will be limited to placing thoracic epidurals for the morning cases at Emory Or Emory University Midtown Hospitals and others being the team leader for the acute pain service at Emory or Emory University Midtown. Call is from home 5 weekday calls and one weekend call per month. The majority of the clinical time is spent in the Emory Center for Pain Management (ECPM) which is located on the 7th floor in the Medical Office Tower of Crawford Long Hospital (MOT). Located within that space is an Ambulatory Surgery Center (ASC) where the majority of procedures are performed under fluoroscopic guidance. Fellows are expected to evaluate new and return patients, examine each patient and determine a treatment plan in discussion with the attending physician. Each month a Team Leader is assigned to the ECPM. The Team Leader communicates with the residents, staff and faculty on patient flow. They are also responsible for the call schedule and the 15 min talk schedule for the rotating anesthesia residents. The fellowship is divided in 5 ten week rotations. The cancer pain rotation involves outpatient as well as inpatient experience with cancer pain patients. There is currently one day per week of cancer clinic, located in the Winship Cancer Center, in addition to one day per week of palliative care medicine, located at Grady Memorial Hospital, during that rotation. The fellow on that rotation is responsible for performing the procedures on those patients during that rotation. They are also responsible for seeing the inpatient cancer pain patients and presenting to the cancer pain attending. During the ten week Grady Memorial Hospital rotation the fellow is responsible both for the management of patients� pain in the clinic and the performance of interventional proceduresunder fluoroscopic guidance. The pain fellows also rotate with the Emory physiatrist and learn about extremity and joint pain in addition to further knowledge of spinal pain. Because of research and educational expectations, there are no other off-service clinical or in house call assignments during the fellowship. The psychiatry aspect of the pain fellowship involves rounding on inpatient psychiatric consults in the hospital with the psychiatrist who observes the fellows performance of mental status examinations and ability to perform a psychiatric interview.

During the course of training, fellows will gain hands on experience in the management and/or performance of:

  • Precision fluoroscopy guided spinal diagnostic injections
  • Discography
  • Radio frequency neural ablation
  • Spinal Infusion Devices
  • Spinal Cord Stimulators

DIDACTIC TEACHING

The academic year is filled with one lecture per week. Topics are carefully chosen to cover those necessary to fulfill the requirements of the ABA and to give the fellows exposure to other disciplines. Lecture topics include reviews of pain anatomy, clinical pharmacology, clinical psychology, physical therapy, and the use of invasive procedures. In addition, fellows who are sitting for the Anesthesiology Board Examinations should attend the Anesthesiology Department lecture series and are allowed 5 days of professional leave time to attend educational meetings. Fellows are expected to take an active role in teaching of their colleagues and residents. Fellows are expected to present several lectures per year in order to learn the fundamentals of preparing and presenting an organized lecture and to advance their own knowledge. Pain fellows are expected to be actively involved in the Continuing Quality Improvement Process (CQI). Lecture topics and journal club articles will be assigned in accordance with his or her specific interests.

WORKSHOPS:

The Department of Anesthesiology holds an annual regional anesthesia workshop for the benefit of residents and fellows. This workshop has taken several different forms over the years. There have been cadaver workshops with cadaver dissections and now more recently there is an annual regional anesthesia under ultrasound workshop. Fellows may also be asked to assist with teaching during the workshop. Below is a list of recent workshops that were held on the Emory/Crawford Long campus that were designed to enhance the fellows' educational experience.

  • Radionics RF/DiscTRODE at Emory University Hospital on August 14-15, 2004.

  • "RASCI Off Campus Peripheral Nerve Block Workshop" presented by The Regional Anesthesia Study Center of Iowa at Emory University Hospital & Emory University on January 15-16, 2005.

  • "Spinal Cord Stimulation Physician Workshop" sponsored by Advanced Bionics at Emory Crawford Long Hospital on October 8, 2005.

  • �Spinal Cord Stimulation Physician Workshop" Sponsored by Advanced Bionics at Emory Crawford Long Hospital on May 12, 2007.

RESEARCH OPPORTUNITIES

We urge that each fellow to participate in research. Fellows may plan and execute their own project ideas or may choose to participate in ongoing projects of the faculty. A partial list of research interests and current research of the faculty are included on this web site. Non clinical days are assigned on an as-needed basis up to 4 days in a month to allow time for project planning, data collection, and manuscript preparation.  Previous fellows have participated in research projects which have resulted in presentations and publications.

 


APPLICATION PROCESS

Applications should generally be received by August 1st of the preceding year. The applications are screened by the faculty and invitations for interviews are extended beginning as early as July 15th. Offers are extended as early as August 1st. There are currently 5 fellowship positions available for each academic year. Although most fellows are scheduled to begin in July, other applications will be considered. For an application to be considered it must contain the following:

  • Application Form
  • Reference Letters
  • Dean's Letter
  • Personal Statement

FOR MORE INFORMATION:

Ann Murray
Administrative Assistant
Department of Anesthesiology
Emory University Hospital
1364 Clifton Rd., NE
Atlanta, GA 30322
(404) 778-5582
Fax (404) 778-5194

Ann.Murray@emoryhealthcare.org


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Page last updated on 02/25/2009