1. Duke
Staff
Winston C.V. Parris, MBBS, DA, FACPM, DABPM
Chief, Division of Pain Management
Professor of Anesthesiology
Office: (919) 684-6736
E-mail:
[email protected]
Faculty
Anne Marie Fras, MD
Brain Ginsberg, MB, ChB (Acute Pain Service)
Joel S. Goldberg, MD (Director, Pain Management, Durham VAMC)
Billy K. Huh, MD
David Lindsey, MD (VAMC)
Lesco Rogers, MD
Dianne L. Scott, MD
Allison Taylor, PA-C
Fellows
Shahzad Choudry , MD
Janice Victor, MD
Support Staff
Linda Hockaday
Lynda Zirillo
Stacy Morris
Text from their website:
This multidisciplinary clinic includes clinicians from anesthesiology, neurology, psychiatry, neurosurgery, psychology and physical therapy. The range of services provided includes comprehensive evaluation of pain problems and therapies including medical management, nerve blocks, infusion therapies, evaluation for invasive procedures such as intrathecal pumps and spinal cord stimulators, neuroablative procedures, acupuncture, biofeedback, guided imagery, relaxation techniques, and physical therapy. This truly unique pain program is one of the few successful multidisciplinary pain clinics in the country. The proximity of the clinicians from varying backgrounds with a common interest in pain management has encouraged collaboration in clinical care, research, and teaching.
Selection process text from PDF:
The selection process for fellows includes the completion of a Fellowship Application which is to be substantiated by three letters of recommendation from experts in the field. In addition to the letters of reference the application is to include a current CV and a letter of affirmation stating their interest in the program. Applications are closely reviewed by all the attending
anesthesiologists in the Pain Management Division. Potential candidates are invited to Duke to be interviewed by the Attending physicians in Pain Management. Applicants must meet eligibility specified by the ACGME. Acceptance into the program is based on demonstrated academic qualification, interpersonal skills, and evidence of ability to function in a multidisciplinary setting.
2. UNM
Very little info. Fellowsa relisted in the Anes Dept website, but PM is only listed on the general GME site. Text as follows:
Pain Management Fellowship:
A one year fellowship in pain management is offered by the Department of Anesthesiology. Dr. Robert Zuniga is the program director for the fellowship. Dr. Robert Zuniga is also the medical director of the chronic pain clinic. He has extensive experience in diagnosing and treating a wide variety of pain conditions. In particular, he has excelled at many invasive procedures such as regional anesthesia techniques, dorsal column stimulators, intrathecal medication pumps, and kyphoplasties. Acute pain management experience is also part of the curriculum. Candidates interested in applying for this fellowship should contact Dr. Zuniga through the Department of Anesthesiologys main office phone number: 505-272-2610.
3. U Ill Chicago
1 webpage, application page is separate and does not list any exclusions.
Text as follows'
Pain Fellowship Program
Friedl Pantle-Fisher, MD
Director and Associate Professor
The Pain Medicine Center at the University of Chicago Medical Center (UCMC) is a pain program accredited by the Accreditation Council for Graduate Medical Education (ACGME) since 1996. Each accreditation cycle was for 5 years unconditionally. It provides two (2) fellowship positions per year.
The fellowship program consists of a twelve (12) month program at the Pain Medicine Center of the University of Chicago Medical Center. The fellowship program is designed to provide intensive training in the evaluation and treatment of patients with chronic pain of benign and malignant etiology, and in the differential diagnosis of chronic pain states. Emphasis is placed on multidisciplinary approaches to pain management in outpatient, in-patient, as well as intensive care settings. Our environment of care includes consultation with other specialties ( e.g. General Surgery, Pediatrics and Pediatric Surgery, General Medicine, Hematology/ Oncology, OB/GYN, Neurosurgery, Orthopedics, Neurology, Radiology, Physical Therapy, Occupational and Rehabilitation Medicine, Psychology and Behavioral Medicine) as needed to best meet the needs of pain patients.
The program provides rotation through specialties, such as Neurology, Radiology, Physiatry and Rehabilitation Medicine, Psychiatry, Oncology and Palliative Care, as required by the new ACGME requirements for fellowship education starting in July, 2007.
Each fellow has special responsibilities in the In-House Pain Management Consult Service at the University of Chicago Medical Center. Fellows provide care to postoperative surgical patients and chronic pain patients (weekends and overnight coverage, calls are taken from home during the night), as well as teach and guide the CA-1, CA-2 and CA-3 residents and students rotating through the Pain Medicine Center.
Intensive Care Medicine is an important part of the curriculum in regard to the postoperative management of surgical patients (no PCA coverage for routine post-surgical patients), as well as the management of chronic cancer patients. Principles and techniques of acute postoperative pain management, especially of patients requiring an intensive care environment, are components of the clinical training experience.
Additionally, our curriculum offers fellows familiarity with theory, indication, and practical application of multiple non-invasive and invasive procedures, mostly performed under fluoroscopy guidance for diagnostic and therapeutic purposes in many chronic and acute pain states.
Procedures are performed five days per week under fluoroscopy guidance.
The following procedures are most frequently performed by the fellows during their one-year rotation:
Regional and Central Analgesic Techniques
Trigger point injections
Various joint and bursa injections
Minor and major joint injections
Caudal, lumbar, thoracic and cervical epidural steroid injections
Caudal lysis of epidural adhesions
Peripheral and central somatic nerve and plexus blocks
Diagnostic and neurolytic sympathetic ganglion and plexus blocks
Neurolytic nerve blocks
Tunneled catheter placements into various nerve sheaths
Radiofrequency ablative procedures
Dorsal column stimulator trials
Intra-spinal catheter placements for intrathecal opioid trials
Dorsal column stimulator trial and permanent placement (in conjunction with Neurosurgery)
Intra-spinal catheter placements with implanted infusion systems (in conjunction with Neurosurgery)
Discography
Intradiscal Electro Thermocoagulation (IDET)
Ultrasound-guided procedures are performed as indicated.
Didactics
The fellows have ample time allotted for didactic sessions. Pain Medicine conferences include daily one-hour morning teaching sessions with active trainee participation in the presentation of various pain topics, particularly the management of the chronic pain patient; there are presentations and discussions of newly published articles and journal reviews, as well as monthly morbidity and mortality conferences.
An In-House Consult Service for treatment of in-patients with acute and chronic pain states provides trainees with ample opportunities and significant experience in preparation for the role of a consultant in Pain Medicine and Intensive Care Medicine. Trainees are supervised by faculty members on a daily basis in the Outpatient Pain Medicine Center, as well as during their In-House Acute/Chronic Pain Consultation rotation.
Role of the Pain Management trainee as a consultant to other specialties
The pain medicine trainees will, in preparation for their role as a consultant in pain medicine, gain significant experience in providing consultation under the direction of the pain faculty. The trainee is responsible for evaluation of the patient, communication of their clinical findings, and development of a detailed treatment plan. Additionally, the trainee will perform any necessary diagnostic and therapeutic pain management procedures to complete the patients treatment plan.
Role of the Pain Medicine trainee in teaching other residents
The Pain Medicine program provides the trainee with the opportunity to develop skills in clinical care and judgment, as well as to gain broad knowledge and technical skills. This enables the trainee to act as instructor to anesthesia residents rotating through the Pain Medicine Program, teaching patient management and the performance of procedures. The trainee also helps to structure the teaching schedule for the daily one (1) hour teaching sessions, and prepares case presentations of interesting patients that will provide additional outcome learning experiences.
Research Experience
Research is facilitated by an existing, active research program of the UCMC, Department of Anesthesia and Critical Care. While one year of fellowship is often too short to begin an independent research project, there is research space and more than ample equipment available for joining a research project for the devoted trainee.
We expect that fellows during their one year fellowship be involved in active scholarly activities, which will be established and maintained by the faculty, and which includes peer-reviewed publications of original research in a peer-reviewed journal, review articles or chapters in textbooks, as well as publications or presentations of, for example, case reports or clinical series at local, regional, or national professional and scientific society meetings.
Complementary to the above scholarship is the regular participation of the teaching staff in clinical discussions, rounds, journal clubs, and research conferences in a manner that promotes a sprit of inquiry and scholarship.
Call Policies
Fellows will share the coverage for the APS/In-House Consult Service with the CA-I, CA-II and CA-III residents during the night and on weekends and holidays, but in general take four to six (4-6) calls per month.
Calls are taken during the day in-house, and during the night from home.
Fellows trained since the accreditation of the Fellowship Program in 1996:
29 fellows were trained since the accreditation of our Pain Medicine Program in 1996. Most of them continued in academic positions but also in private practices.
FACULTY
A total of five (5) faculty members of the Department of Anesthesia and Critical Care, all board certified in Anesthesiology with a Certificate of Added Qualification in Pain Management by the American Board of Anesthesiology are primarily assigned to the Pain Medicine Center at the University of Chicago Medical Center (UCMC)
The faculty teach, supervise and train fellows on a daily basis, five (5) days per week, in all aspects of acute and chronic pain management, including the intensive care environment
Friedl Pantle-Fisher, M.D.
Director
Pain Medicine Center
Associate Professor
Department of Anesthesia and Critical Care
University of Chicago Medical Center
Gita Rupani, M.D.
Faculty
Pain Medicine Center
Assistant Professor
Department of Anesthesia and Critical Care
University of Chicago Medical Center
Tariq Muslim Malik, M.D.
Faculty
Pain Medicine Center
Assistant Professor
Department of Anesthesia and Critical Care
University of Chicago Medical Center
Magdalena Anitescu, M.D.
Faculty
Pain Medicine Center
Assistant Professor
Department of Anesthesia and Critical Care
University of Chicago Medical Center
Andrea Shashoua, M.D.
Faculty
Pain Medicine Center
Assistant Professor
Department of Anesthesia and Critical Care
University of Chicago Medical Center
STAFF:
Pain Medicine Clinical Nurse Specialist:
Connie Wright, RN, MSN,CNS/APN
Outpatient Pain Clinic Nurses:
Janet Rook, RN, BSN
Joanne Morsovillo, RN
Fran Rice-Pucci, RN
Mae Watkins, RN, BSN
Medical Assistants:
Shconia Johnson
Khanedgia Harris
Administrator:
Connie Wright, RN, MSN,CNS/APN
Pain Clinic Secretaries:
Elizabeth Kadisak
Sue Mullan
Radiology Technicians:
Rotating, Department of Radiology Staff
Applications:
Send letter of intent, curriculum vitae, names, addresses and telephone numbers of three references to:
Friedl Pantle-Fisher, M.D
Pain Medicine Center Director
University of Chicago Medical Center and Clinics
5841 South Maryland Ave, MC9011
Chicago, Illinois 60637
773/702-6347
[email protected]
The University of Chicago is an Equal Opportunity Employer.
