The rotations in pain management teaches the residents the principles and practice of acute, chronic, and cancer pain management. During the CA-2 year, residents have rotations in acute pain management/regional anesthsia and chronic pain management.
The rotation in acute pain management emphasizes the management of acute pain associated with surgical procedures. This rotation also includes experience in regional anesthesia. Residents learn to use both ultrasound and nerve stimulation for placing peripheral nerve blocks. Each day the acute pain service is staffed by a resident and faculty anesthesiologist.
The rotation in chronic pain management provides the resident with the opportunity to actively participate in evaluating patients, formulating differential diagnoses and treatment plans, performing diagnostic and therapeutic nerve blocks, and interacting with referring physicians in the role of a consultant. A dedicated procedure room, equipped with fluoroscopy, is reserved for use by the pain service. More involved procedures are performed in this room, while simpler procedures may be performed in one of the treatment rooms located within the pain clinic.
During the CA-3 year each resident has additional assignments in acute pain/regional anesthesia and chronic pain management.