Fellowship | Pain Medicine

Pain Medicine

OVERVIEW

Accredited by the Accreditation Council for Graduate Medical Education (ACGME) for 4 fellow learners, our 12 month program provides an experience in a multidisciplinary pain management center with emphasis on interventional pain management approaches.  The program offers educational experiences in Interventonal Pain, Chronic Pain (Clinic and Inpatient), Anesthesiology (Perioperative and Acute Pain), Physical Medicine and Rehabilitation, Neurology, Psychiatry/Psychology, as well as Hospice and Palliative Medicine.  The program is comprised of eight physician faculty members with specialties in Anesthesiology, Pain Medicine, Family Medicine, Psychiatry, Physical Medicine and Rehabilitation, and Neurology as well as one clinical psychologist.The Pain Medicine Fellowship at the University of Kentucky is provided through the Department of Anesthesiology.   Physicians begin fellowship training after successful completion of an ACGME accredited residency in Anesthesiology, Neurology, Physical Medicine and Rehabilitation, or Psychiatry.

 


FACULTY

Michael Harned, MD – Pain Medicine Fellowship Program Director and Associate Professor, Anesthesiology

Paul Sloan, MD – Professor, Anesthesiology

Jay Grider, DO, Ph.D. - Pain Services Medical Director and Professor, Anesthesiology

Zbigniew Rogozinski, MD – Associate Professor, Anesthesiology

Mark Etscheidt, PhD. - Pain Management Clinical Psychologist

Todd Cheever, MD – Psychiatry Program Director

Robert Nickerson, MD - Physical Medicine & Rehabilitation Program Director, Associate Professor

Sara Salles, DO – Professor, Physical Medicine & Rehabilitation

Jonathan Smith, MD - Headache Medicine Fellowship Program Director and Assistant Professor, Neurology

Salli Whisman, MD – Bluegrass Care Navigators Senior Medical Director

Facilities

The principle site for fellowship training is the Interventional Pain Clinic at the University of Kentucky Clinic South Location. The Interventional Pain Clinic is a multidisciplinary pain management center with emphasis on interventional pain management approaches. An average of 2800 clinic visits and 1500 procedures are performed annually. Training is also conducted at the main UK Chandler Hospital.  Acute pain as well as perioperative anesthesia are taught at the main UK hospital.  Palliative medicine training is conducted at the main UK Chandler Hospital as well as Bluegrass Care Navigators.

Clinical Experience

The program offers rotations in Interventional Pain, Chronic Pain (Clinic and Inpatient), Anesthesiology (Perioperative and Acute Pain), Physical Medicine and Rehabilitation, Neurology, Psychiatry/Psychology, as well as Hospice and Palliative Medicine.

Interventional Pain (Advanced Track) The Advanced Interventional Pain Medicine Track occurs during the fellowship year in parallel with the ongoing Continuity Clinic experience and didactic curriculum.  Fellows will learn to provide care utilizing advanced interventional approaches for patients with chronic pain.   All procedural work is performed in the dedicated ambulatory surgery center facilities at the Interventional Pain and Surgery Center site.

Chronic Pain Clinic The fellow will have the opportunity to attain the knowledge, skills, and attitudes necessary to provide care to the adult and/or pediatric patient with chronic pain.  The fellow will be able to demonstrate competency in diagnosis and ongoing management in a diverse population of patients with chronic pain.   During the outpatient experience the fellow will evaluate patients with all types of chronic pain including pain of spinal origin, myofascial pain, headaches, neuropathic pain, pain of rheumatologic origin, visceral and urogenital pain, complex regional pain syndromes, and cancer pain.  Fellows will learn the therapeutic approaches used to manage patients with chronic pain including the use of oral medications and behavioral therapy as well as integrating interventional approaches in parallel with the clinic experience.  Training occurs primarily at the Interventional Pain and Surgery Center.

Chronic Pain Inpatient Fellows will have the opportunity to attain the knowledge, skills and attitudes necessary to provide care for adult and/or pediatric patients with chronic pain including cancer pain.

Anesthesiology-Perioperative Fellows with primary training in Neurology, Psychiatry or Physical Medicine and Rehabilitation are required to rotate with the department of Anesthesiology in the perioperative (holding room, post-anesthesia care unit) and operative setting. During their rotation they acquire skills associated with intravenous access, mask ventilation, endotracheal intubation and management of sedation. Additional training in intravenous access and management of sedation is available in the UK Interventional Pain and Surgery Center while fellows are involved in the Advanced Interventional Pain Track.

Anesthesiology-Acute Pain Fellows will attain the knowledge, skills and attitudes necessary to assess and manage adult and/or pediatric inpatients with acute pain.  Training takes place at the University of Kentucky Chandler Medical Center.

Physical Medicine and Rehabilitation Fellows with primary training in Anesthesiology, Neurology and Psychiatry are required to rotate with the Department of Physical Medicine and Rehabilitation. This is a combined inpatient and outpatient experience where the fellows acquire experience in neuromuscular and musculoskeletal management of patients as well as developing rehabilitation plans for these patients. They also acquire an understanding of the indicators and interpretation of electrodiagnostic studies during the rotation.

Neurology Fellows with primary training in Anesthesiology, Psychiatry and Physical Medicine and Rehabilitation are required to rotate with the Neurology department to acquire skills to perform a directed neurological history and become familiar with basic neuroimaging to include CT and MRI.

Psychiatry/Psychology Fellows with primary training in Anesthesiology, Neurology and Physical Medicine and Rehabilitation are required to acquire skills to perform a complete psychiatric and mini-mental status exam in chronic pain patients with psychiatric and pain co-morbidities. This is done under the direct supervision of the Clinical Psychologist working full time in the UK Interventional Pain and Surgery Center.

Hospice and Palliative Medicine Bluegrass Care Navigators provides a longitudinal educational experience for the fellows with patients with cancer pain and those requiring palliative care.  The focus of care is on pain and symptom control caused by disease progression.  Faculty with board certification in Hospice and Palliative Care Medicine provide didactic and clinical experience supervision for the fellows.

Didactics

Subspecialty Conferences: Conferences covering didactic material outlined in the Pain Medicine curriculum are presented each week. These conferences are typically given by the Multidisciplinary Pain Faculty. The Pain Fellows are also expected to lecture as part of their overall training experience. Guest faculty from other disciplines also lecture (e.g. orofacial pain, pediatric pain) when appropriate to cover curricular topics.   Fellows are also invited to attend regularly scheduled resident didactic presentations in the Department of Anesthesiology.


Case Discussion Conferences: Cases are presented on a quarterly basis by the pain fellows in collaboration with a multidisciplinary pain faculty member. Cases of interest are chosen as they become available over the year of patient care in which the fellow is involved.


Journal Club: Journal articles are presented on a quarterly basis by the pain fellows in collaboration with one of the pain faculty. Papers of interest are chosen from journals in fellow library or found by accessing journal information by literature search on line.  Fellows also have the opportunity to attend regularly scheduled journal club presentations in the Department of Anesthesiology.

 

APPLICATION PROCESS

 

We are currently accepting applications for the 2018-2019 academic year, the deadline to apply is May 1, 2017. We will be conducting interviews in late May and early June. We will participate in the NRMP Match, but we do not use ERAS for applications. Additional dates and deadlines for the Match can be found through the NRMP website NRMP website.

The application and supplemental materials are listed below, please send them to Rebecca Phillips Webb at the e-mail address linked This email address is being protected from spambots. You need JavaScript enabled to view it. .

  • UK Pain Medicine Fellowship Application you will need Adobe Acrobat reader (free download) to view this form.
  • One page statement with a discussion of your career goals
  • Current Curriculum Vitae (listed out by month and year)
  • USMLE/COMLEX Part I, II, III scores
  • Deans Letter
  • Medical School Transcript
  • Evidence of adequate progress (In Training Exam scores) toward Board Certification in your primary specialty
  • Three current original letters of recommendation

For International Medical Graduates:

  • Copy of valid ECFMG certificates
  • Valid Visa Status


For more information regarding the Pain Management Fellowship, please contact:

Rebecca Phillips Webb
GME Program Coordinator - Fellowship
Department of Anesthesiology
University of Kentucky Chandler Medical Center
Email:
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