Regional Anesthesia/Acute Pain Management

College

Center City Campus
Sidney Kimmel Medical College

Degree Earned

Fellowship

Program Length

1 year

Program Type

On Campus

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Fellowship Benefits & Other Information

Leadership

Jaime Baratta, MD

Director, Regional Anesthesia

[email protected]

Eugene Viscusi, MD

Director, Acute Pain Medicine

[email protected]

Program Information

Kymberley Ballato, CPC

Fellowship Coordinator

Department of Anesthesiology and Perioperative Medicine

111 South Eleventh Street
Suite 8290
Philadelphia, PA 19107

[email protected]

215-503-6476

Overview

The Department of Anesthesiology offers an ACGME accredited Regional Anesthesia and Acute Pain Management Fellowship position starting in July of each year. Two annual fellowship positions are available and are open to national competition.

Regional Anesthesia & Acute Pain Management Fellowship Goals, Objectives & Additional Information (PDF)

Application Information

ACGME residency candidates may apply via SF Match. We are an accredited J1B and H1B visa institution.

Candidate Requirements

A valid Pennsylvania medical license
Graduation from an ACGME residency

Interested applicants may contact the Program Coordinator. Contact information is available on this page.

Clinical Program Description

Thomas Jefferson University hospital is affiliated with the Rothman Orthopedic Institute, a world class orthopedic surgical program. Through this partnership, the Department cares for thousands of orthopedic patients, specializing in spine surgery, hip surgery, shoulder surgery, and knee surgery. Our regional anesthesia service covers all peripheral blocks, truncal blocks, and neuraxial anesthesia outside of the OB suite.

Educational Program Description

Program Goals

Our goal is to develop expert consultants in the subspecialty. Working with our team of innovative, nationally recognized, Regional and Acute Pain Medicine service; the fellow will:

gain proficiency in the application of a wide variety of blocks for surgical anesthesia and pain management, including cutting-edge truncal blocks and modern regional anesthesia techniques
learn to manage analgesic infusions for acute pain management, such as ketamine and lidocaine
gain experience with buprenorphine and the complexities of hospitalized patients with opioid use disorder and chronic pain disorder
develop the technical, interpersonal, communication, and systems-based practice skills necessary to become an expert consultant in regional anesthesia and acute pain.
gain proficiency in the operation management of an acute pain medicine service and management of the complex acute pain patient

In-depth Goals

Develop the technical, interpersonal, communication, and systems-based practice skills necessary to become an expert consultant in regional anesthesia and acute pain.
Proficiency in the application of a wide variety of blocks for surgical anesthesia and pain management including:
- the upper and lower extremity (including continuous catheter techniques)
- the superficial cervical plexus
- intercostal nerve block
- intravenous regional anesthesia
- spinal anesthesia
- epidural anesthesia
- combined spinal epidural (CSE)
- thoracic and lumbar paravertebral
- truncal blocks, including but not limited to erector spinae plane block, transversus abdominus plane block, pectoralis block, quadratus lumborum block
Proficiency in the operation management of an acute pain medicine service and management of the complex acute pain patient
In- depth knowledge of:
- anatomy of nerves
- the pharmacology of local anesthetics
- Pharmacology of opioids including buprenorphine
- Buprenorphine induction
- the pharmacology of adjuvants to local anesthetics for peripheral nerve blocks and neuraxial blocks
- neuraxial opioids
- complications of regional anesthesia and their treatment
- multimodal analgesia, including non-steroidal anti-inflammatory drugs, gabapentinoids, acetaminophen, ketamine, lidocaine, opioids
- Management of acute pain in the presence of opioid use disorder, chronic opioid use, chronic pain
Fellows will be exposed to anatomic dissection to enhance their understanding of blind procedures and spatial relationships
Each fellow will participate in a research project

Clinical Rotations

The cornerstone of the year is participation on the block team serving all anesthetizing locations in the main hospital. Additionally, the fellowship can be structured to meet the individual's career goals as long as all ACGME requirements are met. This could include a focus on research, quality improvement, or exposure to broader clinical opportunities such as obstetric anesthesia/analgesia.

Didactic Curriculum/Conferences

The Didactic program includes Morbidity and Mortality Conference and Anesthesiology Grand Rounds.

Scholarly Activity/Research

The fellow will design and implement ideas to participate in at least one clinical, laboratory, or database research project during the year. In addition, the fellow will gain experience by participating in ongoing clinical trials within the division. The fellow will be supported to attend and participate in multiple local, regional, and national meetings along with the ability to submit abstracts and/or papers at other meetings presentations. The fellow is expected tp present a departmental Grand Rounds on a topic of his or her choosing in the spring.