Approximately two to four half days per week are spent in interventional procedures at the UC Irvine Health Center for Pain Management at the Gottschalk Medical Plaza. We utilize two brand new fluoroscopy suites, a state of the art ultrasound machine, and seven recovery bays. All procedures are staffed by an attending physician and a radiology technician/technologist.
Approximately three to five half days per week are spent in our beautiful outpatient Pain Medicine office at the UC Irvine Health Center for Pain Managementat the Gottschalk Medical Plaza. At Gottschalk Medical Plaza, we utilize six examination rooms, an electromyography/nerve conduction study machine (EMG machine) and a musculoskeletal ultrasound machine for both diagnostic and therapeutic purposes. We are located across the hall from the UC Irvine Physical Therapy affording us a close relationship with our therapist colleagues. One day per week, we house our own cupuncturist, adult pain psychologist and pediatric pain psychologist, allowing the Fellow to experience the multimodal therapies useful in the treatment of chronic pain.
Approximately one to two half days per week are spent in subspecialty rotations. UC Irvine Medical Center is lucky to host ACGME (Accreditation Council Graduate Medical Education) accredited residency training programs in neurology, anesthesiology, physicial medicine and rehabiliation, psychiatry, pediatrics and radiology, making fulfillment of these ACGME required elective experiences easy. Our special affiliation with the CHOC Children's, which boasts a strong pediatric pain research program, provides our fellows with a unique research opportunity. We are also closely aligned with the Palliative Care program whose faculty are fellowship trained. Finally, our fellows have access to specialized acute and regional anesthesiology and neuroradiology/musculoskeletal radiology fellowship training programs that will broaden their diagnostic and interventional experience.
The elective rotations include*:
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Each fellow will rotate through the Inpatient Pain Service, a consultation service for inpatients with acute or chronic pain. In addition they will have exposure to ultrasound guided regional anesthesia for approximately four weeks per year.
Each fellow will have approximately one to four half days per month of guaranteed research time. This time can be spent on anything research-oriented, including: searching the literature, writing up proposals, or designing the study. Assistance with study design is also guaranteed as our department has our own research liaison, who specializes in teaching residents and fellows about research design, study design, and execution of those designs.
Approximately five days per year are incorporated into the schedule for additional elective time. The fellow can chose any subspecialty related to pain medicine. Suggested electives include: alternative and complementary medicine (at the Susan Samueli Center), rheumatology, neuroradiology, musculoskeletal radiology, sports medicine, orthopedics, Neurosurgery, interventional radiology, and regional anesthesiology.
OR procedures which include trials of spinal cord stimulation, implantation of dorsal column and peripheral nerve stimulators, and trialing and implantation of intrathecal drug delivery systems occur in the state-of-the-art operating rooms at the main hospital.
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Didactic events include small group board oriented lectures (with review questions), physical examination practice sessions, journal club discussions and multidisciplinary case conferences. We have approximately three hours of didactics per week. The curriculum includes all ACGME-required topics plus didactics that focus on epidemiology and research preparation, research study design, pain medicine board preparation, pain practice business preparation, billing and coding just to name a few. Our curriculum overall, is highly innovative and structured and well prepares graduates for both board certification and practical knowledge and expertise.
The fellows and rotating residents have their own dedicated office space with five computer stations, book and work space.
Fellows take about one weekend per month of at home beeper call. When on call, the fellow rounds on the weekend on inpatients on our consultation service. Work hours are kept within ACGME limits at all times. Although most fellows find more free and enjoyable time in fellowship as compared to residency, a department Wellness Center is available 24/7 to assist with stress management.
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