Department of Anesthesiology & Perioperative Care: School of Medicine: University of California, Irvine

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Regional Anesthesiology and Acute Pain Medicine Fellowship

Regional procedure with attending and fellow

The Regional Anesthesiology and Acute Pain Medicine Fellowship offers a comprehensive experience in acute pain management, ultrasound-guided nerve blocks and nerve stimulation techniques. Fellows will develop the skills and knowledge to become leaders in the field of regional anesthesiology and acute pain medicine. Fellows have ample opportunity to attend national conferences and participate in the Global Outreach Initiative to medically help underserved areas. We offer four positions for one-year.

Program Overview and Curriculum

The core training program will take place at UCI Medical Center, where fellows will provide care for a diverse patient population. UCI Medical Center is a major referral center and the region’s only Level I adult and Level II pediatric trauma center and Regional Burn Center.

Fellows will receive broad hands-on training in single injection and continuous peripheral nerve blocks as well as neuraxial anesthesia and analgesia. While ultrasound-guided techniques are emphasized, nerve stimulation techniques are also incorporated into the training experience. Fellows can also expect to gain extensive experience in performing and managing thoracic epidurals, including patient-controlled epidural analgesia, as part of our comprehensive approach to acute pain management.

While being a core member of the Acute Pain Service, fellows will gain valuable leadership skills to coordinate a team-based patient care approach and learn the management of acute pain. The APS team consists of a dedicated pain nurse practitioner, resident, fellow and attending. Acute pain consults are initially seen by a nurse practitioner, resident or fellow and staffed by the attending assigned to the service. Under faculty supervision, fellows will help lead patient rounds to manage continuous peripheral nerve block catheters and thoracic epidurals, as well as to provide acute pain consultations for management of postoperative, cancer and trauma-related pain.

Fellows will have an opportunity to gain valuable experience rotating at Kaiser Permanente Baldwin Park Medical Center, Kaiser Permanente Downey and CHOC Children’s. This is a unique opportunity to experience acute pain medicine and regional anesthesiology in community-based hospital settings and to increase exposure to pediatric regional and acute pain management that complements the training provided at UCI Health.

Clinical Experience

The fellow’s clinical experience is divided into three main categories: the acute pain service, the regional anesthesiology service and a clinical instructor role. During their time on the acute pain service and regional anesthesiology service, fellows will be under the supervision of an attending faculty.

The preoperative block areas are each equipped with the capacity for full monitoring and allowing sterile procedures to be performed preoperatively, maximizing patient safety and minimizing disruption to the flow of operating rooms. Blocks are also performed at the outpatient surgery center in the general preoperative area. Each site is equipped with dedicated ultrasound machines with a variety of transducers for superficial to deep nerve blocks.

As a clinical instructor, fellows will function as an attending anesthesiologist in the operating rooms. Clinical instructors will have the opportunity to gain experience as an independent anesthesiologist by providing anesthetic care to patients. Fellows will have the opportunity to supervise and work with resident physicians and CRNAs in a team-based setting.

Formal Education

Fellows will participate in structured didactics that consists of:

  • Problem-Based Learning Discussions (PBLDs)
  • Journal Club
  • Grand rounds
  • Workshops

Formal educational sessions are constructed to provide an overview of regional anesthesiology and acute pain medicine topics throughout the year with lectures that are prepared by expert clinicians. Fellows will be an educator to residents and will prepare and present lecture topics according to the “4U” Didactic Program. Fellows are encouraged to participate in quality improvement projects and scholarly activities.

Application Process

Submit the following required documents to the Fellowship Program Coordinator,

  • Curriculum Vitae (CV)
  • Three letters of recommendation
  • ABA BASIC exam results
  • Personal statement expressing your interest in regional anesthesiology and acute pain medicine

Required documents will be closely reviewed and qualified applicants will be invited to interview with the director of the fellowship program, director of pain management services and clinical faculty members.

Special Requirements

Applicants must have completed an ACGME accredited anesthesiology residency program and have a DEA license and California medical license prior to start of fellowship.

Fellowship Graduates

Sara Giafaglione, MD
Staci Becker, MD
Wei Yun (Dorothy) Wang, MD

Anna Bowling, MD
Monica Breaux, MD
Corey Tong, MD

Claire Kaura, MD
Angeline Nguyen, MD
Shawn Thomas, MD

Mustafa Ali, MD
Sophonie Noel, MD
Trevor A. Whitwell, MD

Vimal Desai, MD
Hao Ho, MD
Michael Moffitt, MD

Diana Diaz, MD

Martin Vogel, MD

Christie Brown-Munoz, MD

Nishant Shah, MD

Ariel M. Hurtado, MD

Contact Information

Direct all inquiries to:

Fellowship Coordinator
Rogelio (Roger) Hernandez
Phone: 714-456-5835

Program Director
Jane Ahn, MD