Didactic Programming For Pain Medicine Fellows

The Pain Medicine Fellowship begins with an intensive didactic program to prepare the fellow with basic knowledge on procedures, anatomy and pain syndromes. One or two basic pain textbooks are reviewed during the first month or so.

Each morning at 6:45 a.m. or 7 a.m., the fellows meet with several of the staff physicians and each fellow presents a chapter or two out of the texts. It took about six weeks to go through both books cover to cover during this past academic year. After the completion of the texts, the morning didactics then became geared towards evidence based articles and review articles for the fellows and rotating residents.

We have anesthesiology residents that rotate each month and usually the first week is orientation and core presentations on physical exam and basic procedures. The articles are chosen by the fellows and distributed over email the week before. One of the fellows is responsible for this activity as she/he may have the most time to complete the literature search. This fellow also is responsible for leading the discussion and presentation of the articles in the morning that week.

During the second part of the fellowship, new lecturers from Pain Psychology, Neurology, Spine Surgery, Physical Medicine and Rehabilitation, and Addiction Medicine have been integrated into the curriculum. A separate Pain Medicine Journal Club also occurs on a monthly basis. Typically it is on the third Tuesday night of each month.