 |
Pain Medicine Fellowship
The Department of Pain Medicine and Palliative Care (DPMPC) offers a one-year
ACGME-accredited Fellowship in Pain Management (sponsor: Department of Anesthesiology,
Albert Einstein College of Medicine).
Structure of the Physician Fellowship Program
The Fellowship in Pain Management (Ronald Kaplan MD, program director) encompasses
a core program combined with one of two tracks. Those fellows who concentrate
in the interventional track will be expected to acquire competencies in the
use of interventional techniques while becoming well informed about the medical
management of pain. Fellows who concentrate in the medical track will be expected
to acquire a high level of skill in medical management while becoming well informed
about interventional approaches.
Interventional Track
Learning Objectives
Following the interventional pain fellowship, the trainee will be able to:
 |
Take a comprehensive pain history and perform a physical/neurological
examination |
|
Order and interpret appropriate tests |
|
Recognize common pain syndromes and assess relevant comorbidities
|
|
Document all findings and differential diagnoses |
|
Use findings to develop treatment plans |
|
Educate the patient and family regarding the treatment plan |
|
Perform common pain management procedures, including interventional
techniques such as nerve blocks, local anesthetic and neurolytic blocks,
radiofrequency and cryo lesioning, major neuraxial analgesia via epidural
and intrathecal infusions, epidural steroid injections, spinal stimulation,
placement of implanted epidural or intrathecal catheters, placement of
dorsal column stimulators, placement and programming of PCA pumps and
neurolytic blocks |
|
Initiate pharmacological pain management techniques |
|
Integrate non-pharmacological approaches into a therapeutic
strategy for pain |
|
Provide continuity of care through follow up phone calls,
inpatient and outpatient visits |
Schedule of Rotations
| 7 months |
= |
outpatient interventional practice |
| 2 months |
= |
consultation team |
| 1 month |
= |
inpatient unit |
| 1 month |
= |
medical specialty, and chairman's clinics |
| 1 month |
= |
vacation |
There is a rotation through the Acute Pain Service, a Continuity Clinic, and
a required exposure to research. Didactic opportunities include a weekly fellows'
lecture, clinical conferences, and journal club.
Medical Track
Learning Objectives
Following the medical pain fellowship, the trainee will be able to:
|
Take a comprehensive pain history and perform a physical/neurological
examination |
|
Recognize pain syndromes and assess relevant co-morbidities
|
|
Order and interpret appropriate tests |
|
Document all findings and differential diagnoses |
|
Use findings to develop treatment plans |
|
Educate the patient and family regarding the treatment plan
|
|
Initiate pharmacological pain management techniques |
|
Integrate non-pharmacological pain management approaches
into a therapeutic strategy for pain |
|
Provide continuity of care through follow up phone calls,
inpatient and outpatient visits |
|
Understand indications for referral to interventional pain
management specialists and understand the techniques involved, the expected
outcomes and the potential complications. |
Schedule of Rotations
| 3 months |
= |
consultation team |
| 2 months |
= |
inpatient unit |
| 2 months |
= |
medical specialty and chairman's clinics |
| 4 month |
= |
outpatient interventional practice (“PACC sessions”) |
| 1 month |
= |
vacation |
Description of the Department
The Department has two clinical divisions-the Pain Division and the Palliative
Care Division. A certified hospice program, Continuum Hospice Care/The Jacob
Perlow Hospice, is closely aligned to the department. In addition to the chair,
the pain medicine attending staff includes three anesthesiologists, two neurologists,
and two physiatrists. The palliative medicine attending staff includes a physiatrist
and a Family Medicine physician (a Hospice Medical Director) who are at Beth
Israel Medical Center, and five attendings--internists or Family Medicine attendings--who
are Hospice Medical Directors and work at other sites. The department's table
of organization also includes numerous advance practice nurses (nurse practitioners
and clinical nurse specialists), one social worker; one chaplain; research staff;
and support staff.
The clinical services of the Department of Pain Medicine and Palliative Care
are provided through separate inpatient consultation services for acute pain,
chronic pain and palliative care, an 18-bed Hospice, Pain and Palliative Care
Inpatient Unit (the "IPU"), and ambulatory practices at the Phillips
Ambulatory Care Center. Continuum Hospice Care has home care teams for the Bronx,
North Manhattan, South Manhattan, and Brooklyn/Queens; additional inpatient
units at North General Hospital and Long Island College Hospital; and a hospice
residence in the Bronx.
Application Process
If you are interested in applying for a fellowship, please download and complete
the following forms:
Applications are accepted on a rolling basis, beginning in the May prior to
the start of the training year. Applications are reviewed by members of the
Department’s Education Committee, however, owing to the volume of applications,
only selected applicants will be granted a face-to-face interview with Department
faculty. On site interviews take place in September and October, and fellowship
offers are made in November. After that time, applications will be kept on file
for future reference.
Contact Person
If you have other questions related to the fellowship, please contact Dr. Myra
Glajchen as listed below. Completed application packets should be mailed to:
If you are interested in applying
for a fellowship, please contact:
Myra Glajchen, DSW
Department of Pain Medicine and Palliative Care
Beth Israel Medical Center
1st Avenue at 16th Street
New York, NY 10003
Tel: (212) 844-1472
Fax: (212) 844-1503
Email StopPain@chpnet.org
Back
|
|
|