Didactic Lecture Series

The acute pain lectures are presented Monday's at 3 p.m. The fellows are expected to present three lectures throughout the year.

Anesthesia Clinical Case Conference

Clinical Case Conference (M and M) and visiting professor presentations are on Tuesday mornings from 0700 - 0745.  Fellows are invited and encouraged to attend these weekly conferences. Pain and Regional interesting cases are presented by Pain Medicine Faculty three to four times per year.

Simulation and resident education will be done by the fellows 2-3 times/month on average.

Clinical Education

The clinical program will serve as the cornerstone of the fellowship training in regional anesthesia. In order to achieve the necessary level of expertise, fellows should be familiar with the indications, contraindications, techniques, and complications of the techniques listed below: 

Basic Techniques
  • Superficial cervical plexus block
  • Axillary brachial plexus block
  • Intravenous regional anesthesia (Bier block)
  • Intercostobrachial nerve block
  • Saphenous nerve block
  • Ankle block
  • Spinal anesthesia
  • Lumbar epidural anesthesia
  • Combined spinal-epidural anesthesia
  • Femoral nerve block
  • TAP (transverse abdominis plane) block
  • Lateral femoral cutaneous nerve block

Intermediate Techniques
  • Deep cervical plexus block
  • Interscalene block
  • Supraclavicular block
  • Infraclavicular block
  • Sciatic nerve block: posterior approach
  • Popliteal block: all approaches
  • Suprascapular nerve block
  • Thoracic epidural anesthesia

Advanced Techniques
  • Continuous interscalene block
  • Continuous infraclavicular block
  • Continuous supraclavicular block
  • Continuous axillary block
  • Thoracolumbar paravertebral block: single injection or continuous
  • Lumbar plexus/Psoas block: single injection or continuous
  • Combined lumbar plexus/sciatic block: single injection or continuous
  • Continuous femoral nerve block
  • Obturator nerve block
  • Sciatic nerve block: anterior approach
  • Continuous sciatic nerve block: all approaches
  • Continuous popliteal block: all approaches
  • Quadratus Lumborum catheter
  • Rectus Sheath catheter
  • Erector Spinous catheter
  • Serratus Anterior catheter
  • Fascia Iliaca catheter (above and below inguinal ligament)

Exposure to regional and acute pain techniques involving pediatric and ambulatory surgery patients is strongly encouraged. Physiologic and pharmacologic consequences of regional and acute pain anesthesia will be stressed. Particular attention should be focused on the potential respiratory and hemodynamic perturbations, which accompany performance of neuraxial and peripheral nerve blocks.

Acute Pain Call

The regional anesthesia fellows are assigned to cover acute pain call on the weekends, beeper call from home.

Weekdays - the regional fellows as well as the residents rotating on the acute pain service rotate acute pain consults. When assigned to acute pain consults, they are expected to stay in-house until the 3911 resident can take over the beeper call for the evening.