Regional Anesthesia Sites

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Presentation transcript:

Regional Anesthesia and Acute Pain Medicine Fellowship University of California, San Diego

Regional Anesthesia Sites UCSD Thornton Hospital UCSD Medical Center, Hillcrest Sulpizio Cardiovascular Center Jacobs Medical Center

Clinical Rotations Regional Rotations Acute Pain Rotation Thornton Hospital Sulpizio Cardiovascular Medical Center UCSD Hillcrest Hospital Outpatient Pavilion Acute Pain Rotation Acute Pain Service at Jacobs Medical Center Additional Opportunities Pain rotation at Moores Cancer Center Pediatric rotation at Rady’s Children’s Hospital

RAAPM Faculty (page 1 of 2) Wendy Abramson, MD Medical School: Thomas Jefferson Medical College; Residency: University of Pennsylvania; RAAPM Fellowship: UCSD Richard H. Bellars, MD Medical School: Georgetown University; Residency: UCSD Jessica Black, MD Medical School: Ross University; Residency: University of Pennsylvania; RAAPM Fellowship: Virginia Mason John F. Finneran, MD Medical School: UCSD; Residency: UCSD; RAAPM Fellowship: UCSD Rodney A. Gabriel, MD, MAS – Division Chief Medical School: UCSF; Residency: Brigham & Women’s Hospital; RAAPM Fellowship: UCSD Rekha Chandrabose, MD Medical School: University Of North Carolina At Chapel Hill; Residency: UCSD; RAAPM Preceptorship: UCSD

RAAPM Faculty (page 2 of 2) Ching-Rong Cheng, MD Medical School: Taipei Medical College; Residency: U of Virginia and U of Louisville Brian M. Ilfeld, MD, MS Medical School: UCSF; Anesthesiology Residency: UCSF; RAAPM Fellowship: University of Florida Bahareh Khatibi, MD – Fellowship Director Medical School: University of Chicago; Residency: UCSD; RAAPM Fellowship: UCSD Engy T.Said, MD – Clinical Director, Acute Pain Service Medical School: UCLA; Residency: USC/UCSD; RAAPM Fellowship: UCSD NavParkash S. Sandhu, MD, MS Medical School: Panjab University; Residency: NYU Preetham Suresh, MD Medical School: Case Western Reserve University; Residency: UCSF Jacklynn Sztain, MD Medical School: UCLA; Residency: UCSD; RAAPM Fellowship: UCSD

Educational Overview Goals Master basic single-injection and continuous peripheral nerve block techniques Gain experience managing continuous perineural infusions for inpatients and outpatients, as well adjunct analgesic medications Learn to apply regional anesthesia techniques in a variety of surgical settings including trauma, elective outpatient and more invasive orthopedics, vascular surgery, abdominal and pelvic procedures, head and neck surgery, and plastic/reconstructive surgery

Educational Overview Clinical Experience Preoperatively: evaluate patients for regional anesthesia techniques and communicate with surgical team to finalize appropriate management Perform regional anesthesia procedures Postoperatively: evaluate patients, adjust local anesthetic infusions to optimize pain control while minimizing side effects 1 day/week: fellows are in the OR either supervising residents/CRNAs or providing direct patient care as staff anesthesiologists Optional compensated OR or OB call Other clinical time is spent either directly administering or teaching residents how to perform regional blocks

Educational Overview Each fellow will spend approximately 10 months managing the regional service at Hillcrest, Thornton /Sulpizio Medical Center. The patient population consists of Orthopedic, Oncologic, Plastic, Cardiovascular, Thoracic, General Surgical, and Gynecologic Patients. Optional one month elective can be done in the field of pediatrics or chronic pain or by completing original research. Individualized elective may also be developed by the fellow with approval by the Fellowship Director. Fellows are expected to complete an academic project or QI project during their fellowship

Research Projects Recently Completed Projects Ongoing Projects Continuous Popliteal Nerve Blocks: Effect of Perineural Catheter Tip Location Relative to the Sciatic Nerve Bifurcation on Postoperative Analgesia Femoral Versus Adductor Canal Continuous Peripheral Nerve Blocks for Knee Arthroplasty Continuous TAP Blocks: Relative Effects of a Basal Infusion vs. Repeated Bolus Doses Ongoing Projects Effects of Catheter Location on Postoperative Analgesia for Continuous Adductor Canal and Popliteal-Sciatic Nerve Blocks Electrical Stimulation for the Treatment of Pain Following Total Knee Arthroplasty (TKA) Using the Smartpatch System

RAAPM Fellowship Eligibility Criteria Board certification (or eligibility) in Anesthesiology Current license in State of Residency (at time of application) California medical license (when starting fellowship) Fellowship Positions and Application Process Fellowship positions (3 in July, 1-2 in August) Application Deadline: March 31st Interviews: March-April

RAAPM Fellowship Contact Information Melissa Medeiros, Fellowship Coordinator UCSD Anesthesiology Regional Fellowship Program 9300 Campus Point Drive, MC 7651 La Jolla, CA 92037-1300 Phone: 858-657-7030 Email: reganesthesia@ucsd.edu