Pain Medicine

In-patient Rotation:

During the in-patient pain rotation residents are responsible for managing the patients on the acute pain list at Tisch Hospital.  The patients on the acute pain service consist of post-partum and post-surgical patients with epidural catheters in place.  It is the responsibility of the pain service to provide care to these patients after they leave the operative setting.

The team during residents’ in-patient rotation consists of:

1.    Attending

  •     Oversees the care provided by the pain team, co-signs notes

2.    Fellow

  •     Manages the chronic pain list
  •     Sees new chronic pain consults
  •     Oversees residents and medical students and helps with any questions or concerns they have regarding the acute pain list

3.    Residents

  •     Manage the acute pain list
  •     See new acute pain consults
  •     Responsible for optimizing pain control and troubleshooting post-surgical and post-partum epidural catheters
  •     Responsible for safely removing epidural catheters based upon NYULMC guidelines (more conservative than ASRA guidelines)
  •     Participate with the fellow in new chronic pain consults

 

Out-patient Rotation:

1.    Morning lectures are required for residents unless otherwise specified

2.    Residents will work closely with fellows and attendings to see chronic pain patients in the out-patient clinic

3.    Review questions and readings with attending

4.    Review indications, contraindications and side effects of common medications used for chronic pain

  •     Examples: Opioids, anti-convulsants (Gabapentin, Lyrica), anti-depressants used for chronic pain (amitriptyline, Cymbalta), Tylenol, NSAIDS (diclofenac, meloxicam, etc.)

5.    Residents will be exposed to multiple interventions during the rotation including facet joint injections, medial branch blocks, radiofrequency procedures, spinal cord stimulator, and transforaminal epidural steroid injections.  As an anesthesiology resident you should be comfortable with performing an interlaminar epidural injection using fluoroscopic guidance.