Curriculum
Duration: One year, Flexible start date July 1 - August 31 of fellowship year
Location: University of Colorado Hospital - Aurora, Colorado
Fellow Percentage: 60%
The fellowship is not ACGME accredited, however it is expected that the Regional and Acute Pain Fellow will continue to evolve and improve based on the Core competencies of the ACGME:
- Professionalism
- Interpersonal Skills and Communication
- Patient Care
- Medical Knowledge
- Practice Based Learning and Improvement
- Systems Based Practice
During the year, a fellow will be expected to show steady improvement and eventual mastery of the following tenants of Acute Pain management:
Procedural:
- Ultrasound and Nerve Stimulation peripheral nerve blocks
- Peripheral nerve catheters for inpatients and outpatients
- Neuraxial analgesia
Pre-operative/Intra-operative/Post-operative Management:
- Pre-operative planning for simple and difficult surgical patients
- Assessment of patient for eligibility for procedures
- Anti-coagulation in relation to acute pain procedures
- Pre-medication
- Multimodal pain medications – infusions, medication rotation
- Opioid Sparing management/techniques
- Epidural management (intra-op use, titration, trouble-shooting)
- Enhanced recovery (ERAS)
- Acute pain in the opioid naïve patient
- Acute-on-chronic pain in the opioid tolerant patient
- Acute pain in the patient with addiction/dependence history
- Learning from Advanced Practice Providers (Acute Pain NPs and PAs)
- Rounding on Pain Rounding Service patients
- Management of side effects, complications/injury
Academic:
- Research and/or Quality Improvement project in Acute pain management
- ASRA case presentation, departmental support available
- Anatomy lab exposure
- Presentations at Regional/Acute Pain Journal Clubs
Instruction/Teaching/Supervision:
- Supervision and guidance of junior and senior residents
- Acute pain procedures
- Patient management
- Didactic lectures
- Medical Students
- AA Students, SRNA’s
- Other disciplines
- CRASH –Colorado Review of Anesthesia for Surgi-centers and Hospitals
* Teaching during Ultrasound Regional Workshops in Vail, CO
ABA - Board Certification:
- This is a major point of emphasis
- The department is happy to help with preparation for oral boards, whether it is advice or practice examinations