| UI Anesthesia Pain Medicine Fellowship |
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| Visit the Center for Pain Medicine and Regional Anesthesia website |
| University of Iowa |
| Department of Anesthesia |
| 200 Hawkins Drive |
| Iowa City, IA 52242-1079 |
| Phone: (319) 356-7208 |
| Fax: (319) 356-2940 |
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| Administrative Information: |
| Department Chairman |
Michael M. Todd, MD |
| Medical Director of the Pain Medicine Division |
Richard W. Rosenquist, MD |
| Number of Fellowships: |
3 |
| Salary: |
$50,600 (2007-2008) |
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| Application Process |
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All applicants must have completed an approved residency training program in anesthesia prior to the beginning of their fellowship training, which is classified as year PGY-5. Interested applicants should submit:
1. Electronic Residency/Fellowship Application
2. Curriculum vitae
3. Personal statement
4. USMLE scores
5. ECFMG certificate (if applicable)
6. Letters of recommendation (3)
Instructions:
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After all of these documents have been received and reviewed, qualified canditates will be invited for interviews, which are usually held in late autumn. Final decisions are made by February 1 for positions starting July 1. Three Fellows are accepted each year.
For additional information about the Fellowship Program or to request a printed copy of the application form, contact either:
Richard W. Rosenquist, M.D.
Director, Center for Pain Medicine
and Regional Anesthesia
Department of Anesthesia
University of Iowa Health Care
200 Hawkins Drive, 6-JCP
Iowa City, IA 52242-1079
319-353-7683
richard-rosenquist@uiowa.edu |
Teresa Schmidt
Center for Pain Medicine
and Regional Anesthesia Fellowship Program
Department of Anesthesia
University of Iowa Health Care
200 Hawkins Drive, 6-JCP
Iowa City, Iowa 52242-1079
319-353-7783
teresa-schmidt-1@uiowa.edu |
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| Affiliated Faculty |
- Richard W. Rosenquist, MD serves as the Medical Director of the Pain Medicine Division as well as the Pain Medicine Fellowship Program
- Tim Brennan, MD, PhD provides the division with expertise in acute pain management and research
- Venkateswara Karuparthy, MD has expertise in alternative medicine techniques and is Program Director of the Pain Management Seminar held monthly
- Donna L. Hammond, PhD Anesthesia Research Chair, is internationally recognized for her research in basic pain mechanisms
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| Fellowship Details |
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This is a one-year fellowship leading to board certification in Pain Management by the American Board of Anesthesiology. This fellowship is accredited by the American College of Graduate Medical Education (ACGME).
The Pain Medicine Fellowship Program began in July 1996. The program accepts three fellows per year. The didactic program comprises of a Monday evening Pain Medicine subspecialty lecture series; Wednesday evening Morbidity and Mortality conference, and a monthly journal club. Fellows participate in new or ongoing clinical research that leads to the publication and presentation of an abstract, and eventual publication in peer-reviewed literature. Opportunities in basic science research and translational medicine may be pursued after the one year clinical fellowship. The Pain Medicine Fellows gain experience in acute, chronic, cancer pain management. The acute pain medicine service actively manages acute postoperative and cancer pain in the inpatient setting. It also provides consultations and serves as a resource for other services. The service commonly utilizes PCA pumps, thoracic and lumbar epidural catheters, intrathecal catheters, brachial plexus catheters, and peripheral nerve plexus catheters.
The Pain Medicine Clinic serves patients with chronic pain, cancer related pain and nerve or musculoskeletal injuries. The interventional procedures performed within the Pain Medicine Clinic include trigger point injections, local anesthetic injections of peripheral nerves, epidural steroid injections, stellate ganglion blocks and intravenous anesthetic blocks. Fluoroscopic guided procedures include neurolytic celiac plexus blocks, selective nerve root injections, lumbar sympathetic blocks, discography and facet injections among others. In addition, cryoablation is performed in select patients. Training in intrathecal infusions and spinal cord stimulators is provided in conjunction with Kenneth Follett, M.D., in the Department of Neurosurgery. The educational program is multifaceted and includes clinical teaching and practice, didactic lectures, research and teaching of residents and medical students. Participation in activities such as the Monday lecture series, Wednesday evening Morbidity and Mortality conference, monthly journal club and the Saturday morning Pain Interest Group are an important part of the educational experience. There are numerous areas of research which are being developed and the fellows are expected to participate in new or ongoing clinical research which results in the publication of an abstract, presentation of the abstract either orally or in poster format at a major meeting and eventual conversion to a manuscript to publish in a peer reviewed journal. In addition, there are opportunities to create case reports or subject reviews for publication. Education skills are an important part of developing a successful pain practice. This may take the form of educating other physicians, in-servicing nurses or speaking to workman’s compensation nursing care coordinators. In order to prepare you for this you will be involved in the education of residents and medical students during their pain rotation. You will also participate in journal clubs and morbidity and mortality presentations. |
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| Center for Pain Medicine and Regional Anesthesia |
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The Center for Pain Medicine and Regional Anesthesia at the University of Iowa serves patients with chronic pain from both cancer and non-cancer related diagnoses. Multimodal treatment protocols are instituted, utilizing both interventional and non-interventional techniques.
Interventional procedures include:
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Trigger point injections
Selective nerve root blocks
Translaminar epidural steroid injections
Intraarticular facet blocks
Medial branch facet blocks
Discography
Sacroiliac joint injections
Intercostal nerve blocks
IV regional blockade
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Sympathetic ganglion blockade including: Stellate, celiac, lumbar, hypogastric
Targeted peripheral nerve cathterization
Radiofrequency blockade
Cryoablation
Neurolytic blocks
Spinal cord stimulation
Intrathecal drug delivery
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The Center for Pain Medicine and Regional Anesthesia includes 6 general examination suites, 6 procedure rooms, 2 flouroscopy surgical suites, 2 psychology suites and administrative offices for faculty and staff. The Center lies adjacent to the University Hospital main OR suite, allowing co-ordinated care for patients requiring regional anesthesia services prior to, during and following surgery.
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| Acute Pain Service |
| The Acute Pain Service actively manages acute postoperative and cancer pain in the inpatient setting. It also provides a consultation service. The Service commonly utilizes cervical, thoracic and lumbar epidural catheters, intrathecal catheters, and peripheral nerve catheters. The service is responsible for the majority of Regional Anesthetics performed throughout the course of the year. |
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| VA Medical Center |
| Additional patient care opportunities are available in the Acute Pain Service and Pain Medicine Center at the VA Medical Center. Three days a week the Pain Medicine Clinic is open to patients. It is staffed by a full time faculty member. Procedures are performed in collaboration with the Department of Radiology and the main OR suites. |
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| Didactic Program |
| Formal lectures are an important part of the Pain Fellowship Program and include Resident Lectures, Pain Medicine Subspecialty Lectures, Clinical Case Conferences, and several monthly subspecialty journal clubs. Download a copy of the 2007-2008 lecture schedule. |
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| Research Opprotunities |
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Fellows participate in new and ongoing clinical research that leads to presentation of an abstract and eventual publication in the peer-reviewed literature. Opportunities in basic science research and translational medicine may be pursued after the one-year clinical fellowship. The Department of Anesthesia maintains a strong interest in basic science pain research. Additional opportunities for training in either basic science or clinical research in pain medicine are provided by The University of Iowa Pain Research Program. This NIH-supported multidisciplinary research training program is open to both Ph.D.s and M.D.s who have completed residency training in any specialty. It is primarily designed to prepare individuals for an independent academic career as physician scientists. Additional information can be found at http://www.anesth.uiowa.edu/painresearch/.
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| Nondiscrimination Statement |
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The University of Iowa prohibits discrimination in employment and in its educational programs and activities on the basis of race, national origin, color, creed, religion, sex, age, disability, veteran status, sexual orientation, gender identity, or associational preference. The University also affirms its commitment to providing equal opportunities and equal access to University facilities and endeavors to make reasonable accommodations for the functional limitations of applicants, employees, students with disabilities, and disabled veterans pursuant to the Americans with Disabilities Act and the Rehabilitation Act. For additional information on nondiscrimination policies, contact the Office of Affirmative Action, (319) 335-0705 (voice) and (319) 335-0697 (text), 202 Jessup Hall, The University of Iowa, Iowa City, Iowa 52242-1316.
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