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Goals of the Fellowship

The basic goal of the Fellowship Program is for the Fellow to be exposed to the advanced interdisciplinary evaluation and management of acute, chronic, and cancer-related pain, and to procedures related to the treatment of these patients.

Upon completion of the Fellowship, the Fellow should:

  1. Understand advanced anatomical and pathophysiological mechanisms involved in both common and uncommon chronic malignant and non-malignant pain problems.
  2. Be able to evaluate and manage inpatient consultations for parenteral/oral opioid conversion, and complex malignant and non-malignant pain problems.
  3. Be able to evaluate and manage acute, postoperative pain. This experience includes postoperative epidural analgesia management, as well as other forms of regional infusion therapies.
  4. Have an advanced knowledge of pain management related pharmacological principles, including responsible use of controlled substances.
  5. Be able to evaluate patients appropriately for and perform procedures involved in advanced pain management techniques (e.g. lumbar, thoracic, and cervical epidural access and injection techniques; selective nerve root blocks; trigger point injections; neurolytic techniques, including radio frequency ablation techniques; neuroaugmentation techniques, including spinal cord stimulation; chronic neuraxial drug delivery techniques, including implanted intrathecal drug administration systems.)
  6. Gain experience in the principles of interdisciplinary pain management, including psychological and physiotherapy evaluations and treatment options.
  7. Have an advanced understanding of the role of the pain management physician in the palliative care of patients with end-stage disease.
  8. Be able to function as an educator of these principles and techniques.

At the end of the Fellowship, the Fellow should be able to function as an independent, Board Eligible Pain Management Physician and Consultant, competent in the interdisciplinary evaluation and treatment (including advanced interventional techniques) of complicated and routine pain problems.