Pain Medicine Anesthesiology Fellowship

Fellowship in Pain Medicine

Pain is a condition that affects the daily life and financial security of hundreds of thousands of individuals and their families. It is a complex, challenging problem requiring careful investigation of symptoms and specialized care. Cedars-Sinai's Pain Center is composed of a team of board-certified healthcare specialists with fellowship training in anesthesiology, internal medicine, physical medicine, psychology, and Pain Management. This structure enables the fellow to focus on evaluation and diagnosis of pain sources and concentrating management on the specific generators which are responsible for the pain. Out focus is on providing non-pharmaceutical pain management and functional diagnosis through image guided interventions which may include spine injections, ablative procedures and palliative procedures such as implantations of neurostimulators or spinal drug delivery systems

General Information

The Department of Anesthesiology at Cedars Sinai offer ACGME approved fellowship training in Pain Medicine. The fellowship consists of one year of training for physicians who wish to learn management of pain at the post graduate level.

There are four fellowship positions available for academic year 2012-2013 for individuals who have successfully completed residency accredited by the Accreditation Council for Graduate Medical Education (ACGME) by the beginning of the 2012 academic year. Three of these positions will be occupied by anesthesiology residency graduates; one position is available for graduates of clinical specialties of physical medicine and rehabilitation, neurology and psychiatry. Training is provided for non-anesthesiologists in critical emergency airway and resuscitation management skills required of interventional pain practitioners.

The Fellowship is designed to provide an educational experience covering all aspects of the management of patients with pain, and provide an opportunity to develop research and teaching activities for those who are interested. The program is accredited by ACGME and the American Board of Anesthesiology, and qualifies its graduates to sit for the Examination of Special Competence in Pain Management.

Operated by the Cedars-Sinai Department of Anesthesiology and Pain Medicine, Pain Center Fellows will work with faculty trained in pain medicine, neurology, rehabilitation medicine, psychiatry and psychology, orthopedics, neurological surgery, internal medicine, radiology, palliative care and addiction medicine among other specialties.

Fellows rotate through several programs over the course of the year; outpatient multidisciplinary pain management, interventional pain management, inpatient acute pain management, cancer pain and palliative care, physical medicine and rehabilitation, neurology, and headache management. Fellows learn how to approach and work-up complex pain problems, which diagnostic studies to obtain, how to refer to appropriate specialists, selecting appropriate interventions, and hands-on training in the entire gamut of interventional pain medicine. The Pain Center at Cedars-Sinai is home to our fellowship and is affiliated with Cedars-Sinai’s Department of Anesthesiology.

The director of the fellowship program and the Medical Director of the Pain Center is Howard L. Rosner, M.D. He is a board certified interventional Pain Management physician and with more than twenty-five years of experience in the field. As an author, investigator, and clinician, Dr. Rosner brings all the facets of his experience to patient care. He has been a member of the faculty of three prestigious medical schools, having taught for many years at Columbia University, Cornell University, and New York University in Manhattan, coming to Cedars-Sinai in 2002. His interests and expertise in Pain Management include evaluation and management of spine pain, orthopedic pain, neuropathic pain and cancer pain.

The Cedars-Sinai Pain Management Center averages approximately 24,000 outpatient visits per month. Fellows and residents treat all types of pain. A multidisciplinary approach is taken in the management of pain. The Cedars-Sinai Pain Management Center provides education, training, and experience required for a specialist in pain management. Fellows and residents receive and participate in ongoing didactic education, including weekly multidisciplinary conferences and morbidity and mortality conferences.
Fellows and residents receive training in theory, indications, risks, complications, and practical applications of procedures and techniques.

Procedures Performed

Spinal Procedures

  • Discography (functional or provoactive)
  • Pressure manometry for discogenic pain
  • Epidural injections (cervical, thoracic, lumbar, and caudal)
  • Epidural blood patches
  • Facet injections and medial branch blocks (cervical, thoracic, and lumbar)
  • Percutaneous discectomy / nucleoplasty
  • Medical branch radiofrequency ablation / rhizotomy
  • SI joint injections and rhizotomies
  • Transformal and translaminar epidurals
  • Percutaneous discectomy

Headache and Facial Pain Procedures

  • Stellate and sphenopalatine ganglion blockade
  • Stellate or sphenopalatine ganglion radiofrequency ablations
  • Upper cervical nerve root blockade
  • Upper cervical facet and third occipital blockade
  • Upper cervical facet and third occipital rhizotomy

Musculoskeletal and Peripheral Nerve Procedures

  • Trigger point injections
  • Toxin injections (e.g. botulinum toxin)
  • Joint injections (e.g. shoulder, elbow, wrist, sacroiliac, hip, knee, ankle)
  • Peripheral nerve blockade (head, neck, trunk, upper and lower extremities)
  • Sympathetic blockade (e.g. Stellate, Thoracic, Lumbar, Hypogastric)

Abdominal or Pelvic Pain Procedure

  • Celiac plexus block
  • Hypogastric plexus block
  • Splanchnic nerve blocks

Cancer Pain Procedures

  • Neuro-ablation / neurolysis for abdominal or pelvic cancer pain
  • Splanchnic nerves
  • Celiac plexus
  • Hypogastric plexus
  • Ganglia impar
  • Intercostal nerves for chest wall cancer pain

Complex Procedures

  • Peripheral nerve stimulator trial and implantation
  • Spinal cord stimulator trial and implantation
  • Intrathecal and epidural implanted infusion systems
  • Occipital nerve stimulation

Others

  • Radiofrequency ablation
  • Intravenous regional anesthesia
  • Discography
  • Nucleoplasty
  • Annuloplasty
  • Spinal cord stimulation
  • Intrathecal infusion
  • Peripheral nerve block
  • Behavioral therapy
  • Physical therapy
  • Biofeedback
  • Acupuncture
  • Recognition and management of risks and complications of medications
  • Prevention, recognition and management of risks and complications of procedures
  • Airway management and cardiopulmonary resuscitation

Vision

The philosophy of the Cedars-Sinai Pain Management Center maintains that a comprehensive pain management program be initiated to provide the best patient care possible. This multidisciplinary approach recognizes the contributions of various specialties and the necessity of different therapeutic regimens to provide significant pain relief for each individual patient.

Faculty

Rosner, Howard, MD (Program Director)Anesthesiology, Pain Medicine
 
Audell, Laura, MDAssistant Professor of Anesthesiology
 
Baumgarten, Bruce, MDAnesthesiology
 
Baumgarten, Jana, MDInternal Medicine, Physical Medicine & Rehabilitation
 
Danovitch, Itai, MDPsychiatry
Far, Azita, MDAnesthesiology, Pain Medicine
 
Furdik, Viliam, MDPsychiatry and Neurology, Pain Medicine
 
Graff-Radford, Steven, DDSOrofacial Pain
 
Jasmin, Luc, MDNeurosurgery
 
Kerrihard, Thomas. MDPsychiatry, Pain Medicine, Hospice and Palliative Med
 
Lau, Letitia, MDPain Management, Anesthesiology, Internal Med
 
Lin, YongJian, MDAnesthesiology, Pain Medicine
 
Louy, Charles, MDAnesthesiology, Pain Medicine
 
Lyden, Patrick, MDPsychiatry and Neurology
 
Nasmyth, Mary, MDPhysical Medicine
Paresa, Kenith, MDPhysical Medicine and Rehabilitation
 
Schievink, Wouter, MD
 
Neurosurgery
 
Shamloo, Bahaman, MD
 
Assistant Professor of Anesthesiology and Pain Medicine.
Wender, Ronald, MDAnesthesiology
 
White, Paul, MDAnesthesioloy
 
Wolcott, Deane, MDPsychiatry
 
Yumul, Roya, MD Anesthesiology
 

Application

Residents who wish to apply for the Cedar-Sinai’s Pain Medicine Anesthesiology Fellowship must submit an application along with four references, including one from the residency program director, the department chair, and two from faculty members with whom the resident worked within the last two years. Additional references are accepted. Other application requirements are curriculum vitae, personal statement of interest, copies of your medical school license and medical school diploma, and in-training residency exam report. The application deadline for the academic year 2014-2015 is April 30, 2013.

Contact

Interested parties may receive an application packet by contacting Olivia Hernandez, Program Coordinator or Jaime Bocanegra, Associate Program Coordinator at 310-423-1682, by fax at 310-423-4119, by email at olivia.hernandez@cshs.org and jaime.bocanegra@cshs.org

The Fellowship Selection Committee will review all complete applications (application, curriculum vitae, resident In-Training exam report, and letters of recommendation) after the December 31 deadline. Candidates will then be contacted for an interview. Interviews will then be granted.

Appointees must qualify for their respective boards in Anesthesia. Possession of a full and unrestricted license to practice as a physician in the State of California is an absolute requirement. If you are unsure as to your qualifications to obtain this license, you may obtain the specifics from:

California Medical Board
1430 Howe Avenue
Sacramento, CA 95825
916-263-2499