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Anesthesiology

Interventional Pain Clinic Rotation

(At both Vanderbilt at One Hundred Oaks and Cool Springs locations)

Goals:

  • To develop multidisciplinary management plans involving medications, interventions, therapies, and coping strategies.
  • To become proficient in interventional techniques for management of pain
  • To incorporate current scientific literature into routine practice for life-long learning
  • To empower patients to accept responsibility for their role in the management of pain, and to focus on functional outcomes
  • To learn the administrative and business aspects of a pain practice
  • To become an expert consultant in pain management 
     

Goals:

  • To prescribe narcotics in a safe, appropriate, and legal manner
  • To demonstrate safe utilization of other medications for the management of chronic pain, including anticonvulsants, antidepressants, local anesthetics, NSAIDs, and topical agents. To take accurate history and conduct comprehensive physical examination and present data in a concise fashion.
  • To utilize multidisciplinary resources for the management of pain
  • To demonstrate cooperation with all members of the multidisciplinary team, including clinic staff
  • To identify a difficult case, perform a literature search of relevance, present the case, and publish the findings
  • To communicate effectively and professionally with referring providers
  • To perform adequate numbers of ACGME-required procedures in the advanced interventional track. See ACGME program requirements IV.A.5.a.3.a-h)
  • To perform all procedures competently, understanding risks, benefits, indications, and contraindications for interventional procedures
  • To perform relevant literature searches and apply data to daily patient care
  • To learn how to bill and document appropriately
  • To treat patients with respect and dignity, provide a comfortable procedural experience inasmuch as possible
  • To take time to educate patients, regarding contributing factors and treatment options related to pain
  • To empower patients to participate in medical decision-making and to take responsibility for their role in the treatment plan
  • To recognize psychological, social, and economic issues which may affect patients and their families, and necessitate adjustment in management plan to accommodate these
  • To encourage patients to reconsider a “successful” outcome as increased functionality rather than decreased pain score
     

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