The Basic Units of study for all Pain Management Fellows takes place at the Comprehensive Pain Clinic at Upstate Bone and Joint Center and the Ambulatory Surgery Center (ASC), where the fellows, spend alternating days between their outpatient clinic duties and ASC procedures.

They will participate in secondary sites at the Syracuse Veteran's Administration Pain Clinic and Community General Hospital on alternating rotations. The fellows are involved in the office-based chronic pain evaluations and procedures involving Dosal Column Stimulator trials and permanent implants, Peripheral Nerve Stimulator trials and implants, Intrathecal Infusion Pump implantation with anesthesiologists and neurosurgeons.

The Fellows also rotate with the departments of Psychiatry, Palliative Care, Physical Medicine and Rehabilitation and Neurology (and Anesthesiology, if not part of the fellow's residency) as part of the ACGME required curriculum.

 

Daily Routine

Monday & Thursday:

7:30am  - 4:00pm     Outpatient Chronic Pain Clinic at Upstate Bone & Joint Clinic, Fly Rd, E. Syracuse

 

Tuesday:

7:30am - 12 noon      Procedures performed at Ambulatory Surgery Center (ASC) at Fly Rd. E. Syracuse

 

12:45pm - 4:30pm     Outpatient Chronic Pain Clinic at Upstate Bone & Joint Clinic, Fly Rd, E. Syracuse

 

7:30am - 4:00pm       Concurrent Outpatient Clinic for procedures at Community General Hospital,                                                                   Syracuse, NY

 

Wednesday:

7:00am                        M&M/Grand Rounds Conference with entire Department of Anesthesiology at                                                                University Hospital, as well as attendings from local hospitals.

 

Wednesday

9:00am - 4:30pm       OR Cases placing Spinal Cord Stimulators and other advanced procedures.

                                     Outpatient Chronic Pain Clinic at Upstate Bone & Joint Clinic, Fly Rd. E. Syracuse

 

Monday, Wednesday

& Thursday                One Fellow is assigned to VA Medical Center Pain Clinic consisting of consults,                                                                 evaluations, blocks and case management. 

 

Friday

7:30am - 12:30pm     Outpatient Chronic Pain Clinic at Upstate Bone & Joint Clinic at Fly Rd, E. Syracuse.

                                      Procedures performed Ambulatory Surgery Center (ASC) at Fly Rd, E. Syracuse

 

1:00pm - 3:00pm       Fellowship Didactic Sessions. Fellows attend educational presentations and                                                                     rotation lectures on pain pharmacology, equipment, testing and certification.

 

                                     Fellows will prepare and present at least one lecture of their own on a specific                                                               pain medication, procedure, or case they have witnessed during their training.

 

Weekends                 One on-call Fellow will round with and supervise a CA2/CA3 anesthesiology                                                                      resident on Acute Pain Service Rotation for coverage with attending support.

   

 

Volume and Types of Cases

Upstate Medical University is uniquely situated in Central New York so that it caters to a large population.  The patient population is a combination of urban/suburban/rural and many underserved populations.   Patients at times may travel up to 3 hours to obtain services from the Outpatient Chronic Pain Management Clinic as well as the VA Medical Center Pain Clinic.  This is a unique opportunity for Pain Management Fellows looking for a diverse opportunity to experience a wide variety of patient care in both volume and types of cases.

 

As a Pain Management Fellow you will be exposed to a large variety and volume of cases.

These types of cases include (but will not be limited to):

• Chronic back and neck pain
• Musculoskeletal/Joint pain
• Chronic Neuropathic Pain including CRPS & Peripheral Neuralgias
• Chronic Headaches and Facial Pain Syndromes
• Persistent Post Surgical Pain
• Truncal and Abdominal Pain
• Cancer Pain

 

Clinical Interventional Practice

Commonly Preformed Interventional Pain Procedures include:

• Fluoroscopically-guided intervential spine procedures including
  • Cervical, thoracic and lumbar epidural injections
  • Facet injections
    • SI Joint Injections
    • Lumbar Sympathetic Blocks
  • Radiofrequency ablation
  • Cryoablation
• Ultrasound-guided peripheral nerve blocks
• CT-guided procedures
  • Celiac plexus diagnostic and neurolytic block
  • Superior hypogastric diagnostic and neurolytic block
• Spinal Cord Stimulation: Trials and Implants
• Peripheral Nerve Stimulation: Trials and Implants
• Ketamine Infusion Therapy for chronic pain
• Upcoming: MILD and Reactiv8