University of Utah Health's ACGME-accredited Pain Medicine fellowship offers comprehensive training in interdisciplinary pain management. The primary learning site is the Pain Management Center, a free-standing clinic staffed by physicians, nurses, physical therapists, and pain psychologists working in an integrated setting. Most patients are evaluated by all services and discussed in a staff meeting where treatment plans are formulated involving coordinated care by all disciplines. The physician faculty are all fellowship trained and board-certified in Pain Medicine. Patient care emphasizes an individualized, rehabilitative philosophy, and adheres to evidence-based medical, behavioral, and interventional approaches.
In addition to developing a strong training in the interdisciplinary management of chronic pain, our class of four fellows receive additional, important, sub-specialty in the following areas:
- Cancer Pain
Each fellow spends three months at the Huntsman Cancer Institute as a member of the Supportive Oncology Service. Here, fellows gain a unique experience in the interdisciplinary management of complex cancer pain, including medication management, neurolytic procedures, and a busy intrathecal pump service.
- Interventional Pain Management
To supplement the interventional experience at the PMC, our faculty members at the Veterans Administration hospital proctor fellows in a wide spectrum of complex spinal procedures.
Our emphasis is to provide fellows with an exposure to psychiatry that is relevant to their future pain practice. At the VA hospital, fellows attend a general psychiatry clinic in addition to a Suboxone clinic.
During the VA rotations, fellows rotate through University of Utah Health's Headache Clinic, and also receive experience with electrophysiology and imaging interpretation.
- Acute pain management
During the VA hospital rotation, fellows participate in the Acute Pain Service, performing ultrasound guided blocks and placing perineurial catheters, as well learning how to run an efficient, contemporary, post-operative pain service. Fellows are NOT responsible for acute pain management after hours or on weekends.
For the first two months, fellows receive daily one-hour lectures on the fundamentals of pain medicine. Thereafter, protected time every Friday morning allows for participation in our pain medicine didactic series, a collaborative educational endeavor with our pain research colleagues and pain physicians from our community. In our eligible graduates, our pain board pass rate is 100 percent over the the last 10 years.