Medical student rotations
Multidisciplinary Pain Management - Anesthesiology 463
Welcome to the UC Davis Division of Pain Medicine. As a highly valued member of the Pain Management service, you will be expected to participate in all aspects of the service. You are a primary member of the Division of Pain Medicine and must take on responsibilities and challenges in a manner that maintains high standards and integrity. We consider you to be representatives of the Pain Management service to the entire UC Davis community.
As you know, patients with acute, chronic and cancer pain present complicated therapeutic dilemmas and require a gentle, considerate and thoughtful approach. Attention to emotional/psychological issues is essential. Your consideration and support will also be required for the staff that joins you in caring for these patients.
From the experience on this rotation, students will be expected to have gained the following skills:
1. understand basic concepts of the physiology of pain,
2. understand and be able to perform a pain oriented evaluation and physical examination,
3. understand the known diagnostic classifications of pain and their treatments,
4. understand the complex interplay of medical, psychological and social issues with pain,
5. understand the basic indications for and practice of analgesic therapy.
Third or fourth year students having completed basic internal medicine and surgery rotations are eligible. Students are accepted as space allows. The UC Davis Division of Pain Medicine accepts one medical student per month for a 4-week rotation. Extended rotations can be accommodated on a case-by-case basis. There is no on-call responsibility for this rotation.
The staff and fellows will work closely with the student, meeting on a daily basis. The student will be required to attend all daily didactic teaching sessions as well participate on the outpatient and inpatient chronic pain service.
In general, the student will spend three weeks in the outpatient clinic (seeing new and follow-up patients and interventional procedures) and one week on the inpatient service (seeing consults). The 4-week rotation, however, is flexible and can be varied to suit the needs of each student. Thus, we will try to accommodate students who wish to spend more time on a particular service.
Because pain is a prevalent feature in treating all patients, this rotation is intended to offer training for students interested in any clinical specialty. Students will be directly involved with the practice of contemporary multidisciplinary pain management including acute, chronic and cancer pain. Students will work with attending staff from disciplines of anesthesiology, internal medicine, physical medicine and rehabilitation, psychiatry, and neurology. Students will be part of the team that provides medical management for patients with chronic pain and cancer pain in both the outpatient continuity care setting and the inpatient consultation setting. Exposure to interventional procedures – trigger point injections, epidural steroid injections (e.g., interlaminar, transforaminal and caudal), sympathetic nervous system blocks (e.g., stellate ganglion, lumbar sympathetic ganglion, superior hypogastric ganglion and impar ganglion), facet joint procedures (e.g., intra-articular and medial branch nerve blocks/radiofrequency neurotomy), intra-articular peripheral joint injections (e.g., shoulder, sacroiliac, hip and knee joints), peripheral nerve blocks (e.g., occipital, ilioinguinal, genitofemoral nerves), implantable devices (spinal cord stimulators) and intravenous lidocaine infusions – are an important part of the rotation. The program offers a daily mix of formal and informal educational experiences. Students are exposed to contemporary thinking in pain treatment from multiple disciplines.
Explanation of Potential Course Overlap:
No overlap is anticipated and to our knowledge no similar course is offered in the medical school.
Evaluation will be based on the final input from the rotation Director (Dr. Mahajan) as assimilated from staff, fellow, and resident input.
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