Welcome to the Regional Anesthesia and Acute Pain Medicine Fellowship at UC Irvine Health Department of Anesthesiology & Perioperative Care. Our fellowship program offers a comprehensive curriculum in acute pain management, ultrasound-guided nerve blocks, and scholarly activities.
The fellowship program at UC Irvine Health provided me with a great experience because I was exposed to a wide variety of regional techniques and I cared for a diverse patient population. In addition, I was given opportunities to help lead the Inpatient Pain Service and make decisions on a daily basis. I also learned how to interact within the framework of a larger team that included physicians from other services, residents, and nurses. Lastly, the Regional Anesthesia Team was a fantastic group that strives to teach its fellows and residents every opportunity they get and goes well above and beyond what’s expected of them on a daily basis.
- Nishant Shah, MD (Fellowship Graduate 2012)
Our fellows receive broad hands-on training in single injection and continuous peripheral nerve blocks as well as neuraxial anesthesia and analgesia. Upper extremity blocks include interscalene, supraclavicular, infraclavicular, and axillary brachial plexus blocks. Lower extremity blocks include sciatic, femoral, popliteal, fascia iliaca, lateral femoral cutaneous, saphenous, and ankle blocks. Other procedures such as deep and superficial cervical plexus, lumbar plexus, intercostal, TAP, and paravertebral blocks are also taught by dedicated regional anesthesia faculty. While ultrasound-guided techniques are emphasized, nerve stimulation techniques are also incorporated into the educational experience. Fellows can also expect to gain extensive experience in performing and managing thoracic epidurals, including patient-controlled epidural analgesia, as part of our comprehensive approach to acute pain management.
In addition to hands-on procedural training, our fellows gain expertise in acute pain management as core member of the Inpatient Pain Service. Under faculty supervision, fellows will help lead patient rounds to manage continuous peripheral nerve block catheters and thoracic epidurals, as well as to provide acute pain consultations for management of postoperative, cancer, and trauma-related pain. Our fellows participate in multimodal pharmacologic management of postoperative pain including, but not limited to the use of opioids, patient controlled analgesia, adjunctive medications, and ambulatory peripheral nerve catheters. A distinguishing feature of our fellowship program is the experience our fellows gain in caring for patients within a Perioperative Surgical Home (PSH) care model.
Fellows attend all departmental acute pain and regional anesthesia meetings, participate in journal clubs, and present during department grand rounds. In addition, fellows are expected to help teach residents during “4U” Didactic Program, and have opportunities to participate in quality improvement projects and scholarly activity.
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UC Irvine Medical Center is the primary teaching institution for our fellows. It is a state-of-the-art 411 bed acute care hospital. It is the only university-based teaching hospital in Orange County and serves as the primary teaching institution for UC Irvine Health School of Medicine. As a major referral center and the region’s only Level I adult and Level II pediatric trauma center, and regional burn center, our fellows will provide care for a diverse patient population.
Preoperative block rooms are each equipped with the capacity for full monitoring and allowing sterile procedures to be performed preoperatively, thereby maximizing patient safety and minimizing disruption to the flow of operating rooms. Blocks are also performed at the outpatient surgery center in the general preoperative area. Each site is equipped with dedicated ultrasound machines with a variety of transducers for superficial to deep nerve blocks.
The Inpatient Pain Service team typically consists of a dedicated pain nurse practitioner, pain nurse, resident, fellow, and attending. Acute pain consults are initially seen by our nurse practitioner, resident or fellow, and staffed by the attending assigned to the inpatient pain service.
Fellows also gain valuable experience at Kaiser Permanente Baldwin Park Medical Center. This is a unique opportunity to experience acute pain medicine and regional anesthesia in a community-based hospital setting that complements the education provided at UC Irvine Medical Center.
Clinical experience is divided into inpatient pain service, regional anesthesia service (Kaiser Permanente Baldwin Park Medica Center or UC Irvine Medical Center) and operating room assignments. Our fellows receive appointment as Health Sciences Clinical Instructor and are expected to teach and supervise residents. Salary is approximately $80,000 per annum with benefits; opportunities for additional income are available. Fellows receive approximately five weeks of vacation, five education days to attend scientific meetings, and an educational allowance of $1,000.
Please submit the following:
Qualified applicants will be invited to interview with the director of the fellowship program, director of pain management services, as well as other clinical faculty.
Email required documents to:
Completion of an ACGME accredited anesthesia residency program, DEA license and California medical license prior to start of fellowship.
Please direct all inquires to (email preferred):
Jane Ahn, MD
Associate Clinical Professor
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