Clinical Rotations
Clinical Rotation Details:
Name of Unit/Clinic: California Pain Medicine Center
Location:
UCLA Medical Center
100 UCLA Medical Plaza
Suite 750
Faculty: Joshua Prager, MD
Duration: 3 Months (M-Th)
Details:
Supervisors: Anesthesia and Neurology Attendings
Other Team Members: Palliative Care Fellows, Nurse
Objectives:
Participate with management and implantation of intrathecal medication delivery systems
Develop comprehensive management plans for cancer and complex pain patients
Manage and triage complication for post surgical pain treatments
Manage neurostimulation devices for pain
Become an intricate member of the pain
Assist in infusion of Ketamine per protocol for patients with intractable pain
management team for rehabilitation
Show proficiency with sterile techniques for surgical cases
Outline medication treatment options for complex pain conditions
Demonstrate proficiency for spinal injections to diagnose pain conditions
Name of Unit/Clinic: The UCLA Spine Center
Location:
UCLA - SM Orthopedic Hospital and Medical Center
1245 16th St, Suite 220
Faculty: David E. Fish, MD
Duration: 3 Months
Details:
Outpatient Musculoskeletal Pain and Spine Clinic (Wed, Thu, Fri)
Supervisors: PM&R Attending
Other Team Members: Medical Students, PM&R Residents
Interventional Spine Clinic (Tues, Wed PM)
Supervisors: PM&R Attending
Other Team Members: Medical Students, PM&R Residents
Electrodiagnostic Clinic (Mon)
Supervisors: PM&R Attending
Other Team Members: Medical Students, PM&R Residents
Objectives:
Develop pain management skills for patients with acute/chronic spine problems
Master surgical skills for interventions to treat spinal disorders
Develop skills for spinal injections to diagnose spine conditions
Manage implantation of intrathecal medication delivery systems
Develop comprehensive rehabilitation plan for spine pain management
Manage neurostimulation devices for spine pain management
Master interventional techniques for management of spinal compression fractures
Develop Electromyographic skills to help diagnose peripheral nerve pathology
Accurate interpretations of MRI and spine radiographs.
Teach medical students basic musculoskeletal examinations
Name of Unit/Clinic: WLA Chronic Pain Clinic
Location:
Greater Los Angeles Veteran Affairs
Health Care Systems,
West Los Angeles Health Care Center
Faculty: Quynh Pham, MD
Duration: 7 Months (Wed AM/PM and Thur PM)
Details: Multidisciplinary
Supervisors: Anesthesia, PM&R, Psychiatry , Psychology, Neurology (Wed) Attendings
Other Team Members: PM&R Residents, Nurse Practitioner, Pharmacist, Medical Students, Physical Therapists, Geriatric Fellows
Objectives:
Demonstrate proficiency in evaluation skills in patients with chronic pain conditions
Develop comprehensive pain management plan for pain conditions
Teach residents and perform diagnostic local injections for pain treatment
Learn biofeedback techniques for musculoskeletal pain treatment
Know basic psychological screening evaluation tests for chronic pain patients and incorporate these into treatment plan.
Manage opioids for treatment of chronic pain conditions
Identify signs of abuse of chronic pain patients
Demonstrate appropriate patient selection for neurolysis
and correct techniques for reconstitution and injection of medication
Name of Unit/Clinic: WLA VA Interventional Pain Service
Location:
Greater Los Angeles Veteran Affairs
Health Care Systems,
West Los Angeles Health Care Center
Faculty: Dr. Sanjog Pangarkar
Duration: 7 Months (Divided, Mon and Fri AM/PM)
Details:
Supervisors: Anesthesia Attendings, PM&R Attending
Other Team Members: Nurse Practitioners, PM&R Residents, Medical Students
Objectives:
Master interventional techniques for pain management
Manage treatment options for complications due to injections
Develop injection treatment plan for complex pain conditions
Write patient controlled anesthesia orders for post surgical pain management
Demonstrate evaluation techniques for acute post surgical pain management
Name of Unit/Clinic: WLA VA Inpatient Pain Consult Service
Location:
Los Angeles Veteran Affairs Health Care System, West Los Angeles Health Care Center
Faculty: Rebecca Ovsiowitz, MD
Duration: 7 Months (Divided, Service and Consultation—Daily in AM)
Details:
Supervisors: PM&R Attending
Other Team Members: Nurse Practitioners, Medical Students
Objectives:
Manage treatment options for complications due to injections
Manage treatment options for complications due to post surgical pain conditions
Develop PCA treatment plan for complex pain conditions
Write patient controlled anesthesia orders for post surgical pain management
Demonstrate evaluation techniques for acute post surgical pain management
Name of Unit/Clinic: Department of Anesthesia
Location:
Greater Los Angeles Veteran Affairs
Health Care System,
West Los Angeles Health Care Center
Faculty: Corey Downs, MD
Duration: Two-Week Rotation—(2 Days in Pre-Op Clinic, 8 Days with Anesthesia Staff)
Details:
Supervisors: Anesthesia Attendings
Other Team Members: Resident, Nurse Anesthetist
Objectives:
Understand the principles of administering regional/general anesthesia under supervision of staff
Understand acute fluid management concepts
Understand the mechanism of common post-anesthetic complications and their management
Understand the management of emergencies and complications during operative procedures
Properly place and verify placement of airway devises (ET tube and laryngeal mask airway)
Mask ventilate patients prior to establishing an airway devise
Place all necessary non-invasive monitoring devises to patients in the operating room
Develop proficiency in establishing venous access
Name of Unit/Clinic: Palliative Care Service
Location:
Greater Los Angeles Veteran Affairs
Health Care System,
West Los Angeles Health Care Center
Faculty: Deborah Moran, MD
Duration: 2-Week Rotation
Details:
Supervisors: Medicine attendings
Other Team Members: Resident, Fellows, Palliative Care Team
Objectives:
Understand opioid management in final days of life
Understand and practice end of life care to prevent undue suffering and pain
Understand coordinated care with severe disability and pain at end of life
Determine rehabilitation potential for terminal patients
Learn psychological support techniques for terminal patients