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Pain Medicine Fellowship

Program Director: Richard L. Rauck, MD 
Number of Fellowships: 6
Length of Training: 12 months
Application Cycle: December 1 - May 1
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Pain management fellows rotate through clinics at the Carolinas Pain Institute and Wake Forest Baptist Health. Their primary responsibility is new patient evaluations and existing patient management. Fellows coordinate a multi-disciplinary approach to patient care, including medication management, physical therapy and reconditioning, procedures, and psychological evaluation and therapy. Patients are also considered for ongoing research studies, as appropriate. The attending physician provides fellow supervision, ensuring appropriate patient care and ongoing case-based learning. The patients that the fellows manage suffer from a wide variety of painful conditions and pain syndromes, including neuropathic, orthopedic, rheumatologic, traumatic, myofascial, sympathetic, degenerative and oncologic.

Fellows also rotate through procedures in the Novant Medical Park Hospital Fluoroscopy Suite. This is a state-of-the-art facility where outpatient procedures are performed daily by the fellows, with each fellow averaging one day per week dedicated to performing all of the blocks. Procedures are performed under either fluoroscopic or ultrasound guidance.

Finally, during the consultation/surgical rotation, the fellow oversees the inpatient consultation service, performs operating room-based procedures as well as office-based spinal cord stimulator trials. The majority of invasive procedures are performed at either WFU Baptist Davie Medical Center or Medical Park Hospital. Chronic pain consultations are provided for inpatients at WFU Baptist Hospital and Forsyth Medical Center. The fellows cover this rotation for one week at a time.


Pain management fellows are actively involved in organization of the clinic at the Carolinas Pain Insitute. They are responsible for determining their own call schedule as well as their own clinical and procedural rotation assignments. Fellows also manage patient callbacks, and help to coordinate the surgical schedule.

Fellows participate in weekly didactic seminars from the teaching staff covering ACGME pain topics as well as regular journal clubs and M&M conferences.  The trainees also present on a topic of their choosing. Multidisciplinary learning is further enhanced with rotations with Neurology, Physical Medicine & Rehabilitation, Radiology and Psychology.

The fellows have the opportunity to oversee rotating Anesthesiology residents from Wake Forest Baptist Health. Junior and senior residents within the Department of Anesthesiology rotate through the Carolinas Pain Institute, where the fellows play an instrumental role in their pain management education.


Pain management trainees serve as consultants to other medical providers; particularly, all consultations who are initially brought through the inpatient service. These patients are then seen in conjunction with the attending staff, and often these patients are subsequently followed in the outpatient clinic setting. This includes chronic nonmalignant pain as well as cancer pain consultations.


The Pain Mechanisms Laboratory at Wake Forest Baptist Health offers cutting-edge basic science pain research opportunities, led by Dr. James Eisenach. Trainees utilize this laboratory space as needed during their training.

The Centers for Clinical Research is a separate research facility dedicated to clinical pain investigations. Physically housed on campus with the Carolinas Pain Institute, the center has 6,000 square feet for clinical trials. These trials include pharmacokinetic studies and device-based studies. The fellows are actively involved with these studies on a daily basis, from screening patients for study inclusion to patient examination and evaluation throughout the studies.


Carolinas Pain Institute is the primary facility of the Wake Forest Baptist Health pain fellowship program. The clinic is also one of the pain management training facilities for the Anesthesiology residency program. Carolinas Pain Institute is a facility specifically designed for the management of chronic pain patients.

Wake Forest Baptist Medical Center is an 885-bed hospital available for the treatment of acute, postoperative and cancer-related pain care. Davie Medical Center is also a Wake facility, which houses new outpatient operating rooms where many of the device implantation surgeries are performed.

Forsyth Medical Center is an 689-bed hospital where consultations and clinical procedures are performed. Associated with this hospital is the Medical Park Hospital and the Medical Park Fluoroscopy Suite, where many of the pain procedures are performed.


Full-time: Richard L. Rauck, MD, James M. North, MD, Christopher A. Gilmore, MD, Leo Kapural, MD PhD, Kamal Ajam, MD and Carrie E. Johnson, MD PhD

Part-time: James C. Eisenach, MD and Kevin E. Wilson, PhD


Thank you for your interest in our program.  Learn more about the application process.



Quick Reference

Pain Fellowship
Pain Fellowship
Wake Forest School of Medicine
Medical Center Blvd
Winston-Salem, NC 27157-1009
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Last Updated: 03-14-2017
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