Pain Medicine Fellowship
Program Director: Richard L. Rauck, MD
Number of Fellowships: 6
Length of Training: 12 months
Application Cycle: December 1 - May 1
How To Apply
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.
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.
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.
EXPERIENCE IN ORGANIZATION, DIDACTICS, AND TEACHING
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.
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.
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.
EXPERIENCE AS A CONSULTANT TO OTHER SPECIALTIES
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
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.
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
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
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.
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.
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
James C. Eisenach, MD and Kevin E. Wilson, PhD
Thank you for your interest in our program. To learn more about the application process,