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
Pain management fellows rotate between two specific services during their 12-month experience with the physicians of Carolinas Pain Institute. Fellows are immersed in the primary clinic rotation for 8 months of the year; the remaining 4 months are spent performing fluoroscopic procedures, surgical procedures, managing inpatient acute pain and chronic pain consults. The fellows rotate on a weekly basis between these services.
During the primary clinic rotation at Carolinas Pain Institute, the fellows’ primary responsibility is new patient evaluations and existing patient management. Fellows coordinate a multi-disciplinary approach to patient care including, but not limited to, invasive procedures, medication management, physical therapy and reconditioning, and psychological evaluation and therapy. Fellows also triage potential research candidates. The attending physician supervises the fellows’ plans, ensuring appropriate patient care. The patients the fellows manage suffer from a variety of pain syndromes including neuropathic, orthopaedic, rheumatologic, traumatic, myofascial, sympathetic, and degenerative.
During the procedure/consult rotation, the fellows provide all blocks, all surgical procedures, and also oversee the inpatient consult service. The majority of the invasive procedures are performed at either Medical Park Hospital or WFU Baptist Medical Center’s Medical Plaza - Miller (formerly CompRehab Plaza). Ninety-five percent of the procedures are performed under fluoroscopic guidance. Forsyth Medical Center utilizes our program exclusively for chronic pain consultation. Forsyth Medical Center physicians also consult our program for the majority of their acute pain patients requiring consultation. WFU Baptist Medical Center utilizes our program for surgical implants. Surgical implants are performed at all three facilities. Our surgical block time is every Monday, resulting in 10-16 surgical procedures per month.
Fellow experience in administration and organization of the unit
Pain management fellows are actively involved in the administration and organization of the Clinic of the Carolinas Pain Institute. They administer their own call schedule and also the monthly rotations. All of their rotations are divided such that they are on weekly schedules. The fellows also oversee the senior and junior residents in the WFSM Department of Anesthesiology while they rotate through the pain management clinic. The fellows also are responsible for much of the ongoing organization in the consult service, as well as coordination the surgical schedule. Fellows actively participate in appointment and training of ancillary staff, as well as development of clinic policies.
Fellow experience as consultant to other specialties
Pain management trainees serve as consultants to other specialties; particularly, all consults who are initially brought through the inpatient service. These are then seen in conjunction with the attending staff. This occurs at , Medical Park Hospital, Forsyth Medical Center, and WFU Baptist Medical Center. The fellows also perform diagnostic blocks for the comprehensive spine specialists and consult for the comprehensive cancer centers at both Forsyth Medical Center and WFU Baptist Medical Center.
Fellow experience in teaching other residents
Pain management fellows train senior and junior residents in procedures and oversee residents in the management of chronic pain patients. They also are actively involved with junior and senior residents in the care of consult patients.
Full-time: Richard L. Rauck, MD, James M. North, MD, Christopher A. Gilmore, MD, and Carrie E. Johnson, MD
Part-time: James C. Eisenach, MD, and Kevin E. Wilson, PhD
Basic science pain research is provided through a 1500 square foot laboratory administered by Dr. James Eisenach. Pain program trainees utilize this space as needed during their training.
The Center for Clinical Research is a separate research facility dedicated to clinical pain investigations. Physically housed on campus with Carolinas Pain Institute, the research center has 6000 square feet for clinical trials. These trials include pharmokinetic studies, as well as patient examination and evaluations. The fellows are actively involved with these studies on a daily basis.
Carolinas Pain Institute is the primary facility of the Wake Forest University’s pain medicine fellowship program. This clinic is also one of the pain management training facilities for the Wake Forest University’s Anesthesiology residency program. Carolinas Pain Institute is a facility specifically designed for the management of chronic pain patients. The facility is a 4500 square foot clinic for outpatient care.
Wake Forest Baptist Medical Center, which is comprised of North Carolina Baptist Hospitals and Wake Forest School of Medicine (WFSM), has an 821-bed hospital available for treatment of acute and postoperative pain care.
Forsyth Medical Center is an 847-bed hospital where consults and clinical procedures are performed. Medical Park Hospital, which is affiliated with Forsyth Medical Center, is a 136-bed hospital that specializes in elective and outpatient surgeries, and is where the majority of our admissions and operative procedures are done.
All three treatment facilities are located within 3 miles of each other.
Thank you for your interest in our program
-Dr. Richard Rauck