Regional Anesthesia and Acute Pain Management (RAAPM) Fellowship
Program Director: J. Douglas Jaffe, DO
Number of Fellowships: 2
Length of Training: 12 months
The Section of Regional Anesthesia and Acute Pain Management (RAAPM) is responsible for the provision of regional anesthetics and acute pain management throughout the institution of Wake Forest Baptist Medical Center. The RAAPM section performs about 3500 peripheral nerve blocks, 2000 neuraxial blocks, and 600 continuous peripheral blocks yearly. This activity occurs in our state-of-the-art six-bed RAAPM area built in 2008. Centrally located within our OR suite, the RAAPM area is well staffed and equipped to provide regional anesthesia for a wide range of surgical specialties.
- Amber Brooks, MD
- Amy DeRoche, MD
- Sean Dobson, PhD, MD
- Daryl S. Henshaw, MD
- J. Douglas Jaffe, DO (Fellowship Director)
- Pamela Nagle, MD
- J. Wells Reynolds, MD
- Robert S Weller MD (Section Head)
The RAAPM Fellowship is an educational opportunity within the much-larger teaching milieu of the Department of Anesthesiology of Wake Forest School of Medicine. As such, RAAPM Fellows have full access to the infrastructure for research and education provided by the Department and the School of Medicine. Wake Forest Baptist Medical Center is a 980-bed hospital with 40 operating rooms. Direct Faculty supervision and guidance is provided by subspecialty-trained anesthesiologists with expertise in RAAPM.
The WFU RAAPM Fellowship
Our routine practices includes nerve stimulating catheter techniques, ultrasound guided PNB, extended release epidural morphine, and ambulatory perineural infusions. The RAAPM section manages patients using a systems-based approach to multimodal analgesia. We employ a computer-based and automated regional anesthesia record in the RAAPM area and computer-based progress notes throughout the institution to maintain process improvement in patient care, data collection for research, and billing compliance.
Each day, one RAAPM Faculty, 2-3 residents and 1-2 Fellows provide care for patients in the RAAPM area. RAAPM Residents and Fellows are not assigned to an operating room. Instead, RAAPM Fellows working in the RAAPM area, perform regional anesthesia procedures as well as instruct Residents and conduct clinical research, under the supervision of the RAAPM faculty covering the RAAPM area.
The Acute Pain Service (APS) is an integral part of the RAAPM Section. Unlike pain services at many other institutions, coverage of a Chronic Pain Clinic is not one of the responsibilities of this service. Instead, our APS is fully integrated into the process of perioperative patient care. The APS is committed to providing 24/7 care to patients with acute pain. Each day, a second RAAPM Faculty member, 1-2 Residents, and 0-1 Fellows, integrate postoperative and ambulatory care plans with the regional anesthetics initiated in the RAAPM area. Faculty, Fellows and Residents provide call from home. The RAAPM Fellow call commitment is always specific to the APS, always faculty supervised, and is approximately 1:8.
Each of our two Fellowship positions is designed to extend over one academic year. A strong didactic program enhances the RAAPM Fellowship education. Available didactics include Departmental Grand Rounds, Regional Anesthesia Subspecialty Conference, Morbidity & Mortality Conference and Oral Board Practice Sessions. Our Section supports a Visiting Clinical Preceptorship to our facility, CME RAAPM workshops, and fresh cadaver dissections on a regular basis. Fellows are expected to participate and prepare presentations with faculty guidance. Each Fellow is also expected to participate in and present a research project with faculty mentorship, to be completed by the end of the academic year.
Finally, an important element of the WFU Fellowship is the opportunity to maintain and enhance skills as a consultant anesthesiologist in a tertiary care facility. One day a week, the RAAPM Fellow functions at the level of Faculty— supervising residents and SRNA’s or medically directing CRNA’s for general OR cases. This responsibility is built into the WFU anesthesiology Fellowships in other subspecialty fields as well. This feature of the Fellowship means that a Fellow’s application must be of sufficient quality to support these activities in addition to those of his or her Fellowship training, and that the applicant currently holds, or is eligible for an unrestricted North Carolina Medical License.
It is anticipated that each fellow will be able to complete and submit at least one peer-reviewed abstract or article for publication during the fellowship.
Contact & Application
Interested individuals may also contact Dr. Douglas Jaffe at firstname.lastname@example.org for further information.
Applications: The RAAPM fellowship generally coincides with the July to June academic year; applications are accepted through November 1 of the year preceding the July start date if positions remain available.
Applications may be submitted to Dr. Douglas Jaffe (Fellowship Director) or Linda Marion (Fellowship Coordinator). Thank you for your interest in our RAAPM Fellowship Program.
We have filled our RAAPM Fellowship positions for the 2014-15 academic year. We are currently accepting applications for 2015-16.