Chronic Pain Management Rotation
Carolina Pain Institute
The residents’ exposure to chronic pain management is facilitated through the Carolinas Pain Institute, a privately owned facility specifically designed for the management of chronic pain patients. The clinic, housing 4500 square feet dedicated for outpatient care, is located approximately 3 miles from the Wake Forest Baptist Medical Center. One-month rotations are offered during both the CA-2 and CA-3 years. In 2010, Carolinas Pain Institute with the help of Baptist Hospital opened an office located on Cotton Street, in the Brookstown Avenue area. There are currently 2 physicians that work at this location Monday – Friday. It also houses 2 OR suites.
Seven of the Department’s full-time, fellowship trained, ABA certified anesthesiologists and four Pain Medicine fellows oversee the residents during their chronic pain management rotation. The residents play an integral role in new patient evaluation and existing patient management. The clinic’s patients suffer from a variety of conditions including neuropathic, orthopaedic, rheumatologic, traumatic, myofascial, oncologic, sympathetically maintained, and degenerative pain syndromes. Residents’ diagnosis and treatment plans are formulated under the supervision of the attendings and fellows. A multidisciplinary approach to the comprehensive treatment of chronic pain is taken, with particular attention being placed on recognition of conditions that are amenable to medication management and interventional treatment modalities. Residents also assist in coordinating complimentary treatments, including physical therapy and reconditioning, psychological evaluation and therapy, as well as nontraditional techniques such as acupuncture. Participation in fluoroscopically guided injections and surgical implantation of spinal cord stimulators and intrathecal pumps is expected of rotating trainees. These procedures are performed at the Medical Park Fluoroscopy Suite, Medical Park Hospital, Forsyth Medical Center, and North Carolina Baptist Hospital. Additionally, a host of clinical trials investigating novel medications and devices are made available to clinic patients through the Center for Clinical Research.
Chronic pain pathophysiology, narcotic and adjunct pharmacology, neurostimulation, and performance of neuraxial and peripheral nerve blockade are discussed in both the clinical and didactic settings. Weekly journal club presentations involve Carolinas Pain Institute physicians, the medical and pharmacy staff of Kate B. Reynolds Hospice, a number of area psychologists, as well as visiting professors. Ongoing basic science research is discussed at the monthly Pain Interest Group meetings, held in conjunction with other members of the Wake Forest University Department of Anesthesiology.
For more information, contact Richard L. Rauck, MD, program director at (336) 765-6181.
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Pain Management Fellowship
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. LEARN MORE