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Skip to content Skip to search Skip to footer Department of Anesthesiology Open Menu Back Close Menu Search for: Search Close Search Home Patient CarePatient Care For PatientsFor Patients Common Patient Questions about Nerve Blocks Center for Preoperative Assessment and Planning (CPAP) Pain Management Center Research Opportunities Cardiothoracic Anesthesiology DivisionCardiothoracic Anesthesiology Division Adult Cardiothoracic Anesthesiology (ACTA) Fellowship Dual CCM/ACTA Fellowship Overview Current &＃038; Alumni Fellows Critical Care DivisionCritical Care Division Fellowship Overview Letter From Fellowship Program Leadership Fellowship Application Information Fellowship Interview Information Advanced Practice Provider (APP) – Critical Care Medicine Contact Us General AnesthesiaGeneral Anesthesia Abdominal Organ Transplant Fellowship Subspecialties in General Anesthesia Fellowship Application Information Obstetric AnesthesiaObstetric Anesthesia Fellowship Application Information Pain ManagementPain Management Pain Medicine Fellowship  Adult &＃038; Pediatric Pain Dual Fellowship  Current &＃038; Alumni Fellows Fellowship Application Information Pediatric AnesthesiologyPediatric Anesthesiology Pediatric Anesthesiology Fellowship Fellowship Application Information Current Fellows &＃038; Alumni Faculty and Staff Perioperative MedicinePerioperative Medicine Perioperative Care Center for Preoperative Assessment and Planning (CPAP) Our Team Regional and Ambulatory AnesthesiaRegional and Ambulatory Anesthesia Fellowship Overview Fellowship Application Information Current &＃038; Alumni Fellows Past Fellows Our Faculty Contact Us Trauma Anesthesiology Certified Registered Nurse Anesthetists (CRNAs) EducationEducation ResidencyResidency Application Information Training Programs Didactic Curriculum Transitioning to Anesthesia Salary &＃038; Benefits Meet Our Residents Finding a Job Alumni Fellowships Physician-Scientist Development Simulation Centers About St. Louis ResearchResearch Division of Basic Research Division of Clinical and Translational Research (DoCTR)Division of Clinical and Translational Research (DoCTR) DoCTR Newsletter Yellow Phase Ramp-Up Concerns Resources for DoCTR Faculty, Trainee, and staff members Resources for DoCTR Trainees Resources for DoCTR Staff Members Clinical Studies in DoCTR DoCTR TeamDoCTR Team Become a DoCTR Member Washington University Pain Center Center for Clinical Pharmacology INQUIRIINQUIRI The INQUIRI Team INQUIRI’s Approach Working with INQUIRI Publications Contact Us Our CultureOur Culture Diversity, Equity, &＃038; Inclusion Employee Health &＃038; WellnessEmployee Health &＃038; Wellness Health &＃038; Wellness NewsletterHealth &＃038; Wellness Newsletter Health &＃038; Wellness Newsletter Archive Submit a Health &＃038; Wellness Resource Professional Development Peers in Anesthesiology Supporting a Fair Environment Women of WUDA Employee Recognition Hub Our Team GivingGiving How to Give Department Payroll Deduction Jennifer Cole International Education Initiative Endowment FundJennifer Cole International Education Initiative Endowment Fund Jennifer Cole Fund Payroll Deduction AboutAbout Welcome from the Chair News Events Job Opportunities Contact Us Open Search Pain Medicine Fellowship  Our multi-faceted, one-year program is designed to prepare a consultant for a rewarding career in pain management. Washington University Medical Center is a tertiary referral center and Level-1 trauma center. This broad clinical base gives pain management fellowship trainees an excellent opportunity to participate in managing a wide spectrum of pain problems. The trainees will have opportunities to care for patients from diverse backgrounds, different social economic statuses, and wide range of pain complexities.   Our pain management clinical practice is largely divided into two areas: acute and chronic pain management. The acute pain management service facilitates the exposure and training of fellows in managing postoperative and post-trauma pain, using various nerve blocks, and complex pharmacological management. This experience also assists fellows in the development of relationships with patients and colleagues, skills that are vital to becoming leaders in Pain Medicine in the community.  Our fellowship is a rounded training program—the trainees will have ample interventional experiences and great exposure to multidisciplinary pain training, while at the same time enjoying a balanced work-life. There are built-in none clinical days for the fellows to participate in scholarly activities and wellness.   The chronic pain management practice is primarily based at the Pain Management Center, Barnes-Jewish Hospital, with additional rotations at Missouri Baptist Hospital and Barnes-Jewish Hospital West County. Anesthetic, medical, and interventional techniques are used within the context of multidisciplinary pain management. In addition to the evaluation of patients, fellows gain expertise in fluoroscopic and ultrasound-guided interventional pain techniques, such as various nerve blocks, neuraxial blocks, joint injections, neurolytic procedures, and radiofrequency lesioning. The fellows will have opportunities to develop surgical skills including, trial and permanent placement of dorsal column SCS, DRG and peripheral stimulator, MILD, VTP, Vertiflex, and intrathecal pump   A multidisciplinary approach is widely used and encouraged, through the regular and active participation of a pain psychologist, physical therapists, palliative care medicine, and neurologists. Various treatment modalities include acupuncture, biofeedback, physical therapy, psychotherapy, and interventional techniques such as local anesthetic and neurolytic nerve blocks, implantable pumps, and spinal cord stimulators.  The importance of didactics is emphasized through weekly multidisciplinary pain conferences, didactic lectures, problem-based learning cases, and journal clubs. Weekly anesthesiology grand rounds and clinical conferences help fellows to remain updated with anesthesiology. Fellows are regular presenters at weekly didactic lectures. There will be one month of didactic that is devoted to practice building, contract negotiation, and billing. Monthly “hands-on” cadaver lab sessions provide excellent opportunities for practicing techniques of interventional pain management. Fellows will participate in patient safety training through Department Case Review Committee and Division M&M.   Curriculum Fellowship training may include rotations in psychology, toxicology, neurology, physical therapy, physiatry, palliative care, and/or other rotations. We currently have 17 faculty members with proficiency in a wide variety of skills. This high faculty-to-trainee ratio allows us to provide intensive, individualized training to maximize each fellow’s experience.  Inpatient Acute Pain Service (APS) Location: Barnes and Jewish Hospital Inpatient Chronic/Cancer Pain Service (CCPS)AM: Outpatient Chronic PainPM: Rounding with Inpatient CCPSLocation: Barnes and Jewish Hospital Outpatient Chronic Pain Location: Barnes and Jewish Center forAdvanced Medicine, Barnes and Jewish West County, and Missouri Baptist Hospital External Rotations:Physiatry: 8 days with PM&R facultyNeurology: 6 half days with Neurology facultyToxicology: 1-2 days with EM toxicology facultyAnesthesiology: 2 weeks with OR anesthesiologistPalliative Care: 1 week with Palliative Care Medicine FacultyPediatric Pain: 2-3 days with Pediatric Pain faculty Location: Barnes and Jewish Hospital and Saint Louis Children Hospital Didactics Our didactic is designed for pain board preparation and to enhance clinical learning. The didactic is structured as a monthly theme, topics include: Foundation of Pain Medicine Basics of Diagnosis and Image Guidance in Pain Medicine Acute Pain Management Business of Pain Medicine Cancer Pain Management Musculoskeletal and Joint Pain Neuromodulation, and Minimal Invasive Treatment of Neurogenic Claudication Peripheral Nerve Blocks for the treatment of pain End of Life Pain, Migraine Headache Small Fiber Neuropathy Lectures are on Tuesday nights from 5-6 p.m. Sample didactic page Board Review Night: We host a Board Review Night where fellows get a chance to practice board questions with the faculties in a relaxed environment. Monthly Cadaver Session: Monthly “hands-on” cadaver lab sessions provide excellent opportunities for practicing techniques of interventional pain management. Weekly Seminar: Every Thursday morning from 6:30-7:30 a.m. we have our weekly seminar. Invited guest speakers will give lectures on various topics to enhance fellow’s education. Multidisciplinary Pain Meeting: Every Thursday morning from 7:30-8:30 a.m. we have our weekly multidisciplinary meeting. During this meeting, there will be pain psychologists, physical therapists, clinical pharmacologists, palliative care physicians, and our interventional pain physicians; together we will discuss complex patient cases. Fellows will have opportunities to learn multidisciplinary care approaches to chronic pain management. Journal Club: Every Friday morning from 6:30-7:30 a.m. we have our journal club which is presented by our anesthesiology residents. Once a month we will have a joint journal club between clinical pain and pain research which is co-presented by our pain fellow and pain research post-doctoral. Journal club is designed to dive deeper and from multiple angles into current pain research and evidence-based pain treatments. Quality Improvement Project: All fellows participate in a mentored quality improvement project. The trainees will work together with a faculty mentor to come up with a question, develop a study plan, and collect data to answer the question. This is a year-long project. Surgical Skills and Suture Lab: All fellows will have a group surgical skills lab with a senior surgery resident, and then each fellow will have a one-on-one additional suture lab. Of course, all trainees will be trained in surgical techniques during their surgical cases with our interventional pain faculty. In addition, fellows are encouraged to attend industry sponsor cadaver trainings. Interventional Skills Experience Neuromodulation:Peripheral Nerve Stimulation: trial and permanent implantationDRG Stimulation: trial and permanent implantationDorsal Column SCS: trial and permanent implantation Minimal Spine Surgery:VertiflexMILDVertebroplasty and bone biopsy Neuraxial Procedures:Epidural steroid injection: caudal, lumbar, thoracic, and cervicalSelective nerve root blocks: lumbar, thoracic, and cervicalEpidural blood patchesMedial Branch Nerves Blocks Sympathetic nerve blockGanglion ImparSuperior hypogastric nerve plexus blockLumbar Sympathetic nerve blockCeliac plexus blockStellate ganglion nerve blockSphenopalatine Ganglion blockGasserian Block Joint ProcedureBursa InjectionMinor and Major Joints injection: Anatomical landmark, ultrasound, and fluoroscopy guidanceRadiofrequency ablation of shoulder, knee, and hip Spine Joint ProcedureFacet Joint injectionRadiofrequency Ablation: medial branches of cervical, thoracic, lumbar, and lateral branches of the SI joint. Targeted Drug Delivery TherapyIntrathecal pump trialIntrathecal pump implant Nerve blocksOccipital nerve blockTrigeminal nerve blockMedial branch nerve blockSuprascapular nerve blockIntercostal nerve blockPEC I/II blockTAP BlockErector Spinae Plane BlockIlioinguinal/iliohypogastric nerve blockGenitofemoral nerve blockLateral femoral cutaneous nerve block Infusion and Other medication TherapyLidocaine infusionTopical 8% capsaicin (Qutenza) Benefits Stipends (July 1, 2024-June 30, 2025)  PGY LevelAnnual StipendPGY 1$67,808PGY 2$70,816PGY 3$73,679PGY 4$76,999PGY 5$80,372PGY 6$82,839PGY 7$86,568PGY 8$90,455PGY 9$94,531Visit gme.wustl.edu to learn more about stipend amounts Discretionary Fund: $2,000 – for books and educational expenses Benefits: Medical, dental, vision, and pharmacy insurance benefits Life, accident, and disability insurance Access to WUCare and Employee Assistance Program Monthly parking reimbursement White coat and departmental jacket ASRA membership 15 vacation days 5 meeting days iPhone provided for professional use during fellowship Non-clinical days Wellness resources and subscriptions Apply! See why we love St. Louis! Explore St. Louis Patient Care For Patients Cardiothoracic Anesthesiology Division Critical Care Division General Anesthesia Pain Management Pain Medicine Fellowship  Adult &＃038; Pediatric Pain Dual Fellowship  Pain Center Faculty Current &＃038; Alumni Fellows Fellowship Application Information Pediatric Anesthesiology Regional and Ambulatory Anesthesia Trauma Anesthesiology Obstetric Anesthesia Perioperative Medicine Certified Registered Nurse Anesthetists (CRNAs) Department of AnesthesiologyWashington University School of Medicine660 S. Euclid Ave.St. Louis, MO 63110Contact Us Twitter Resources Intranet Job Opportunities Directory Policies ©2024 Washington University in St. Louis   Loading Comments...   Write a Comment... Email (Required) Name (Required) Website