Multidisciplinary Pain Medicine

Credits: 4.00 CREDITS (Clinical Elective)
Sites: MGH
Directors: Ahmed, Shihab
Prerequisites: HMS Principal Clinical Experience (Core Clinical Clerkships) or equivalent
Offered: Full time every month. Additional time can be arranged.
Time: 8:30 am
Location: MGH, WACC 333.
Night Call: None.
Open to Exclerks: Yes (may be restricted for international students)
Since pain is a prevalent feature in treating all patients, this rotation is intended to offer training for students interested in any clinical specialty. Students will be directly involved with the practice of contemporary multidisciplinary Pain Medicine including acute, chronic and cancer pain. Students will work with attending staff from disciplines of anesthesiology, internal medicine, psychiatry, and neurology. They will follow staff, fellows and residents on daily rounds on the inpatient and outpatient services as well as in the outpatient clinic. Students will be part of the team that provides medical management of chronic and cancer pain in both the outpatient continuity care setting and the inpatient consultation setting. Students will also be exposed to nerve block techniques such as epidural injections, sympathetic nervous system blocks (stellate ganglion blockade, lumbar sympathetic blockade, intravenous phentolamine), facet joint blockade, as well as bier blocks and intravenous lidocaine infusions. The program offers a daily mix of formal and informal educational experiences. Students are exposed to contemporary thinking in pain treatment from multiple disciplines. Our core faculty collectively has formal training in Pain Medicine as well as Anesthesiology, Neurology, Internal Medicine, Pediatrics, Psychiatry as well as basic science research. Collaborations with almost every other service at MGH offer our students an extremely diverse experience. From the experience on this rotation, students will be expected to have gained the following skills: 1) understand basic concepts of the physiology of pain; 2) understand and be able to perform a pain oriented evaluation and physical examination; 3) understand the known diagnostic classifications of pain and their treatments; 4) understand the complex interplay of medical, psychological and social issues with pain; and 5) understand the basic indications for and practice of analgesic therapy.
By course director as assimilated from staff, fellow and resident input.
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