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Department: MEANE-Anesthesiology
Course: 507-Pain Medicine

Course Director: Jose M. Rivers, M.D.,Laura Torres, M.D.
Course Faculty: Mehran Rahbar
Elective Location: VAMC
Elective Offered Terms:
Months: 1A,1B,1C,2A,2B,2C,3A,3B,3C,4A,4B,4C
Min. Number of Students:Max: 1
Elective Type: Clinical
Credit: 8
Pre-requisites: Medicine and Surgery
Visiting Student Elective: Yes
Open to International Students: Yes
Grading: H,HP, P, MP, F Narrative Evaluation
Faculty Approval: No

Time Commitment Percentage of time expected
Regular Hours (Mon-Fri): Inpatient Ward:
Night Call: No Inpatient consultations:
Number on-call nights: Outpatient clinics:
Weekends: No Surgery:
Statement of Goals:
During this elective, students receive supervised instruction in the comprehensive, multidisciplinary evaluation and treatment of patients with chronic pain syndromes. A team of faculty anesthesiologists, fellows, residents, psychologists, nurses, physical therapists, and consultants from neurology, neurosurgery, orthopedics, medicine, and physical medicine designs and individual treatment program for each patient. These patients often have thronic pain syndromes - reflex sympathetic dystrophy, post-herpetic neuralgia, myofascial syndrome, trigeminal neuralgia, temporomandibular joint disease, and Raynaud's disease - that do not respond to conventional medical care. Monday – Friday, Clinical 6:30 am - 4:00 pm Monday – Friday, Individual academic site conferences Wednesday, Department Grand Rounds, 6:30 - 7:30 am Mondays & Wednesdays, CA I Lectures, 4:00 - 6:00 pm
Learning Activities
Advanced therapeutic techniques provided by the Center include: a) invasive treatments - dorsal column stimulator implantation, intraspinal opioid delivery stem implantation, diagnostic/prognostic/neurolytic/ therapeutic neural blockade, cryoneurolysis, radio-frequence thermal lesioning; b) non-invasive treatments-biofeedback, psychological counseling, physical therapy, group therapy. Management of patients with intractable, chronic pain comprises approximately 10 percent of a physician's medical practice, regardless of specialty. This advanced clinical clerkship offers valuable experience not only to students planning a career in anesthesiology, but also to students planning to enter a primary care specialty.
Evaluation Methods
Students will be evaluated by faculty, fellows and residents. This evaluation will be based upon objective and subjective criteria. The grading system will be Honor, High Pass, Pass, Marginal Pass, Fail.
When and Where to report on first day of service:
VA Hospital, Room 5A-207, Dept of Anesthesia
For additional information regarding this elective contact:
Contact Name: Annette Brieno
Contact Phone: 713-798-1887
Contact Fax: 713-798-6374
Contact Location: Neurosensory Center, Suite NC114P

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