Acute & Chronic Pain Medicine - UICMC

PREREQUISITES AND PLACEMENT IN CURRICULUM: Students must have completed one of the core clerkships - Medicine and Surgery.

PURPOSE: The program provides exposure to the clinical management of both acute and chronic pain. Students join a well functioning team that rounds on inpatients who have medical problems or who have undergone surgical procedures and who need analgesics. The Pain Clinic is located in the Outpatient Care Center (OCC). The student will interview and examine patients with chronic non-malignant and cancer related pain. Students are shown the basics of C-arm fluoroscopy as the technique relates to the placement of needles for invasive nerve blockade. Additionally, the student may participate in ongoing laboratory research with a rat model to characterize the molecular changes underlying the perception of pain.

COMPETENCIES: Students must be able to take histories and perform physical examinations and relate their findings to the Pain Medicine Fellows and Attending staff. They will be helped with their presentation until they can comfortably relate the information in a concise manner. During the month the student will learn the nuances of prescribing medication for those patients suffering from both acute and chronic pains. The student will assist in the performance of a variety of nerve blocks that are used to provide pain relief. Each will come away with a deeper understanding of the human anatomy as it relates to sympathetic and somatic nerve blockade. The student must be able to use the Cerner Power Chart to enter notes and orders.

INSTRUCTIONAL FEATURES: The elective utilizes most forms of teaching. Each morning, the student will attend the morning Anesthesiology conference from 6:30 to 7 am. Following this lecture, the pain team assembles in the Anesthesia Library and reviews the patients on the acute pain list. These patients are then seen by the members of the team during morning rounds. At 9 am the team meets in the OCC to see patients with complaints of chronic pains that require evaluation, prescriptions, or the use of invasive techniques. These interventions are performed in the OCC, or, if indicated, within the Department of Radiation/Oncology with the use of fluoroscopy. Students are in constant contact with members of the Pain Medicine Team. Information is transmitted while patients are cared for. Most direct teaching is performed at the OCC with the student interacting directly with the Pain Medicine Fellows , CA2 Anesthesia Residents, PharmD’s, and Anesthesiology Attendings involved with direct patient care.
   
ASSESSMENT: Attendings, residents, and Pain Medicine Fellows will provide feedback to the student on a regular basis during the month. Assessment of the student’s performance will be made on specific criteria that are presented to the student at the start of the elective. The evaluation form is included within the Pain Medicine Syllabus.

ADMINISTRATIVE INFORMATION:

Program Number: ELEC 832
Location: UICMC
Program Director: C. E. Laurito, MD, Sherri Cunningham (Coordinator), sherrim@uic.edu
E-mail: sharps@uic.edu
Telephone: 312-996-4020
Duration: 4 Weeks
Night Call: No
Weekends: No
Students Accepted: Min. 1 Max. 2
Housestaff Used as Faculty: Yes
Lectures/Conferences/Faculty Contact: 20
Laboratory/Independent Study: 3
Outpatient: 12
Inpatient: 10
Total Hours /Week: 40

Reporting Instructions:

Students please report to the University of Illinois Hospital, 1740 W. Taylor St., Chicago, IL 60612. We meet at 6:30 AM for the Anesthesial conference on the 3rd floor, suite 3200, each morning.

KEY WORDS: Pain Medicine, Acute, Chronic, Cancer, Nerve Blockade