The Orthopaedic and Spine Hospital at UAMS Health
Eight Months
The majority of fellowship year will be spent at The Orthopaedic and Spine Hospital focusing on interventional pain management. The experience provides a wealth of experience in outpatient management of chronic pain. In addition to basic techniques, the fellows receive significant experience with neuromodulation, vertebral augmentation, sympathetic blocks, radiofrequency ablation, epidural steroid injections, as well as peripheral joint and nerve blocks.
VA – Physical Medicine and Rehabilitation
Three Weeks
The Physical Medicine and Rehabilitation rotation is located at the John L. McClellan Memorial Veterans Hospital. Dr. Matthew Goodwin, Chief of Staff of PM&R Services, serves as the Site Director. The clinic is co-located with Physical Therapy, Occupational, Chiropractic, and Acupuncture, which allow significant exposure to these areas. Areas of focus for this rotation include Regenerative Medicine, Radiofrequency Ablation, and joint injections.
UAMS – Neurosurgery
Two Weeks
The fellow will rotate with Dr. Erika Petersen to gain additional surgical training and exposure to neurosurgical placement of spinal cord stimulators, peripheral nerve stimulators, as well as intrathecal pumps. Fellows will learn when to seek neurosurgery consult and explain the basics of intraoperative monitoring. Additional opportunities exist for observation of advanced spine procedures with other neurosurgical faculty.
UAMS – Inpatient Pain
Two Weeks
Fellows rotate with the Acute Pain Service (APS) with a focus on ultrasound guided regional anesthesia. The fellows participate in rounds helping to guide inpatient management. Fellows are expected to lead rounds and help supervise residents while on service.
VA – Palliative Care
Three Weeks
Fellows rotate with the Little Rock VAMC Palliative Care Service to gain an appreciation for medical management of cancer pain as well end of life care. This is a primarily outpatient experience with engaging faculty interested in teaching.
VA – Neurology
Two Weeks
The outpatient experience with the Little Rock VA Neurology service is geared toward general neurology as well as multiple sclerosis. Fellows will gain an experience in detailed neurologic exams and imaging interpretation.
VA – Psychiatry
Two Weeks
The Psychiatry rotation at the Little Rock VA Medical Center consists of fellows actively gathering full medical history as it applies to pain and psychiatry, as well as performing complete physical examinations and psychiatric evaluation for treatment.
VA – Addiction Medicine
Two Weeks
The Addiction Medicine rotation at the Little Rock VA Medical Center is geared toward addition medicine and exposure to buprenorphine treatment of opioid use disorder. Additional exposure to psychotherapy is available.
VA – Interventional Radiology
Three Weeks
The Interventional Radiology rotation at the Little Rock VA Medical Center is geared towards perioperative management of patients undergoing interventional radiology and minimally invasive lumbar decompression procedures. Fellows will gain valuable experience for pain treatment modalities inside of interventional pain medicine.
UAMS – Pain Med. Sports Medicine
Two Weeks
The Pain Med. Sports Medicine rotation consists of evaluation of acute and chronic cervical and lumbar spine, musculoskeletal, hip, knee, and shoulder pain. Fellows will gain increased experience with physical examination, MRI & CT interpretation.
ACH – Pediatric Pain Medicine
Two Weeks
The Pediatric Pain Medicine rotation at the Arkansas Children’s Hospital focuses on advancing fellow’s knowledge and skill to evaluate and manage acute and chronic pain conditions in infants, children, and adolescents. Fellow’s will gain valuable knowledge and skills to enable them to develop, implement, manage, and evaluate a comprehensive perioperative interdisciplinary pain management along with multiple regional anesthesiology techniques.