The focus of the Regional Anesthesiology and Acute Pain Medicine Fellowship is to develop clinical expertise in regional anesthesia and acute pain management.
Fellows perform a wide variety of both upper and lower extremity peripheral nerve blocks using single-injection and continuous catheter techniques. The fellowship focuses on both conventional, landmark-based approaches and ultrasound-guided techniques. Fellows also have the opportunity to perform paravertebral blocks as well as thoracic and lumbar epidural catheters.
In addition to the technical aspects learned from performing regional blocks, fellows become proficient in the perioperative management of patients undergoing regional anesthesia, including preoperative evaluation, procedure-related sedation, intraoperative management and postoperative care. Fellows also learn to identify and manage inadequate or failed blocks using multiple analgesic and anesthetic modalities.
Didactic training is an integral part of Mayo Clinic's Regional Anesthesiology and Acute Pain Medicine Fellowship.
Fellows participate in:
- Clinical case conferences
- Core curriculum lectures
- Introductory lecture series
- Journal clubs
- Key word phrase mini-lectures
- Morbidity and mortality conferences
- Oral board reviews
- Formal practice oral examinations
- Subspecialty mini-lectures
- Written board reviews
In addition to the education gained during clinical and research activities, fellows have the opportunity to expand their understanding of the biological and clinical science of regional anesthesia through a variety of educational endeavors, including:
- Cadaveric dissection
- Multidisciplinary Simulation Center
- Ultrasound skills training
- Neurophysiology lecture series
- Weekly didactics
- Resident education sessions
- National meetings
Fellows participate in research activities during their training. They are encouraged to publish a manuscript related to work completed during their fellowship. Scholarly activity is encouraged, including journal club presentations and presentation of research at national meetings.
The Mayo Clinic Department of Anesthesiology is staffed with many experienced investigators who are willing to serve as mentors from project development through manuscript submission.
To ensure that fellows gain proficiency and develop the corresponding technical skills, performance is monitored throughout the Regional Anesthesiology and Acute Pain Medicine Fellowship. Fellows are formally evaluated by their supervising faculty members upon completion of each clinical rotation, and then meet with the program director to review these evaluations.
In addition, fellows regularly evaluate the faculty to ensure that their educational goals are being met.