Pain Medicine Fellowship

The Center for Pain Medicine currently offers two fellowship positions each year, fully accredited by the Accreditation Council for Graduate Medical Education (ACGME).

These positions have a 12-month duration and are offered at the PGY-5 level. The fellowship provides experience in the outpatient clinic and the inpatient consult service.

The outpatient clinic exposes the fellow to approximately 8,200 patient visits a year while the inpatient service allows the fellow to manage approximately 950 inpatients per year, all under the supervision of a board certified/board eligible anesthesiologist with added qualification in pain management.

Trainees participate in the evaluation and treatment of patients with a wide variety of painful conditions including:

  • Neuropathic pain
  • Cancer pain
  • Spine-related pain
  • Visceral pain
  • Sympathetically-mediated pain
  • Myofascial pain

Fellows will implement treatment plans and follow their patients under the direct supervision of the Center for Pain Medicine faculty. Fellows will gain expertise in fluoroscopically-guided interventional pain techniques including:

  • Interlaminar and transforaminal epidural steroid injections
  • Facet joint injections
  • Medial branch blocks
  • Radiofrequency neurolysis
  • Sympathetic blocks
  • Diagnostic discography
  • Trial and implantation of intrathecal pumps and spinal cord stimulators
  • Intradiscal electrothermal annuloplasty (IDET)
  • Nucleoplasty

In addition, our fellows have substantial flexibility in choosing their elective rotations and are given the opportunity to work under the direct supervision of orthopedic spine surgeons, neurosurgeons, physiatrists, psychiatrists and neurologists.

Our educational program in the Center for Pain Medicine includes weekly lectures by local and visiting faculty regarding the many aspects of pain management, monthly journal club sessions, monthly multidisciplinary meetings and monthly morbidity/mortality conferences.

Fellows are also encouraged to participate in other didactic activities within the Department of Anesthesiology, such as Grand Rounds and Anesthesiology Journal Club.

Our fellowship program provides ample opportunities to participate in clinical research. Fellows are encouraged to design and complete a research project under the mentorship of our faculty or they may become involved in ongoing clinical research.

Our fellows have the opportunity to participate in the educational process of medical, nursing and physical therapy students, as well as residents of different specialties, both through formal didactic sessions and one-on-one teaching.

Tiffini Lake, M.D

Program Director

Pain Medicine sites:
Larner College of Medicine at UVM
UVM Medical Center

Interested in applying?

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