Fellowship directory

True multidisciplinary training program

Weekly multidisciplinary conference

Clinical faculty include anesthesiology, PMR, psychology, pharmacology, physical therapy

Structured palliative care, neurology, PMR/ anesthesiology, psychology, cancer, pediatric, and acute pain management experience

Robust didactic program, cadaver labs, high-volume interventional experience

Nationally recognized basic and clinical research programs 

Train here, thrive anywhere.®

The Regional Anesthesiology and Acute Pain Fellowship at Washington University School of Medicine in St. Louis provides multidisciplinary training at one of the nation’s leading academic medical centers, consistently ranked in the top-10.

The 12-month program is committed to preparing future leaders in regional anesthesia to start and lead an acute pain service after program completion. Fellows work clinically four days per week with one day dedicated to non-clinical, academic, or optional moonlighting activities. Clinical work is comprised of both inpatient and outpatient regional anesthesia as well as dedicated time on the acute pain service. Fellows also have the option to spend time supervising CRNAs as general anesthesiologists, but this or performance of general anesthesia, is not required.

Recent graduates have performed over 1,500 ultrasound-guided procedures as well as thoracic epidurals and spinals. They learn how to place and manage both inpatient and outpatient peripheral nerve catheters. Under the direction of fellowship-trained physicians, fellows will spend eight weeks leading the acute pain service at WashU, learn how to manage pain with state-of-the-art multimodal techniques, and mentor resident anesthesiologists. International rotations are available. A new 2-week rotation launched in 2024 at the Amsterdam University Medical Center.  Previous fellows have rotated in Ghana, The Philippines, and Guatemala.

By the end of the fellowship, graduates will be experienced in nearly all commonly performed regional anesthetics including, but not limited to, scalp blocks for craniotomy, interscalene, supraclavicular, infraclavicular and axillary brachial plexus blocks, forearm blocks, paravertebral, erector spinae, parasternal for cardiac surgery, epidural, spinal, pectoserratus, serratus anterior, multiple TAP approaches, rectus sheath, suprainguinal fascia iliaca, femoral, sub gluteal sciatic, popliteal, iPACK, adductor canal, genicular, and ankle blocks. All fellows also have the opportunity to learn Point of Care Ultrasonography if desired.

Didactic education is primarily based on the flipped classroom model with faculty led PBLs.  Fellow specific lectures also include medical economics and oral board review.  Additionally, fellows participate in a quality improvement or research project. The regional and pain divisions within the department have multiple ongoing clinical QI and research projects available for fellows. Applicants also have the option of leading their own project. Alternatively, fellows can elect to participate in ongoing basic science research with our world-famous pain researchers.  Accommodations can be made for MD PhDs or experienced researchers.  The Department of Anesthesiology at WashU is heavily funded by grants and consistently ranks among the top five nationally in NIH funding.

Clinical Sites:

Barnes Jewish Hospital (BJH)

Barnes-Jewish Hospital is a Level 1 Trauma Center with 1,100 beds and an attached outpatient surgery center on the Washington University School of Medicine Campus. BJH currently has 80 operating rooms. 

Barnes Jewish West County Hospital

A fast-paced private practice environment with 14 operating rooms. Regional anesthesia is primarily performed for orthopedic surgery at this site, including joint replacement and spine surgery. Individual fellows have performed over 30 ultrasound-guided blocks at this site in a single day.

Washington University Orthopedic Center

A fast-paced private practice outpatient orthopedic surgery center with five operating rooms. Individual fellows have performed over 30 ultrasound-guided blocks at this site in a single day.

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There are three one-year, non-ACGME fellowship positions. We participate in the San Francisco Match’s Central Application Service. To apply for our Regional Anesthesia and Acute Pain Fellowship, please visit our website and follow the application instructions. We request the following supplemental documents as part of the SF match application:

• Curriculum Vitae
• Personal statement expressing your interest in the field of regional anesthesia
• USMLE scores
• ABA Board Scores (if available)
• 3 letters of recommendation written within the past year (preferably one from your residency director)

The ACGME-accredited Fellowship in Regional Anesthesiology and Acute Pain Medicine incorporates 12 months of extensive clinical expertise in both peripheral and neuraxial blocks, as well as the management of acute pain conditions.  Trainees will become adept at a wide range of single shot and continuous techniques. Fellows develop independence over a period of months before assuming a broader role supervising junior residents. Rotations include the inpatient regional service, ambulatory orthopedic regional service, regional service at NYPH Columbia, inpatient acute pain service, inpatient chronic pain service, orthopedic trauma operating room, and an optional elective at Memorial Sloan Kettering Cancer Center. Rotations and clinical exposure adhere to the ACGME recommendations for training in Regional Anesthesiology and Acute Pain Medicine. 

Our Regional Anesthesia Service performs over 3000 regional procedures per year, both inside and outside of the operating rooms. All of our regional faculty members have extensive clinical experience or have completed fellowship training in Regional Anesthesia or Pain Management. During their training our fellows can expect to gain expertise in the following procedures:

• Upper extremity blocks and catheters: Interscalene, supraclavicular, infraclavicular, costoclavicular, axillary
• Lower extremity blocks and catheters: Femoral, lateral femoral cutaneous, sciatic, popliteal, saphenous, iPACK
• Truncal blocks: Lumbar plexus, paravertebral, TAP, rectus sheath, quadratus lumborum, PECs, serratus anterior, erector spinae, TTMP, pecto-intercostal fascial plane
• Ultrasound and nerve stimulator techniques
• Neuraxial blocks, including thoracic epidurals
• Acute pain management procedures
• Management of acute pain in the chronic pain patient

Didactics 

In addition to a formal lecture series and web-based curriculum, fellows participate in simulation training, PoCUS training, Applied Exam review course (including OSCEs), multidisciplinary conferences, formal quality and patient safety training,  and our monthly journal club and difficult case conference. 

Scholarship

Fellows are required to participate in scholarly activities, which may include clinical research projects, presentations at national meetings, Grand Rounds presentations, or teaching initiatives with the residents and medical students.

Medical Student Teaching
Fellows are invited to participate in medical student teaching and outreach.  Our division holds quarterly ultrasound anatomy workshops for interested medical students.  Our goal is to introduce Anesthesiology early in the preclinical years in a way that provides the students with useful information and clinical correlates to their studies.  

To provide more consistency and predictability to the RAAPM fellowship application process, nearly 60 RAAAPM fellowship programs have decided to participate in a common application and match process provided by SF Match for recruitment. The New York Presbyterian Weill Cornell Medicine Regional Anesthesia and Acute Pain Medicine Fellowship program is proud to be one of the programs participating in this new match process for the upcoming interview season for the 2024-2025 Academic year. Please see the below link for the SF Match Portal. You can also find more information on our website.

Regional Anesthesiology & Acute Pain Medicine SF Match Portal

West Virginia University’s Regional Anesthesia and Acute Pain Medicine fellowship is a 1 year ACGME-accredited fellowship that accepts 1 fellow per year. The West Virginia University Health System, the state’s largest health system, is comprised of ten hospitals – its flagship hospital and academic medical center, Ruby Memorial Hospital is in Morgantown. Ruby Memorial Hospital is a tertiary referral and level 1 trauma center, the regional anesthesia and acute pain medicine service benefits from exposure to a highly diverse case-mix. The regional anesthesia and acute pain medicine service currently performs approximately 2,500 single injection and continuous peripheral nerve blocks annually. There are multiple faculty members on the regional anesthesia and acute pain medicine service with substantial regional anesthesia experience and/or fellowship training.

The regional anesthesia and acute pain medicine service provides services to the main hospital operating rooms, the outpatient surgical center within the main hospital, and all inpatient units within Ruby Memorial Hospital. Fellows perform a variety of peripheral and neuraxial blocks for a diverse array of clinical services under the supervision of a regional anesthesia faculty. This focus on regional anesthesia and acute pain medicine serves to provide great educational and training opportunities that will prepare fellows to become subspecialty-trained anesthesiologists.

This program uses the common application. Submit the completed application directly to the individual Fellowship Program.

Apply here

Core Related Specialty: Anesthesiology

Fellowship in The Match®? Yes

Application Deadline: Per Electronic Residency Application Service® (ERAS®)/National Resident Matching Program® (NRMP®): March 15

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Description

Two PGY-5 Chronic Pain Fellowships available yearly. This is a one-year fellowship beginning July 01. Orientation begins mid-June.

All applications to this program are to be submitted through the Electronic Residency Application Service® (ERAS®).
Apply here. 

Applicant Interview Timeframe: April-May

The mission of the Regional Anesthesiology and Acute Pain Fellowship is to nurture the compassion, scholarship, citizenship and inquisitiveness of trainees who are invested in alleviating the pain perioperative and peri-trauma patients endure. Our goal is to provide an education that allows these physicians to reach their full potential as expert consultants in advanced regional anesthesia techniques and acute pain management.

The learning experience for the RAAPM fellowship has been carefully selected to offer a combination of teaching methods that we hope cater to every kind of learner. These include faculty lead didactics, journal clubs and case conferences, ultrasound simulation, a Point of Care Ultrasound (POCUS) rotation (lead by critical care faculty), and dedicated time for self-directed learning with multimedia content from the Anesthesia Toolbox.  Fellows also collaborate with our colleagues in neurosurgery, orthopedic surgery and plastic surgery, as well as neurologists and radiologists, in multidisciplinary spine and peripheral nerve conferences, in order to understand the full scope of peripheral nerve and spinal tract complications. 

In 2023, we performed 4,000 nerve blocks, of which 400 were continuous peripheral nerve catheters. We perform most regional anesthesia techniques including sub-gluteal sciatic blocks, lumbar plexus, cervical plexus, paravertebral blocks, suprascapular nerve blocks, brachial plexus blocks, cervical and lumbar selective nerve root blocks, stellate ganglion blocks, thoracic epidurals – to name a few. Ultrasound, landmarks, nerve stimulators (including high frequency sensory stimulation) and fluoroscopy are all utilized to identify targets for regional anesthesia. Faculty are frequently recognized in surveys and feedback for their strong commitment to education and an eagerness to employ the latest regional anesthesia techniques.

We believe that a well-balanced educational experience and work-life balance is critical to our fellows’ growth and wellness. To this end, starting with the 2025-26 class, fellows will no longer be required to work weekends. To create a culture of inquiry, fellows will receive at least 20 percent dedicated non-clinical time for self-directed education and scholarship. Moonlighting is permitted by the program. We support J1 visa and will support H1B visas for exceptional candidates.

We are honored to be a community for the fellows who join us and hope to serve them in all their endeavors.

This program will use the SF Match.

The ACGME-approved Regional Anesthesiology and Acute Pain Fellowship program at Yale University, provides trainees with advanced knowledge, and the diagnostic & technical skills necessary to build a successful career within the sub-specialty of regional anesthesia and acute pain medicine. Additionally, it aims to develop an academic interest in clinical research or quality & safety research. The goal of the program is to train future leaders in Regional Anesthesiology, with graduates who are scientifically inquisitive and academically inclined.

Fellows perform in the capacity of a PGY-5 level trainee. The successful applicant will have an M.D. or equivalent, will have completed an ACGME-accredited residency program in Anesthesiology in the United States and Canada, and be in the process of primary certification by the American Board of Anesthesiology. Prior to starting training, the applicant must have a CT State Medical License.

Training is divided among didactic teaching, clinical experience, and research. There are various dedicated learning opportunities, and these include: ambulatory anesthesia, a diverse range of regional techniques, ultrasound mechanics, and the management of perioperative pain in the pediatric, adult, trauma, and opioid tolerant patient population. The fellow will also develop technical proficiency in various upper extremity, lower extremity, chest, abdomen, head and neck  peripheral nerve blocks in the format of single injection as well as continuous catheter techniques,  and central neuraxial techniques (including midline and paramedian approach of spinal anesthesia, lumbar and thoracic epidurals,  and combined spinal-epidurals). Ultrasound guidance is used for the vast majority of peripheral nerve blocks, along with the occasional use of a nerve stimulator, and “anatomical land-marked” based techniques. The Yale Regional Anesthesia Fellowship is an ACGME accredited one-year program designed to train the candidates in ultrasound, nerve stimulation and landmark guided peripheral nerve blocks, using both single injection and continuous catheter technique. The peripheral nerve blocks that we perform most commonly include:

• Upper extremity : Interscalene, Superior/upper trunk, Supraclavicular, Infraclavicular, Axillary approach of brachial plexus block , Median nerve block, Ulnar nerve block, Radial nerve block, Intercostal-brachial nerve block, Axillary nerve block, Suprascapular nerve block, etc. 
• Lower extremity: Lumbar plexus block, Femoral nerve block, Gluteal sciatic nerve block, popliteal sciatic nerve block, Saphenous nerve block, Adductor Canal, iPACK, Obturator nerve block, Lateral femoral cutaneous nerve block, Genicular nerve block, PENG, etc. 
• Chest and Abdomen: Paravertebral block, Transversus abdominis plane block, Rectus Sheath block, Quadratus lumborum block, PEC blocks, Serratus plane block, Erector Spinae block, etc. 
• Head and Neck: superficial and intermediate cervical plexus block, etc. 

Almost all the operative blocks are performed immediately outside the OR in a designated treatment area. We are also involved with the pain management of trauma patients in the surgical ICU and Emergency Room. Fellows are expected to attend weekly formal lectures in regional anesthesia, acute pain management, and basic essentials of clinical research, including study design and statistical analysis. There is also the opportunity to participate in fresh cadaver dissection courses and to mentor residents on the clinical service. In addition, this program offers the opportunity to learn EMG techniques and interpretation, and a musculoskeletal ultrasound course is currently an integral part of the curriculum. A 2-year, advanced program in combination with a clinical research track is available, and opportunities for moonlighting are available.

 

Common application
3 Letters of recommendation (1 from Program Director or Chair)
CV
Personal Statement
ECFMG (if required)