Over the course of the 12-month fellowship, the fellow will enhance his/her cognitive, psychomotor, and affective skills to safely and effectively administer and teach regional anesthesiology and acute pain medicine as a consultant in anesthesiology. The fellow is responsible for decisions related to case and block selection to facilitate the smooth flow of the operating room (OR) cases and to enhance patient recovery. The fellow will be expected to develop and demonstrate the skills needed to establish regional anesthesiology and acute pain medicine as a primary component of his/her future practice. Upon completion of the program, the fellow should demonstrate knowledge in the following area: local anesthetics, neuraxial and systemic opioids, nonsteroidal anti-inflammatory drugs, non-opioid adjuncts for analgesia, systemic opioids, nonopioid analgesics, nerve localization techniques, spinal anesthesia, epidural anesthesia (lumbar, thoracic, caudal), upper-extremity nerve block, lower-extremity nerve block, truncal blockade, and intravenous regional anesthesia.
Fifty percent of the 12-month time period will be dedicated solely to the study of regional anesthesia in relation to knowledge, procedures, lectures, and academic projects. In the remaining fifty percent of the 12-month time period, fellows will serve as clinical instructors in the operating room in the Department of Anesthesia and Perioperative Medicine. Duties will include but are not limited to the practice of anesthesia and supervision of residents and certified registered nurse anesthetists in the operating rooms.
The Regional Anesthesia and Acute Pain Medicine faculty members are recognized leaders in the field with peer reviewed publications and book chapters, in addition to speaking at regional and national conferences. All of regional faculty are board certified in anesthesiology and members of the regional anesthesiology pain service. The Department of Anesthesia and Perioperative Medicine at MUSC is a highly integrated, collaborative group of adult and pediatric anesthesiologists. The department is comprised of 50+ staff anesthesiologists, 50+ residents in clinical anesthesia training and more than 50+ nurse anesthetists who are all committed to providing optimal care to adult and pediatric patients requiring anesthesia. Members of the department also conduct clinical research and teach postgraduate and continuing education programs. MUSC anesthesiologists supervise over greater than 35,000 anesthetics annually. This large number of cases, integrated with ongoing research and education, results in wide-ranging expertise in regional anesthesia and acute pain medicine.
Fellows are encouraged to participate in research as a major activity of the yearlong fellowship. To accomplish these objectives, the regional anesthesiology and acute pain medicine faculty will mentor the fellow in the production of research, co-authorship of papers as appropriate, and preparation of clinical research proposals with institutional review board approval prior to the start of the fellowship year.
Opportunities for internal moonlighting exist. Moonlighting should not compromise the educational experience, but rather enhance it.
Sylvia Wilson, M.D.