Fellow in Pain Management

This is a specialized postgraduate training programme for clinicians, which will enable them to properly assess and manage patients with acute & chronic pain of all types and to understand the sciences basic to the practice of pain management.

Aim - We have been conducting one-year fellowship from 2005. We take two fellows every year one in January & another in July. They participate in all activities of outpatient, inpatient, and interventions area along with other scientific activities. They will be exposed to interventions in both acute and chronic pain. It involves maintaining a logbook, which should be submitted at the end of one year of their training. During this period they will be paid an honorarium of around Rs 65,000 to Rs 70,000, for carrying out the anaesthetic work of the department. Certification will be provided at the end of one year. The programme is widely acclaimed all over the world including World Federation of Societies of Anesthesiologists.

  • The candidate must be holding a Master's Degree in one of the recognised specialties of Medicine; furthermore the specialty must involve patient care experience.
  • The candidate must have finished post graduation from Medical Council of India (MCI) approved medical college.
  • The candidate must provide at least three letters of reference and curriculum vitae when applying for this training along with MCI registration certificate.
  • The candidate must be licensed to practice medicine by the appropriate government agencies.

Registration Fees – Nil

Honorarium – Rs 65,000 to 70,000

Faculty – As mentioned

Project – Mandatory

Curriculum – Although not every fellow will be fully trained in every area listed below, he or she should at least have had some exposure to patients whose care involves all of these areas.

  • Medical diagnosis and therapy
    • History and physical examination
    • Measurement of pain
    • Physical therapies
    • Vocational/rehabilitation assessment and management
    • Participation in multidisciplinary assessment and treatment
    • Anaesthesiologic procedures (when appropriate for fellow's prior training)
    • Surgical procedures (when appropriate for fellow's prior training)
    • Other procedures appropriate to the fellow's training
  • Psychologic diagnosis and therapy
    • Use of diagnostic tests
    • Collection of data from interview and standard forms
    • Comprehensive assessment
    • Treatment options
    • Individual, group and family psychotherapy
    • Cognitive-behavioral therapies
    • Biofeedback and relaxation techniques
    • Hypnotherapy
  • Pharmacotherapy
    • Analgesics
    • Non-narcotics
    • Narcotics
    • Adjuvants
    • Antidepressants
    • Sedative-hypnotics
    • Benzodiazepines
    • Others
    • Other drugs and various routes of administration
  • Specific types of painful conditions
    • Cancer Pain, including issues of death and dying, palliative care and hospice
    • Post-operative pain and post trauma pain
    • Pain associated with nervous system injuries - CRPS
    • Pain associated with chronic disease
    • Pain of unknown aetiology
    • Pain in children
    • Pain in elderly
  • Regional pain syndromes
    • Headache
    • Facial pain syndrome
    • Neck and upper back pain
    • Low back pain
    • Extremity pain syndromes
    • Thoracic and abdominal pain
    • Pelvic and perineal pain
  • Interventional Pain Management
    • Interventions associated with head and neck
    • Interventions associated with trunk
    • Interventions associated with extremities
    • Advanced pain therapies – Intradiscal procedures, epiduroscopy, spinal cord stimulators, intrathecal implants etc.
  • Other topics
    • Radiology
    • Physiotherapy
    • Rehabilitation
    • Alternative therapies
    • Palliative care and end of life issues
  • Seminars and journal clubs
    • The seminars and journal clubs should be conducted at biweekly intervals, either of them.
  • Logbook – Mandatory, to be submitted along with thesis
    • There should be a record of OP/IP Consultation participation
    • There should be details of participation in academic programme like seminars, symposia, clinical meetings and journal clubs
    • There should be record of bed side demonstrations
    • Teaching other postgraduates, nurses etc should be documented
    • Any special duty or event managed should be documented
    • There should be details of procedures observed, assisted and performed. The candidate must have performed at least 50 interventions during his academic year.
    • The unit is running acute pain service, the details of patients handled must be mentioned.
    • The logbook is to be filled regularly by the candidate
    • The entries need to be endorsed by the concerned consultant
    • On the completion of the course by the candidate, this log book shall be deposited in the department for future reference.

Accommodation - Accommodation will be provided, subject to availability. In case of non-availability, assistance is provided in finding an accommodation in and around the institution

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