PM&R Residency Program Manual
PM&R Resident Rotation Descriptions

PM&R Program Rotation in Pain Management  – UVa Pain Management Center, Department of Anesthesiology, 3rd Floor Musculoskeletal Center, Fontaine Research Park
In this rotation PM&R residents have the opportunity to learn to evaluate and treat patients in acute and chronic pain and become familiar with types of injections used to treat pain. Dr. Robin Hamill-Ruth, Associate Professor of Anesthesiology and Director of the Pain Management Center, is the director of the PM&R resident rotation in Pain Management.  Residents also work with other attendings in the PMC including Dr. Rowlingson, Dr. Goldstein and Dr. Johnson. It is the responsibility of the PM&R resident to contact Dr. Hamill-Ruth before the rotation starts to determine where and when to meet the team.  

Goals and Objectives:                                     

• To understand the anatomy and physiology of pain. 
• To become familiar with the common complications and scenarios encountered in treating chronic pain.
• To become familiar with the various categories and classifications of pain medicine used in the treatment of chronic pain.
• To become familiar with the interventional pain management techniques such as nerve blocks, epidural injections, facet blocks, Stellate Ganglion blocks and trigger point injections. 
• To become familiar with the physicians role in the multidisciplinary treatment of chronic pain.
• To be able to perform an excellent specific physical examination and history in this population.
• To understand types of pain and the differences between acute and chronic pain and neurotic pain.
• To understand and be able to treat CRPS.