Chronic Pain Focus:
Syllabus

Chronic Pain Track Expectations:

All students are expected to:

1. Review neurological and orthopedic standard clinical examinations (especially motor and sensory dermatomes) prior to first clinic session.
2. Review during the course of the month all lectures, articles and presentations listed below.
3. Be familiar with Washington State Agency Medical Directors (AMDG) Guidelines (http://www.agencymeddirectors.wa.gov/opioiddosing.asp) and be capable of using/downloading the Opioid Dose Calculator from this site.
4. Attend all required sessions, on time, prepared, and well rested each day wearing UW SOM name tag and appropriate professional attire (white-coat preferred).
5. Learn and engage with the full range of clinical pain problems and multidisciplinary approaches to diagnose and manage chronic pain available during this month.
6. Pre-arrange any absences with Pain track faculty coordinator in person or at 206-598-4282.
7. Communicate any unexpected absences to the Pain track faculty coordinator at 206-598-4282.

Educational Experiences:

The first day and the last day of the rotation is an all-day Didactic Session with all Chronic Care Clerkship students, including Palliative Care, Geriatrics, and Rehabilitation Medicine tracks.

Students in the Chronic Pain focus also have focus-specific didactics and will spend time with different clinical programs. Please refer to the Chronic Pain Schedule for times and locations.

At the UW Center for Pain Relief, students will be assigned specific outpatient multidisciplinary pain clinic direct patient care experience. This will include daily (independent and mentored) history and physical exams:

• New Pain Patient consultations (minimum 1/day)
• Follow-up Pain patient consultations (many daily)
• Evaluate complex pain patients under the direction of various multispecialty pain experts, including anesthesiology, internal medicine, physical & rehab medicine, psychiatry, clinical psychiatry, vocational rehab counseling, and others.
• Participate in twice weekly Tele-Pain multidisciplinary expert and community provider case consultations.
• Observation of interventional anesthesia procedures (variably scheduled)
• Participate and/or observe psychiatric and psychological evaluations of Pain patient (several/week)
• Participate in Vocational assessments and follow-ups (as available)

There will be one assigned case write-up for Tuesday PM group presentation (week 3):

• Selected patient from clinic experience
• In depth review of patient medical records pertinent to their chronic pain condition
• Self-study with literature review and summary of topic(s) of personal interest and relevant to chronic pain as it relates to your chosen case

Also during the month, there will be:

• 4 days at Seattle Children’s Hospital with both in-patient and out-patient team multidisciplinary pediatric pain management;
• ½ day to observe acupuncture and other complementary treatments at Bastyr University (Stone Way) pain clinic;
• Interviewing the patient and family during at least one home visit, necessary for successful preparation of case for last day didactic presentation;
• Weekday morning pain didactics with UWMC Acute Pain In-patient service (in AA-103a).

Opportunities also to attend:

• Wednesdays 12:00pm - 1:30pm Project ECHO/UW Pain Video-Conference WWAMI region expert panel case conferences;
• Washington State various agency public health policy sessions regarding guidelines for pain care (as occur).
• Fridays 12:00pm - 1:00pm Project ECHO/ROAM Video-Conference