The purpose of the University of Texas MD Anderson Cancer Center Regional Anesthesia and Acute Pain Medicine (RAAPM) Fellowship is to provide supervised training to board-certified or board-eligible anesthesiologists in the practice of acute pain management and medical consultation for the full spectrum of injuries, surgical, and other invasive procedures that produce acute pain in the hospital setting. Currently, anesthesia residents have very limited exposure to this critically needed area of expertise. There are many anesthesiologists who desire additional training and expertise in acute pain and regional anesthesia after residency through fellowship training. The main goal of this program is to develop an expertise in innervation and management of acute pain medicine as well as regional anesthetic techniques to facilitate patient recovery and reduce pain in a safe and effective manner. This 12-month program will also teach the fellow how to manage acute pain with minimal opioids.
As the opioid crisis in the United States continues to grow, we will equip our trainees with expertise in opioid-sparing acute pain management. This fellowship will provide significant exposure in training and management of acute pain without a high opioid burden by the use of innovative regional/ neuraxial anesthesia as well as implementation of enhanced recovery techniques.
Program objectives include:
- Provide direct acute pain management and medical consultation for the full spectrum of injuries, medical etiologies, and surgical and other invasive procedures that produce acute pain in the hospital setting.
- When indicated, safely and effectively perform a comprehensive range of advanced regional anesthesiology procedures for appropriate indications, in a safe, consistent, and reliable manner, understanding the individual risks and benefits of each.
- Act as a consultant to other anesthesiologists, surgeons, nurses, pharmacists, physical therapists, other medical professionals, operating room managers, hospital administrators, and other allied health providers.
- Provide leadership in the organization and management of an acute pain medicine service within the hospital setting composed of a variety of specialists to provide comprehensive multimodal acute pain management.
- Acquire the knowledge and skills required to establish a new Regional Anesthesiology and Acute Pain Medicine program in his/her future practice and to adopt emerging knowledge and techniques for the acute pain management of patients whom he/she encounters.
- Train future generations of generalists and subspecialists in Regional Anesthesiology and Acute Pain Medicine.
- Curriculum vitae
- Statement of Intent: Goals and reason for pursuing an Acute Pain Medicine & Regional Anesthesia
Other items that may be required for application:
- Three Letters of Recommendation (LORs): If currently in a program, one letter must be from the Program Director.
- Letter of Good Standing for current residents that indicates trainee standing and expected completion date from the program.
- USMLE, COMLEX, FLEX scores report
- Original medical transcripts
- Medical diploma: copy
- Certificate of training completion – copy for each certification
Rotations and Didactics
Trainees in this program will examine patients in the hospital, develop treatment plans and perform therapeutic procedures to formulate care plans specific to the cancer patient with acute postoperative pain. The fellow will rotate in the department under direct supervision of the faculty anesthesiologist during an orientation period lasting four weeks. During this period, a didactic curriculum will further enhance understanding and training of the fellow. The next phase, weeks 4-8 (+/-) into the program, the fellow will continue under the direct supervision of a faculty anesthesiologist. As the fellow demonstrates mastery of the program's competency-based goals and objectives, he/she will earn progressive and incremental increases in patient care responsibilities. The fellow will then continue rotation onto different areas of pain management, including time devoted to learning technically advanced blocks, management of neuraxial and peripheral nerve catheters, introduction to chronic pain management and intraoperative management of enhanced recovery patients utilizing opioid-sparing analgesia, just to name a few.
These rotations include:
- Regional anesthesia at MD Anderson
- Regional Anesthesia
- Acute Pain Medicine
- Intraoperative Management of Enhanced Recovery (OR)
- Five weeks for elective rotations
In addition, the fellow will be expected to complete at minimum one research project and to present the results at the professional meeting, as well as publish the results in a peer-reviewed journal. The fellow will give lectures and case discussions at the departmental morning meeting quarterly.
The QI Certificate is mandatory for all trainees in order to receive the RAPM Certificate.
- Benjamin A. Arnold, M.D., Assistant Professor, Anesthesiology & PeriOper Med
- Roxana M Grasu, M.D., Associate Professor, Anesthesiology & PerioOper Med
- Shannon Hancher-Hodges, M.D., Clinical Assistant Professor, Anesthesiology & PeriOper Med
- Keyuri U. Popat, M.D., Professor, Anesthesiology & PeriOper Med
- Antoinette Van Meter, M.D., Associate Professor, Anesthesiology & PeriOper
- Uduak U. Williams, M.D., Associate Professor, Anesthesiology & PeriOper
Early applications are accepted and encouraged. While we do not participate in The National Residency Matching Program®, we do follow a similar timeline in candidate interviews and selection. Please contact the Program Director, Dr. Barbra Bryce Speer.
When does the application process start?
Applications open January 1 and end June 30.
Do you use ERAS for the application process?
No, we use MD Anderson's Discover database. A link to Discover will be provided here on our website on January 1.
Do all listed documents have to be uploaded in order for the application to be reviewed by faculty?
No, only the completed Application, CV, Letter of Good Standing (for current residents) and three Letters of Recommendation are required in order for your application to be reviewed.
How many positions are there in the MD Anderson Acute Pain Medicine and Regional Anesthesia Fellowship?
One fellow position is offered each academic year.
When are interviews held?
Interviews will start in June and end in August. If you are offered an interview, there will be three dates from which to choose. All interviews are on weekdays.
MD Anderson Cancer Center is located in Houston, in the Texas Medical Center, which boasts:
- The finest in medical education and treatment
- Numerous parks, including Hermann Park which has an outdoor theater and large zoo
- An academic and cultural arena that includes Baylor College of Medicine, Rice and St. Thomas Universities, the Museum of Fine Arts and the Museum of Contemporary Arts
- Close proximity to Houston's noted symphony orchestra, opera, theater and ballet.
Other sites of various activities available within a few minutes' drive include Moody Gardens, Sam Houston Race Park, Cynthia Woods Mitchell Pavilion, SplashTown Waterpark, Downtown Aquarium, Space Center Houston, Lone Star Flight Museum, San Jacinto Battlefield, NRG Stadium, Minute Maid Park, Toyota Center and the George R. Brown Convention Center. The cost of living is moderate and housing is very reasonable. For more information, visit our About Houston page.
MD Anderson Cancer Center is committed to encouraging good health and staying true to our mission to end cancer. If you are applying for a GME fellowship or residency program starting on or after July 1, 2016, please be advised that MD Anderson will have instituted a tobacco-free hiring process as part of its efforts to achieve these goals. If you are offered an appointment, you will be subject to a Pre-Employment Drug Screen for tobacco compounds in compliance with applicable state laws. If you do not pass the urine drug screening which includes testing for tobacco compounds, you CANNOT be appointed at MD Anderson. Should you fail to meet this contingency, MD Anderson will withdraw your offer of appointment for the academic year. You may reapply for the following academic year, but there are no guarantees that you will be offered a position as many of our programs are already filled for several years out.