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The aim of the Pain Medicine fellowship program at the University of North Carolina Hospitals is to provide comprehensive, patient-centered, ethical, multidisciplinary training in pain medicine. We provide and teach the full spectrum of pain treatments including cognitive/behavioral therapies, pharmacologic treatments, and advanced interventional therapies. In addition, ancillary faculty from related specialties participate in the training of our fellows during clinical rotations within their specialties. Three annual fellowship positions are offered, and graduates of the program are eligible to sit for the pain medicine board certification exam in their respective primary specialty. The training program is administered through the Department of Anesthesiology, part of the University of North Carolina School of Medicine and the ºÚÁÏÍø Health system.

ºÚÁÏÍø Anesthesiology’s clinical services provide the core of the training program in pain medicine. They include:

  • The Hospital Pain Service: This service provides daily management of patients with postoperative, post-traumatic, and other types of acute pain requiring specialized interventions such as epidural analgesia, other regional anesthetic techniques, or complex pharmacological management. Support is also provided to the operating rooms for placement of epidural catheters. A dedicated anesthesiology attending is assigned daily, along with one fellow. Consultations are also provided for complex inpatient pain management problems, and daily rounds are performed.
  • ºÚÁÏÍø Pain Management Center: This center is our primary community-based outpatient clinic for the management of chronic and cancer pain. We provide a comprehensive interdisciplinary, yet individualized, approach to patient care, drawing upon the expertise of our faculty as well as consultants from other specialties. A three-pronged approach to patient evaluation and management emphasizes pain control, psychological optimization, and rehabilitation. At this location, we provide consultations as well as interventional pain management using fluoroscopy and ultrasound. Common procedures include trigger point injections, cervical and lumbar epidural steroid injections, sympathetic nerve blocks, peripheral nerve blocks, joint injections, radiofrequency denervation, peripheral nerve stimulation, and spinal cord stimulator trials.
  • The University of North Carolina Spine Center: The Spine Center is an interdisciplinary clinic practice involving physician specialists from our program and from the departments of neurosurgery, orthopedic surgery, rheumatology and physical medicine, and rehabilitation. Additionally, the center employees specialty nurses and physical therapists. The facility includes specialized procedure rooms with state-of-the-art monitoring, interview rooms, C-arm fluoroscopy, and ultrasound machines. We provide interventional pain services at this location.

For most of the year, our trainees are assigned to one of these three clinical sites on a rotating cycle. In addition, fellows rotate during the year in the following specialty areas: anesthesiology (for non-anesthesiologists), neurology, sports medicine, physical medicine and rehabilitation, psychiatry, palliative care, radiology, and pediatric pain management.

Pain Medicine Fellowship Faculty:

Brooke Chidgey, MD, Associate Professor of Anesthesiology / Division Chief

Amy M. Goetzinger, PhD, Associate Professor/Clinical Psychologist

Dominika James, MD, Associate Professor of Anesthesiology / Fellowship Program Director

Maryam Jowza, MD, Associate Professor of Anesthesiology

Andrew Lobonc, MD, Associate Professor of Anesthesiology

Matthew Mauck, MD, PhD, Assistant Professor of Anesthesiology / Vice Chair of Research

Irina Phillips, MD, Assistant Professor of Anesthesiology

Brad Brown, MD, Assistant Professor of Anesthesiology

Skye Margolies, PhD, Associate Professor / Clinical Psychologist