Clinical Experience
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