Pain Medicine Fellowship
Mission & Vision
Our pain medicine group’s goal is to provide compassionate, prompt and effective care to patients with chronic pain, especially to patients who may have been evaluated and treated elsewhere and without success.
Mission & Vision
Our pain medicine group’s goal is to provide compassionate, prompt and effective care to patients with chronic pain, especially to patients who may have been evaluated and treated elsewhere and without success.
Program Director’s Welcome
We are pleased that you have chosen to learn more about the University of Miami/Jackson Health System Pain Medicine Fellowship Program. We are very proud of the department and educational experience we offer, and are continually striving to improve and optimize the experience for patients, fellows, residents and students, alike.
Program Director’s Welcome
We are pleased that you have chosen to learn more about the University of Miami/Jackson Health System Pain Medicine Fellowship Program. We are very proud of the department and educational experience we offer, and are continually striving to improve and optimize the experience for patients, fellows, residents and students, alike.
Our Pain Management Center is staffed by physicians from a variety of disciplines, alongside nurses, psychologists, physical therapists and other healthcare professionals trained and experienced in pain medicine. We believe that chronic pain can be best understood and treated by incorporating biological, psychological (thoughts, emotions and behaviors) and social factors, which all play a significant role in humans suffering from chronic pain. Using cutting-edge technology and procedural techniques, we emphasize a comprehensive approach focused on treating all components of the pain experience in the individual patient.
Each fellow will have a well-rounded, thorough experience in evaluating and treating chronic pain. We see a wide variety of patients, ranging from cancer-related pain to non-malignant, chronic-pain syndromes.
Our fellows rotate through Jackson Memorial Hospital, the Bruce W. Carter Department of Veterans Affairs Medical Center, Sylvester Comprehensive Cancer Center, UHealth Tower and satellite outpatient clinics. As a result, fellows have exposure to a highly diverse patient population. Many of our patients are highly complex cases that have been refractory to many treatment modalities elsewhere. In addition to the bread-and-butter cases (of which there are plenty), fellows will become highly skilled at the diagnosis and treatment of highly complex cases. Fellows will also have vast hands-on experience in all types of procedural interventions, from the simple epidural steroid injection to the permanent implant of an intrathecal pump, and the complexities of pump management under the direct supervision of full-time academic staff. Our graduates move on to independent practice feeling highly confident in their skills and abilities to provide multimodal, patient-centered, holistic and comprehensive care.
We are always focused on patient safety, and are continually involved in quality improvement and quality assurance projects. We are also passionate about lifelong education, learning and teaching. The department has been prolific in terms of research involvement, and is continually involved in both funded and non-funded pain-related research, ranging from bench to bedside.
-Danielle Bodzin Horn, MD
Description
Each fellow will have a well-rounded, thorough experience in evaluating and treating chronic pain. We see a wide variety of patients, ranging from cancer-related pain to non-malignant, chronic-pain syndromes.
Our fellows rotate through Jackson Memorial Hospital, the Bruce W. Carter Department of Veterans Affairs Medical Center, Sylvester Comprehensive Cancer Center, UHealth Tower and satellite outpatient clinics. As a result, fellows have exposure to a highly diverse patient population. Many of our patients are highly complex cases that have been refractory to many treatment modalities elsewhere. In addition to the bread-and-butter cases (of which there are plenty), fellows will become highly skilled at the diagnosis and treatment of highly complex cases. Fellows will also have vast hands-on experience in all types of procedural interventions, from the simple epidural steroid injection to the permanent implant of an intrathecal pump, and the complexities of pump management under the direct supervision of full-time academic staff. Our graduates move on to independent practice feeling highly confident in their skills and abilities to provide multimodal, patient-centered, holistic and comprehensive care.
We are always focused on patient safety, and are continually involved in quality improvement and quality assurance projects. We are also passionate about lifelong education, learning and teaching. The department has been prolific in terms of research involvement, and is continually involved in both funded and non-funded pain-related research, ranging from bench to bedside.
-Danielle Bodzin Horn, MD
Fast Facts
Accreditation
Accreditation Council for Graduate Medical Education
Number of Fellows per Year?
4
Duration of Fellowship?
1 year
Clinical Experience
Year 1
Education is a top priority for us as part of the Pain Medicine Fellowship Program.
Every Wednesday and Friday mornings, fellows have protected didactic time for one hour between 7 and 8 a.m. In addition to these didactic, lecture and board review sessions, we also have a monthly journal club.
Every Thursday morning, fellows have protected time to attend or live-stream anesthesiology departmental grand rounds and case conferences. The department enjoys a very active visiting-professor lecture program, with many prominent speakers featured throughout the year. We also emphasize daily one-on-one clinical teaching.
Core Rotations
1. Pain Center/Advanced Institute for Pain Management
Jackson North Medical Center’s Pain Center is a high-volume chronic pain clinic which emphasizes the medical and interventional management of chronic and cancer pain. Fellows actively instruct rotating anesthesiology residents in proper history taking, examination and evaluation of patients with chronic pain.
The UHealth Advanced Institute for Pain Management is a University of Miami Health System Pain Clinic where a wide variety of pharmacologic therapies and invasive techniques are utilized on a daily basis. A high quality fluoroscopic imaging system is available on a full-time basis. Some of the diagnostic procedures include caudal catheter insertions (modified Racz procedures); epidural steroid injections; facet injections; intercostal and other peripheral nerve blocks; joint injections; lateral and medial branch nerve blocks; neurolysis for various cancer pain; radiofrequency ablation; sacroiliac joint injections; spinal cord stimulator trials; sympathetic blocks and more.
2. Bruce W. Carter Department of Veterans Affairs Medical Center
During this rotation, fellows will evaluate and treat many patients with a history of chronic, non-malignant pain and malignant pain, alike; phantom limb pain; spinal cord injury and stump pain. At the VA Medical Center, fellows will perform a high volume of fundamental procedural interventions.
Fellows will also have involvement in evaluation and treatment of acute pain and regional anesthesiology. Once a week, fellows will rotate with the acute pain service. Fellows will become adept at medication management for acute pain as well as performing regional blocks for post-surgical analgesia as well as surgical anesthesia.
Fellows will manage inpatient acute and chronic pain.
3. Sylvester Comprehensive Cancer Center/University of Miami Hospital and Clinics Facility
A variety of acute, chronic and cancer patients are evaluated and treated in both the inpatient and outpatient settings.
Under direct supervision, the fellow receives extensive experience in the management of patients with cancer related pain, as well as non-cancer, chronic pain. The full range of diagnostic and therapeutic options are available.
During this rotation, the fellow will obtain extensive experience in neuromodulation (SCS, DRG and PNS trials and permanent implants), as well as intrathecal pump trials and implants. Fellows will also have high exposure in management, troubleshooting and revisions for patients with intrathecal pump, PNS, SCS and DRG implants. Fellows will become adept at preoperative, intraoperative and postoperative management for these cases.
4. Satellite Clinics (Sylvester Comprehensive Cancer Center in Deerfield Beach and Plantation, and The Lennar Foundation Medical Center)
This rotation is a fast-paced, high-volume outpatient experience. Somewhat of a hybrid between the experiences obtained at the Institute for Advanced Institute for Pain Management and the SCCC rotation, fellows will hone their skills of effective diagnostic and therapeutic decision making while refining their skills in time management and efficiency.
Fellows will also rotate through five mandatory, pre-arranged electives (including acute pain/regional anesthesiology and neuroradiology) and whichever three out of four specialties they did not train in for residency: anesthesiology, neurology, physical medicine and rehabilitation and psychiatry.
Your Faculty
Danielle Bodzin Horn, MD
Assistant Professor, Clinical Anesthesiology
Director, Pain Medicine Fellowship Program
Melvin Gitlin, MD
Professor, Clinical Anesthesiology
Roy Levitt, MD
Professor, Clinical Anesthesiology
Dennis J. Patin, MD
Associate Professor, Clinical Anesthesiology
Chief, UHealth Tower/Sylvester Comprehensive Cancer Center
Constantine Sarantopoulos, MD
Director, Pain Management Service
Professor, Clinical Anesthesiology
Kelly De Souza, MD
Assistant Professor, Clinical Anesthesiology
Alumni Placements Include:
Baylor University Medical Center/Baylor Scott & White Health
Bruce W. Carter Department of Veterans Affairs Medical Center
CoxHealth Pain Medicine Center
Health First Holmes Medical Group/Regional Medical Center
Laser and Surgery Center of the Palm Beaches
Miami Wellness – Pain Relief Center
Memorial Healthcare System
Mount Saint Mary College
Piedmont HealthCare
Restore Medical Partners
The Johns Hopkins Hospital
University of Miami Medical Group
Alumni Placements Include:
Baylor University Medical Center/Baylor Scott & White Health
Bruce W. Carter Department of Veterans Affairs Medical Center
CoxHealth Pain Medicine Center
Health First Holmes Medical Group/Regional Medical Center
Laser and Surgery Center of the Palm Beaches
Miami Wellness – Pain Relief Center
Memorial Healthcare System
Mount Saint Mary College
Piedmont HealthCare
Restore Medical Partners
The Johns Hopkins Hospital
University of Miami Medical Group