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Advanced Pain Module

Regional Advisor:   Dr Allistair Dodds  

The Advanced Pain module is suitable for all trainees wishing to pursue a career in Chronic Pain Medicine or as an Acute Pain Lead Clinician. It comprises a year secondment to either the Royal Victoria Infirmary or James Cook University Hospital pain clinics, though there are opportunities to work in the larger DGH’s too.    As an Advanced Pain Trainee (APT) your day time commitment will be exclusively to pain medicine, you will maintain your anaesthetic skills by participating in the on call anaesthetic rota for your base hospital.

You will receive intensive training in pain medicine, working in outpatients to develop your interview skills, diagnostic skills and knowledge of imaging. You will become expert in the use of analgesics and develop a biopsychosocial approach to holistic care.  About 1/3 of your time will be spent in theatre acquiring interventional skills that will include the use of  radiologically guided blocks, ultrasonography and neuro-ablative procedures. You will become familiar with the use of neuromodulation and implantable devices.

As part of your training you will learn the advanced management of cancer pain, spending time in palliative medicine and learning about neuro-destructive procedures. There are opportunities to explore paediatric pain and will receive training from medical colleagues e.g. rheumatology.

The module develops key aspects managerial & governance strategies. MDT working and team leadership are essential. You will have a better understanding of the commissioning process and business planning.  There are ample opportunities for audit, research and publication.

The module involves working in small teams, working towards increasing levels of autonomy. You will develop the skills to work as an independent consultant with your own patients rather than exclusively as part of an anaesthetic service provider. Having successfully completed APT there are many opportunities for employment in this shortage speciality and you will be in a position to explore private practise as an autonomous practitioner.

In order to secure a place on this part of the rotation you should arrange a meeting with the Regional Advisor in Pain Medicine, as soon as is practicable.