Overview

During this rotation, you'll learn how to manage patients with chronic pain during an acute exacerbation, be exposed to various pain procedures, and manage/troubleshoot catheters in an inpatient setting. The acute pain office is located on the ground floor of 300P, room number HF051.

You will work with our excellent APP team to round on patients, see new consults, etc. During the day, the APPs carry the 2-PAIN pager (acute pain consult pager) and will help distribute the workload. 

Overnight, you will carry the 2-PAIN, BLOCK pagers +/- the 300P Airway Pager (HERE), serve as backup support to the OB team (algorithm below), backup for the ORs if a code stroke and be the resident responsible for any overnight block requests. You will see patients coming out of the OR late with nerve blocks/acute pain consults, see new consults overnight, respond to code blues/airway emergencies, and potentially perform femoral nerve catheters or ESP catheters for femoral/rib fracture protocols, respectively. We know that this is a lot of roles and can be overwhelming. The best resource to start with is the acute pain website above that includes pdfs with details of our hip fracture protocol, OB emergencies, etc. Please review this at the start of the rotation.

Please remember to take over both the 2-PAIN and BLOCK pagers at the start of your call shift by calling the operator to prevent gaps in coverage. 

Contacts

Rotation Director: Einar Ottestad (ottestad@stanford.edu) 

APP Lead: Jason Low (chlow@stanfordhealthcare.org) 

Schedule

• Day Shift: 7a - 6p M-F

• Night Shift: 6p-7a (variable, both acute and chronic pain residents help cover nights)

  • • When on acute pain night call you will be covering the acute pain pager + regional block pager +/- 300P airway pager. In addition, you provide backup service to the OB team if they need extra hands! This can mean a lot of different hats you are wearing at one time!

• Lectures: You will be relieved for your class lecture by the APPs on service!

• Will usually do 1 to 2 weeks of night shifts depending on the number of residents on service

• Usually have 2 out of 4 weekends off

Pagers

• 2-PAIN (x27246) = Acute Pain Consult Pager

• BLOCK (x25625) = Regional Anesthesia Consult Pager

Overview

Your rotation will take place between Stanford Hospital and the Redwood City Outpatient Center (pain clinic). There are several steps to do in advance of your rotation for parking access, etc at RWC, so please review the Chronic Pain Website above for a proper orientation!

Your experience will include chronic pain clinic, exposure to chronic pain procedures, and some overnight acute pain service coverage at the main hospital.

Schedule

Alexis Salas will email you a schedule prior to the start of the rotation which lets you know who you are working with, where, and on what day. 

Clinic: Prior to clinic this is education/teaching (please see the education calendar). Generally, M/F 7am lecture, and T-Th 8am lecture. Clinic starts at 8:30pm and runs till 5pm. There is a break as 12-1pm for lunch, often with teaching/conference. 

Procedures: Run similar to OR (M 8:15 am first case, rest of the week 7:15 am first case). You are welcome on your procedure days to excuse yourself and go to teaching; this is expected on Mondays and Fridays. 

You can see who is working where on amion.com (password p@in). A1 is the attending working with 2 fellows, A2, is often working with one fellow, other As are attendings working solo. C1-3 are the fellows. OSC lists the attending working that day. 

Anuj Aggarwal, MD

Associated Program Director Pain Management Fellowship

Rotation Director, Chronic Pain (Residents)

Clerkship Director, Pain Management  (Medical Students)

akaggarw@stanford.edu

Meredith Barad, MD

Program Director Pain Management Fellowship 

Association Division Chief, Education 

mbarad@stanford.edu 

Einar Ottestad, MD

Rotation Director, Acute Pain (Residents)

ottestad@stanford.edu

Ashley Johnson

Administrative Assistant 

Fellowship Coordinator 

ashley85@stanford.edu

Alexis Salas 

Administrative Assistant 

Coordinates residents and medical students on rotation

adsalas@stanford.edu

Yun Tao

Administrative Assistant 

Coordinates registration for medical students on clerkship

yuntao@stanford.edu