The University of Ottawa Faculty of Medicine’s Department of Anesthesiology and Pain Medicine offers a one-year Fellowship in Acute Pain Management at the Civic and General Campuses of The Ottawa Hospital. The Fellow will spend six months at each campus. There are two positions available per year.
The Ottawa Hospital is one of the largest and busiest teaching hospitals in Canada. Our Acute Pain Service (APS) was established in 1990, the first in Canada. Over the past 25 years it has maintained its position as a leader in innovation and safe acute pain management. The APS provides coverage for over 5,000 patients per year and is staffed by a multidisciplinary team of physicians and nurses. The Fellowship is designed to help participants become medical experts in acute pain management as well as develop the administrative skills necessary to develop or lead an Acute Pain Service.
Fellows will gain practical experience managing routine and complex post-operative pain following a variety of surgeries including those in trauma, spine, vascular, thoracic, orthopedic, gynecological and general surgery. We employ a number of advanced acute pain modalities including intravenous patient controlled analgesia, thoracic and lumbar epidural analgesia and continuous regional analgesia techniques. We have developed a number of protocols and introduced the use of novel systemic therapies such as IV lidocaine and ketamine added to the opioid PCA. These are important components of enhanced recovery after surgery (ERAS) for which we are a leading centre.
We are also one of the few centres in North America that use an advanced, wireless, electronic medical record to document our APS activities. This greatly facilitates care on our service. It also provides a wealth of data that can be used for quality assurance or research purposes. Opportunities for further software or database development are available for those who are technologically minded.
Through the APS Fellowship, we expect the Fellow will become a clinical expert in the management of ERAS, opioid tolerance and acute on chronic pain, amongst others.
The Fellow will be challenged to create an APS-related quality assurance project during their fellowship. It is expected that this project would benefit the APS in some tangible way and provide some practical experience in creating change within a large academic institution. This could be further developed into a research project. Non-clinical time will be provided to facilitate this project and the Fellowship directors will provide ongoing advice and support.
Fellows will also be expected to actively participate and possibly lead in the bi-monthly APS teaching rounds, which are attended by other staff, residents and Fellows.
Approximately 60% of the time during the fellowship will be participating in APS activities or related non-clinical time. The remainder of the time will be spent providing anesthetic services independently in the main operating room.
Thank you for considering the Acute Pain Management Fellowship.
Co-Directors, Acute Pain Fellowship