Regional Anesthesia and Acute Pain Medicine Fellowship

Established in 2012, the Montefiore Einstein Regional Anesthesia and Acute Pain Medicine Fellowship has been a world-class training program for leaders in the sub-specialty for more than a decade. In the first year of accreditation in 2017, Montefiore Einstein’s program became one of nine inaugural ACGME-accredited fellowship programs in the country. Since its inception, the fellowship has grown to 5 positions – 3 ACGME-accredited fellowship positions (applications accepted through the SF Match) and 2 combined attending/fellowship positions (separate interview process). All positions are open to candidates who have successfully completed residency training in anesthesiology at an accredited training program and who are board-eligible or certified in anesthesiology.

Clinical Experience

The Montefiore Einstein Regional Anesthesia and Acute Pain Medicine Fellowship emphasizes the perioperative management of patients receiving neuraxial and/or peripheral nerve blockade for anesthesia or analgesia. Fellows will become experts in the practice and theory of regional anesthesiology and acute pain medicine. The fellowship focuses on multimodal analgesic techniques such as neuraxial and peripheral nerve catheters, local anesthetics and narcotic infusions, and non-narcotic analgesic adjuvants with an emphasis on indications, contraindications, side effects, potential complications, and daily management of patients on the acute pain service.

The fellowship program is a collaboration between the main teaching centers at Montefiore Einstein's Wakefield Hospital and the outpatient-based Hutchinson Ambulatory Surgery Center. Rotating between the two campuses, the fellows care for patients undergoing a wide range of procedures, including orthopedic, vascular, plastic surgery, and general surgery in both inpatient and outpatient settings.

Wakefield Hospital has received the Joint Commission’s Advanced Certification for knee replacement surgeries and is our Joint Replacement Center and main orthopedics hospital. Wakefield houses Montefiore Einstein’s busiest Acute Pain Service, and fellows learn the art of perioperative analgesia and regional anesthesia techniques to optimize preoperative pain management for complex inpatients.

Montefiore Einstein’s Hutchinson Campus provides fellows with experience in an exciting, fast-paced outpatient ambulatory regional service environment. Using innovative nerve block techniques, they work preoperatively to optimize the flow of outpatient surgery

At both facilities, fellows have access to a wide range of nerve block techniques and the ability to perform peripheral nerve catheters and neuraxial blocks. Fellows also complete rotations at Montefiore Einstein's Moses Campus, the Children’s Hospital at Montefiore Einstein, and Weiler Hospital for a well-rounded training experience.

Throughout the program, fellows will become experts in:

• Acute pain management procedures
• Acute pain management for chronic pain patients
• Upper extremity blocks and catheters: interscalene, supraclavicular, infraclavicular, axillary
• Lower extremity blocks and catheters: femoral, lateral femoral cutaneous, obturator, IPACK, sciatic, saphenous (adductor canal
• Truncal blocks: paravertebral, TAP, rectus sheath, quadratus lumborum, ESP, TTP, PECs and serratus anterior
• Airway blocks for fiberoptic intubation
• Neuraxial blocks

Educational Experience

Through their clinical and academic training, Montefiore Einstein’s fellows learn how to become leaders and educators in regional anesthesiology and pain medicine. Fellows participate in educational activities including Grand Rounds, Journal Club, regional anesthesia workshops, and clinical and/or laboratory research. In addition, the Department of Anesthesiology holds a monthly Fellows’ College conference that unifies all clinical Anesthesiology fellows covering topics including the business of anesthesia, medical litigation, and financial planning.

Our Regional Anesthesiology faculty mentor our fellows and are actively involved in a variety of quality improvement and research projects to which all fellows contribute. Fellows also have the opportunity to attend and present their research at national conferences including the Regional Anesthesiology and Acute Pain Medicine Meeting.

How to Apply: Two Application Tracks

1) ACGME-Accredited Regional Anesthesiology Fellowship [3 positions available]
– Applications for the 2024-2025 fellowship year are currently being accepted through SF Match.

2) Combined Attending/Fellowship [2 positions available]

Download application form

– Please email applications to Program Administrator, Ms. Debbie Lopez, at deblopez@montefiore.org

For further information about the fellowship, please contact our Program Director: