Arrowhead Regional Medical Center Rotation
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This rotation takes place at the Arrowhead Regional Medical Center in Colton, CA.  It is located approximately 5 miles west of Loma Linda just off of the I-10. ARMC is a major burn center, and is a Level One trauma center serving the County of San Bernardino. Two days per week the resident is in the OR, and can expect to receive experience in burn cases, trauma, and regional anesthesia as well as other general anesthesia type cases.

The chronic pain portion will provide the resident with a broad overview of the different interventional modalities that are incorporated for the management of chronic pain. The rotation will emphasize fluoroscopically guided neuraxial and advanced surgical modalities that are meant to alleviate chronic pain conditions such as chronic low back pain and neck pain. In addition, it will assist the resident with understanding different mechanisms and pathophysiology of chronic pain disorders and the medication management that is utilized for the treatment.

The rotation is usually 3 days per week with anesthesiologists who are board certified in the specialty of pain medicine. By the end of the rotation that resident is expected to achieve competency measures of demonstrating knowledge of general principles of evaluation and management of patients with chronic pain. In addition the resident will demonstrate knowledge of specific diagnostic and treatment modalities (indications, contraindications, complications, technique, and outcome measures) for treatment of pain. The resident will comprehend different interventional modalities that are performed for chronic pain conditions and be able to perform some basic interventions. Lastly, the resident will be able to use different narcotics and non- narcotics medications for the management of pain and the theory of multi-modal analgesia.

Most importantly, it is crucial that the knowledge learned to be integrated for assisting in pain control in the anesthesia peri-operative setting.

The OR portion of this rotation is directed by Steven Barr, MD; the Pain portion is directed by
Baher Boctor, MD.