Residency/Fellowship

Beth Israel Fellowship
in Pain Medicine & Palliative Care

Pain Medicine Fellowship
Interventional Track
Medical Track
Fellowship in Hospice and Palliative Medicine
Description of Department
Application Process
Contact Person


Pain Medicine Fellowship

The Department of Pain Medicine and Palliative Care (DPMPC) offers a one-year ACGME-accredited Fellowship in Pain Medicine (sponsor: Department of Anesthesiology, Icahn School of Medicine at Mount Sinai).

Structure of the Physician Fellowship Program

The Fellowship in Pain Medicine (Ronald Kaplan MD, Program Director) encompasses a core program combined with one of two tracks. Those fellows who concentrate in the interventional track will be expected to acquire competencies in the use of interventional techniques while becoming well informed about the medical management of pain. Fellows who concentrate in the medical track will be expected to acquire a high level of skill in medical management while becoming well informed about interventional approaches.

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Interventional Track

Learning Objectives

The interventional pain fellowship will train the Fellow to:

  • Take a comprehensive pain history and perform a physical/neurological examination
  • Order and interpret appropriate tests
  • Recognize common pain syndromes and assess relevant comorbidities
  • Document all findings and differential diagnoses
  • Use findings to develop treatment plans
  • Educate the patient and family regarding the treatment plan
  • Perform common pain management procedures, including interventional techniques such as nerve blocks, local anesthetic and neurolytic blocks, radiofrequency and cryo lesioning, major neuraxial analgesia via epidural and intrathecal infusions, epidural steroid injections, spinal stimulation, placement of implanted epidural or intrathecal catheters, placement of dorsal column stimulators, placement and programming of PCA pumps and neurolytic blocks
  • Initiate pharmacological pain management techniques
  • Integrate non-pharmacological approaches into a therapeutic strategy for pain
  • Provide continuity of care through follow up phone calls, inpatient and outpatient visits

Schedule of Rotations

7 months = interventional skills
2 months = consultation team
1 month = Hospice/Palliative Care/Pain inpatient unit
1 month = Acute Pain Service
1 month = time off

The Fellow also has a weekly Continuity Clinic, a research practicum, and at least one didactic lecture and at least one journal club presentation during the year.

Active participation in Departmental conferences and meetings is expected by the Trainee.

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Medical Track

Learning Objectives

Following the medical pain fellowship, the trainee will be able to:

  • Take a comprehensive pain history and perform a physical/neurological examination
  • Recognize pain syndromes and assess relevant co-morbidities
  • Order and interpret appropriate tests
  • Document all findings and differential diagnoses
  • Use findings to develop treatment plans
  • Educate the patient and family regarding the treatment plan
  • Initiate pharmacological pain management techniques
  • Integrate non-pharmacological pain management approaches into a therapeutic strategy for pain
  • Provide continuity of care through follow up phone calls, inpatient and outpatient visits
  • Understand indications for referral to interventional pain management specialists and understand the techniques involved, the expected outcomes and the potential complications.

Schedule of Rotations

4 months = consultation team
3 months = inpatient unit
1 months = acute pain service
3 months = interventional skills
1 month = other, time off

The Fellow also has a weekly Continuity Clinic, a research practicum, and at least one didactic lecture and at least one journal club presentation during the year.

Active participation in Departmental conferences and meetings is expected by the Trainee.

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Fellowship in Hospice and Palliative Medicine

The Department of Pain Medicine and Palliative Care (DPMPC) offers a one-year Fellowship in Pain Medicine (sponsor: Department of Family Medicine, Mount Sinai Beth Israel).

The Fellowship in Hospice and Palliative Medicine (Eric Walsh, MD, Program Director; Myra Glajchen, DSW, co-director) offers a broad training opportunity in palliative care and hospice care. The fellowship is accredited by a national accrediting body, the Palliative Medicine Review Committee. Within the next year, Accreditaion is expected via the Family Medicine Residency Review Committe of ACGME.

Learning Objectives

Following the pain and palliative medicine care fellowship, the trainee will be able to:

  • Conduct a comprehensive history and physical/neurological examination
  • Develop and implement a care plan for patients who require specialist-level palliative care in either a hospice or nonhospice setting
  • Integrate knowledge from various disciplines, diagnostic tests and clinical data in developing care plans
  • Coordinate comprehensive palliative care plan for patients with advanced illness
  • Function as a member of an interdisciplinary team in inpatient and home care settings
  • Understand the pathophysiology of common symptoms in advanced disease, including pain, fatigue, depression, dyspnea, delirium, cachexia
  • Provide advanced symptom control
  • Understand the specific issues surrounding end-of-life care and contribute to a care plan that optimizes the likelihood of a comfortable and dignified death
  • Communicate with and educate patients and families
  • Engage in decision-making and conflict resolution related to end-of-life care
  • Discuss advance directives and goals of care, and understand the ethical considerations involved in end-of-life care, including DNR orders, nutrition and hydration, and the withholding and withdrawal of life-sustaining therapy
  • Make appropriate referrals to other disciplines and specialists
  • Understand the structure, functioning and regulatory aspects of hospice
  • Plan and coordinate outpatient follow-up

Schedule of Rotations

4 months = inpatient unit
2-3 months = consultation team
4 months = hospice and palliative home care
1 month = other, time off

The Fellow also has a weekly Continuity Clinic, a research practicum, and at least one didactic lecture and at least one journal club presentation during the year.

Active participation in Departmental conferences and meetings is expected by the Trainee.

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Description of Department

The Department has two clinical divisions-the Pain Division and the Palliative Care Division; the two academic divisions comprise the Institute for Education and Research in Pain and Palliative Care and the Research Division. A certified hospice program, Continuum Hospice Care/The Jacob Perlow Hospice, is closely aligned to the department. The pain medicine attending staff includes three anesthesiologists, two physiatrists, and one neurologist, The palliative medicine attending staff includes two family medicine physicians, three internists, two psychiatrists, and one pediatrician. These physicians are either full-time at Mount Sinai Beth Israel, or part-time Hospice Medical Directors working at other sites. The department's table of organization also includes numerous advance practice nurses (nurse practitioners and clinical nurse specialists), one social worker; one chaplain; research staff; and support staff. A pain psychologist on staff is available for consultations prior to procedures and manages group therapy sessions for pain patients.

The clinical services of the Department of Pain Medicine and Palliative Care are provided through separate inpatient consultation services for acute pain, chronic pain and palliative care, an 18-bed Pain, Palliative Care and Hospice Inpatient Unit (the "IPU"), and ambulatory practices at the Phillips Ambulatory Care Center. Continuum Hospice Care has home care teams for the Bronx, East and West Manhattan, and Brooklyn/Queens; an additional inpatient hospice unit will soon be opened at Long Island College Hospital, and a hospice residence is open in the Bronx.

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Application Process

If you are interested in applying for a fellowship, please download and complete the application form, checklist and activity sheet from the Department of Pain Medicine & Palliative Care at Mount Sinai Beth Israel.

Applications are accepted on a rolling basis, beginning in the May prior to the start of the training year. Applications are reviewed by members of the Department's Education Committee, however, owing to the volume of applications, only selected applicants will be granted a face-to-face interview with Department faculty. On site interviews take place in September and October, and fellowship offers are made in November. After that time, applications will be kept on file for future reference.

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Contact Person

If you have other questions related to the fellowship, please contact Dr. Myra Glajchen as listed below. Completed application packets should be mailed to:

Myra Glajchen, DSW
Department of Pain Medicine and Palliative Care
Mount Sinai Beth Israel
1st Avenue at 16th Street
New York, NY 10003
Tel: (212) 844-1472
Fax: (212) 844-1503
Email StopPain@chpnet.org

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