Regional Anesthesiology & Acute Pain Medicine

Exciting News Bulletin: Duke Anesthesiology is proud to announce that its Regional Anesthesiology & Acute Pain Medicine Fellowship became officially recognized on March 30th by the Accreditation Council for Graduate Medical Education! Stay tuned for more details…

About the Fellowship

The purpose of the Fellowship is to develop a set of standards for subspecialty in ambulatory and regional anesthesia. This fellowship program will ensure the ongoing development of regional anesthesia as a defined subspecialty. Research activities, education curricula and most importantly, clinical care will be emphasized.

  • Development of expertise in the practice and theory of regional anesthesia
  • Assessment of anesthesia needs and options for patients having procedures in the ambulatory setting: develop anesthesia plan with necessary interventions to minimize risk
  • Medical evaluation of patients from history and physical examination to determine anesthesia risks; establish benefits of regional anesthesia
  • Understanding the medical benefits and advantages of regional anesthesia especially in high-risk patients and geriatric patients in the ambulatory setting
  • Recommendations and consultation in postoperative pain management, evaluation of regional anesthetic intervention in the management of acute postoperative pain
  • Learn and hone the techniques of regional anesthesia understanding the specifics of anatomy involved in the performance of paravertebral blockade
  • Application and supervision of appropriate treatment protocols
  • Assisting with clinical data collection
  • Participate in research projects, presentations and teaching

The Fellowship in Ambulatory/Regional Anesthesia is designed to provide advanced training in anesthesia in the ambulatory surgery setting. This program will be an extension to previous training with an emphasis on a continued educational component to include research, clinical and teaching responsibilities. The program will train participants in various regional anesthesia techniques that are used to enhance the perioperative experience of one day surgery patients. These anesthesia techniques are beneficial in their postoperative pain management and in the reduction of postoperative nausea and vomiting. The anesthesiologists in the fellowship will also gain invaluable experience with the use of continuous peripheral nerve catheters which control pain up to 2-4 days after surgery. The fellows continue the use of general anesthesia during their fellowship, however, the mission and objective of the fellowship is to teach the specialized advanced regional anesthesia techniques. Mastering of the various techniques will prepare the fellowship participant to successfully utilize these skills to provide anesthesia and analgesia options to the ambulatory surgery population.

Fellows will be encouraged to submit an abstract at the American Society of Anesthesiologists annual meeting as well as conduct clinical investigations and clinical outcome studies for Regional Anesthesia.

A further objective of the fellowship is for the participant to develop a working knowledge of the fast pace of an ambulatory surgery center. It will be important to evaluate anesthesia risk and necessary interventions to minimize risk as well as understand how to safely and successfully provide optimal anesthesia care to patients in this setting.

A successful fellowship participant will soon be able to identify the best regional anesthesia technique suited for the type of surgery to be performed. During the training, the ability to reach the proper conclusion regarding the anesthesia techniques to be utilized for special procedures is evaluated.

The development of the skill and technique to administer the necessary regional anesthesia techniques is the primary goal and objective of the fellowship. This learning process is monitored and supervised closely by the attending anesthesiologists in the Division of Ambulatory Anesthesia.

The program curriculum is established by the attending anesthesiologists in the Division of Ambulatory Anesthesia all of whom are Board Certified Anesthesiologists or equivalent and have completed a fellowship in regional anesthesia and are practitioners in a division which demonstrates expertise in regional anesthesia. The program is reviewed yearly by the teaching group of anesthesiologists.

The work environment allows fellows to have a non-clinical day per week to dedicate to research and project activities. Duty hours for the fellow are posted on the operative schedule and begin at 6 am and end when the last patient is discharged from PACU or housed in the Recovery Care Center with appropriate orders written. Duty call is monitored daily. Fellows are required to attend Anesthesiology Grand Rounds and are encouraged to attend other Departmental educational sessions. Fellows represent the Department at national meetings, conferences as well as prepare in-service teaching on site departmentally. Fellows are expected to be involved in at least one publication while participating in the fellowship.

Contribute to the science of regional and ambulatory anesthesia by participating in clinical and/or laboratory research-given non-clinical time to fulfill these goals. Participate in the didactic curriculum for resident education and other clinical teaching. Academic education objective which assures skill development in:

  • the ability to formulate clinically relevant hypotheses in regional and ambulatory anesthesia
  • execution of research projects
  • introduction to statistical analytical techniques utilizing patient outcomes database
  • presentation of research at an educational meeting while participating in the fellowship.

Fellows participate in research, outcomes, writing for journals and publications as well as in-service training to nursing staff, etc. Fellows participate in journal clubs, roundtable discussions, grand rounds and lectures. There are opportunities for the fellow to become involved in research already in progress or to develop an original project. Activities considered as academic projects include a research paper or case report submitted to a peer-review journal and presentation of a clinical chart review or a review article submitted to and accepted by a peer-reviewed journal, a book chapter or other endeavor.

Duke Academic Evening Presentations –  Ambulatory and Regional Fellowship  year 2014-2015

Ultrasound Guided Suprainguinal Fascia Iliaca (SIFI) Nerve Block For Total Hip Arthroplasty Click to view PDF. – W. Michael Bullock, MD, PhD
Rare Events in Anesthesia: The Case for Emergency Manuals in the Perioperative Setting Click to view PDF. – Ryan Mountjoy, MD
Interscalene Sonoanatomy : A Cadaver Study Click to view PDF. – Jordan Taylor, MD

Duke Anesthesiology’s Don Moede, CRNA, Sid Sata, DO, and Marcy Tucker, MD (pictured left to right), prepare to perform a regional block on a patient during a mission trip in Honduras as part of the Touching Hands Project.
Duke Anesthesiology’s Don Moede, CRNA, Sid Sata, DO, and Marcy Tucker, MD (pictured left to right), prepare to perform a regional block on a patient during a mission trip in Honduras as part of the Touching Hands Project.

Our Current Fellows

Irfan Samee, MD
Siddharth Sata, MD
Evan Sutton, MD

William Bullock, MD
Ryan Mountjoy, MD
Jordan Taylor, MD

Earl Wilson, MD
Thomas Maliakal, MD
David Tunnel, DO

Brian Ohlendorf, MD
Stephanie Chen, MD

Hanni Monroe, MD
Karthikeyan Srinivasan, MD
Kavita Kantak, MD

Jay Kher, MD
Juliann Hobbs, MD
Michael Shaughnessy, MD

Patrick Armstrong, MD
Jennifer Sposito, MD
Sean Dobson, MD

Erin Rose, MD
Mitchell Fingerman, MD
Joshua Dooley, MD

Kristie Osteen, MD

David Auyong, MD
Jeffrey Gonzales, MD
James Benonis, MD

Robert Schlosser, MD

Reginald Julien, MD
Fernando Altermatt, MD

Scott Croll, MD
Holly Evans, MD

Scott Helsley, MD
Nadeem Ahmed, MD

Trenton Pierce, MD

Chester “Trip” Buckenmaier, III, MD
Yair Rubin, MD
Adil Kamar, MD

Karen Nielsen, MD
Stuart Grant, MD

Jennifer Charlton, MD

How To Apply

  • Completed anesthesiology residency
  • Original USMLE transcripts (at least parts I & II with part III to be completed)
  • Completed application form
  • Personal statement
  • Three letters of reference
  • Curriculum vitae

May 31st prior to fellowship year.

From June 1 to July 15
Interviews will be completed by July 15 prior to fellowship year.

About the Durham Area

Life in Durham is often described as “easy living,” and its numerous accolades are a testament to this. The cost of living is relatively low and traffic jams are nearly non-existent. Grocery stores and shopping centers are conveniently located and easily accessible no matter where you live.

The Research Triangle, and Durham in particular, offers plenty of great food and activities for residents and their families. Numerous local restaurants have been featured in The New York Times and many well-known gourmet food magazines, and Durham was recently named The South’s Tastiest Town by Southern Living. There are multiple different famers markets during the summer months, with the Raleigh farmers market open year-round.

Live music is offered on Friday evenings during the summer months at the American Tobacco Lawn (Music on the Lawn) and in Chapel Hill at the Carolina Inn (Fridays on the Front Porch). Durham is home to the Durham Bulls Minor League Baseball team. Homes games are always fun to attend. The patio of the sports bar, Tobacco Road, which borders the outfield, is a crowded and lively scene during the games.

College basketball season is always an exciting time at Duke. Although tickets for the Cameron Stadium games are not easy to obtain, many enjoy watching the game at local bars and restaurants with friends.

For the outdoor enthusiast, Duke Forest and the American Tobacco trail are great places to run and bike. Eno River offers a scenic place for canoeing, fishing, camping and hiking. Jordan Lake and Falls Lake are nearby and are convenient locales for boating and swimming.

For a quick weekend getaway, the North Carolina beaches are within a 3-hour drive. Asheville, NC is a 3-hour drive and is home to the famous Biltmore Estate. It is also a great place for mountain sports such as hiking, trail running, ziplining, rafting and biking. Additionally Charlotte is only 130 miles away, and Washington, DC is only 250 miles, meaning both can easily be reached by car.

The camaraderie among our residents is unmistakable and strong friendships are inevitable. Residents often attend parties and functions at each other’s homes. There is a weekly Wednesday evening tradition of gathering at a local restaurant for food and drinks to “celebrate half week.” In the past few years, residents have participated in many extra-curricular activities together, including playing on an city soft ball team, TOUGH-MUDDER extreme physical challenge teams, running half-marathons (and 5ks), dance classes, going to the beach, and going camping, to name a few.

Learn more about why Durham by visiting highlights from the Duke Undergraduate Admissions website and the NY Times article on 36 hours in Durham.

Contact Us

Karen C. Nielsen, MD
Fellowship Director
Department of Anesthesiology, Ambulatory Division
PO Box 3094 #4
Duke University Medical Center
Durham, NC   27710

Jeffrey Gadsden, MD
Associate Fellowship Director
Department of Anesthesiology, Ambulatory Division
PO Box 3094 #19
Duke University Medical Center
Durham, NC   27710

LuAnne Latta
Fellowship Coordinator
Department of Anesthesiology, Ambulatory Division
PO Box 3094 #4
Duke University Medical Center
Durham, NC   27710
Phone: 919-681-9941
Fax: 919-668-2081