scholarly journals The Schulich Pain Medicine residency

2018 ◽  
Vol 87 (1) ◽  
pp. 65-67
Author(s):  
Dino D'Andrea ◽  
Emily N Dzongowski

Dr Bellingham completed his medical school and anesthesiology residency at Western University. He followed this with a fellowship in Chronic Pain Management at the University of Toronto, with a focus on interventional pain management using fluoroscopy and ultrasound guided techniques. Dr Bellingham returned to Western University to work in the Department of Anesthesia and Perioperative Medicine in his capacity as an anesthetist and as a chronic pain specialist. Here at Western, he directs the Pain Clinic at St. Joseph’s Health Care and also played a key role in the development of Canada’s first Pain Medicine residency program. We had an opportunity to chat with Dr Bellingham and discuss a wide range of topics including his choice of career path, the Pain Medicine residency program, and other pain medicine topics in the context of the current opioid epidemic.

2018 ◽  
Vol 87 (1) ◽  
pp. 14-15
Author(s):  
Sandra Botros

Dr Earl Russell (1920-2008) was a Canadian anesthetist and pain specialist who spent the majority of his career as a Western University faculty member and a pain physician in Southwestern Ontario. Dr Russell obtained his medical degree at Western, graduating in the class of 1950, and went on to serve in the Korean War as a medical officer. It was in Korea that he began developing a keen interest in pain medicine, using self-taught anesthesia skills to help soldiers suffering from frostbite. He returned to Canada and focused the rest of his career on the practice and advancement of pain medicine, and endowed the Earl Russell Chair in Pain Management in order to fund future research and education in the field. This article highlights the importance of his contributions to the field, in particular through his creation of the Earl Russell Chair, and how this led to the first Pain Medicine residency program in Canada at Western University.


Author(s):  
Jeremy Prout ◽  
Tanya Jones ◽  
Daniel Martin

This chapter summarizes the assessment and management of acute and chronic pain for FRCA. Pain pathways and physiological consequences of pain are considered along with sites of action and the pharmacology of common analgesics. Assessment of pain for different patient groups and settings is explained. Pain management strategies, pharmacological, non-interventional and interventional techniques are described, including multidisciplinary management of chronic pain. Specific management of some common chronic pain conditions, such as trigeminal neuralgia, are discussed in more detail.


Author(s):  
Michael E. Schatman

Even though the efficacy of interdisciplinary pain management programs is supported, their numbers have decreased and the vast majority of Americans with chronic pain do not have access to them. Insurance companies do not want to pay for these services, hospitals believe they are financial losers, and the opioid crisis has placed a pall over the practice of pain medicine. The demise of these programs has left pain medicine in a fragmented state. Few healthcare providers who treat chronic pain patients have the time to coordinate care by multiple professionals The opioid crisis seen in certain areas, such as Appalachia, may be related to the lack of these interdisciplinary programs. There should be concerted efforts to increase access to and funding of these programs. Although they are not a panacea for all types of chronic pain, they can improve patients’ well-being and function and reduce their need for opioid medications.


Pain Medicine ◽  
2020 ◽  
Vol 21 (11) ◽  
pp. 2743-2747
Author(s):  
Miles Belgrade ◽  
Andrea Belgrade

Abstract Objective Numerous forces shape the practice of pain management: scientific advances, technical advances, societal expectations, public health crises, reimbursement factors, and the parameters of who gets trained and what motivates the trainees. In this observational study, we sought to determine expressed motivations for entering the subspecialty of pain management, and in particular whether applicants were more interested in procedural skills (our hypothesis) or rehabilitative and cognitive practices. Methods We analyzed the personal statements of 142 applicants to the University of Minnesota’s pain medicine fellowship program. In addition to those themes, the personal statements were scrutinized for other themes such as interest in teaching and research. Comprehensive vs interventional/procedural interests were coded by a group of four research assistants who were trained using practice essays until they achieved high interrater reliability (alpha > 0.8). Two of the researchers coded for additional themes on a two-point scale indicating presence or absence of a particular theme. When they did not agree, a third researcher broke the tie. Theme prevalence was compared by specialty and gender. Results Residents expressed interest in interventional and comprehensive pain practice without significant differences; however, there were specialty and gender differences in other themes such as teaching, research, and leadership in program development. Conclusions If pain specialty training is going to meet the needs of prospective residents, patients, and society, we should do more to attract women and neurology and psychiatry residents. We should include more opportunities for research and the flexibility to educate trainees who may not pursue a procedural practice.


1974 ◽  
Vol 19 (2) ◽  
pp. 193-200 ◽  
Author(s):  
Betty W. Steiner ◽  
Paul E. Garfinkel ◽  
R. C. A. Hunter

This paper draws attention to the problem of attrition in a psychiatric residency program by reviewing the outcome of training of all physicians accepted for psychiatric residencies at the University of Toronto over a six-year period. Of the 142 physicians no longer in training, 71 have become certified psychiatrists. Factors associated with success in training are examined. Those residents who are highly unlikely to become certified psychiatrists could be identified in each of the first three years of training. In view of these findings recommendations are made for improved screening of candidates and for dealing with residents who experience difficulties in training.


Ból ◽  
2018 ◽  
Vol 19 (1) ◽  
pp. 42-49
Author(s):  
Magdalena Kocot-Kępska ◽  
Renata Zajączkowska ◽  
Jan Dobrogowski ◽  
Anna Przeklasa-Muszyńska

Understanding the neurobiological mechanisms underlying chronic pain syndromes is a significant progress in modern pain medicine. Understanding the basic differences between acute and chronic pain processes, learning about the mechanisms of transition from acute to chronic pain, allows us to change the approach to pain management from commonly used empirical approach to more rational mechanism-oriented pain treatment. In many patients with chronic pain, empiric therapy, which does not consider the mechanisms of pain, is not fully effective. Often, when planning pharmacotherapy, current knowledge about the pain etiology and mechanisms of pain chronification is not considered. Management based on already known mechanisms of pain, using rational pharmacotherapy and non-pharmacological methods, may improve the quality and effectiveness of pain management.


1974 ◽  
Vol 27 (4) ◽  
pp. 512-532
Author(s):  
Beatrice Corrigan

The Editorial Board of Renaissance Quarterly is most kindly continuing its tradition in Renaissance News by allowing me to publish the third supplement to the Catalogue of Italian Plays 1500-1700 in theUniversity of Toronto Library (University of Toronto Press, 1961). Previous supplements appeared in RN16 (1963), 298-307, and 19 (1966), 219-228. The plays listed below illustrate a wide range of theatrical tastes, from Latin and Italian passion plays, medieval in tradition, to the later dominant vogue for musical dramas. In editions of the latter it became customary early in the seventeenth century to record architects, costumers, and performers, so that the printed plays are a valuable source for stage history. Scenery for four of these dramas was designed by Ferdinando and Francesco Galli di Bibbiena, then at the outset of their careers.


1988 ◽  
Vol 34 (3) ◽  
pp. 280-280
Author(s):  
Gregor Reid ◽  
Andrew W. Bruce

The Lister Symposium was held primarily to review the latest concepts of the mechanisms of bacterial infections, and to highlight the research being carried out currently in Toronto and in Canada. The inclusion of several speakers from outside of Toronto added a strong foundation for the meeting.A wide range of topics were addressed and these demonstrated the many areas of research being pursued to better understand the pathogenesis of microbial infections. By drawing together physicians, scientists, and students from a variety of disciplines, it was hoped that the Lister Symposium would contribute, not only to our knowledge of medicine and science in this field, but also to the continued local and national cooperation required for first-class investigative research.This meeting was the first of its kind held under the auspices of the Department of Surgery at the University of Toronto, demonstrating its commitment to research and interdepartmental collaboration. We are most grateful to Professor Bernard Langer, Chairman of the Department of Surgery, for his support in this regard. The assistance of our sponsors and the Continuing Medical Education Office facilitated a wide outreach and enabled recognition of the course and accreditation for Canadian and American Medical participants. It is hoped that this material will provide a useful reference for future developments in the field.


2019 ◽  
Vol 2019 ◽  
pp. 1-4 ◽  
Author(s):  
Le Shen ◽  
Xin Zhang ◽  
Dawawuzhu ◽  
Labaciren ◽  
Yuelun Zhang ◽  
...  

Pain disease is a worldwide problem.The prevalence of chronic pain in developed and developing countries has been reported in some published research. However, little knowledge of situation of pain clinic in Tibet is known. Tibet Autonomous Region People’s Hospital established the first pain clinic in Tibet. This study collected and analyzed the data of medical records of pain clinic in Tibet Autonomous Region People’s Hospital from September 2017 to August 2018. The results showed that the total amounts of patients visiting pain clinic were very small, the most common pain diseases were postherpetic neuralgia and sciatica, and more female patients visited the pain clinic than male patients. All these results indicate that the hospital and government need to pay more attention to the development and promotion of pain medicine in Tibet to make Tibetans being accessed to high-quality pain clinic service.


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