Drexel University College of Medicine
Hahnemann University Hospital
Podiatric Medicine & Surgery Residency (PMSR)
Reconstructive Rearfoot & Ankle (RRA)
PAIN MANAGEMENT ROTATION
Goals: A rotation that allows the resident to directly observe and monitor a patient with chronic
pain under the supervision of a pain management specialist. Skills enhanced during this rotation
include understanding the definition of pain, how patients demonstrate pain, how to assess and
manage chronic pain, theory and application of peripheral nerve blocks, and understanding the
relationship between pain and function.
Competencies: The resident will be able to demonstrate the following competencies:
1. Demonstrate competency in obtaining thorough history from patients with a focus
on patients acute and chronic pain complaints
2. Demonstrate competency in the different etiologies of common pain syndromes
and identify these in an outpatient setting
3. Understand the indications and use of physical therapy, pharmacologic agents,
nerve blocks, psychosocial support in the treatment of pain
4. Understand and perform assessment in pain and function
5. Demonstrate the ability to write reasonable prescription for patients with acute
and chronic pain
6. Understand the pharmacology of opiates, non-narcotic analgesics, and
nonsteroidal anti-inflammatory agents
7. Understand the side effects and complications of acute and chronic pain
management modalities