"Residents arrive at the pain clinic at 7:00 a.m. for didactics, and the first patients of the day are scheduled for 8:00 a.m. The exception to this is on Wednesdays, where residents report to the clinic for a 9:00 a.m. start after the department's Grand Rounds/Morbidity and Mortality conference. Prior to starting the rotation, residents receive a schedule of the month's didactic topics, as well as a schedule of daily assignments...Additionally, a daily email is sent with the following day's updated assignment, which is divided into a morning assignment and an afternoon assignment, with a one-hour lunch break...The day typically concludes between 4:00 p.m. and 5:00 p.m.
When working in the evaluation rooms, residents will function just like the fellows, seeing a mix of patients either for new evaluation, follow-up visits, or non-fluoroscopic procedures...Typically, there are one or two residents and fellows working with each attending. After completing a history and physical examination, the resident presents the findings to the attending, at which point they both go in to assess the patient together and discuss a plan. The resident then writes or dictates a note, and proceeds to see the next patient on the list.
The procedure rooms are more variable. Here, a wide variety of ultrasound or fluoroscopy-guided interventional procedures are performed...The resident generally performs a focused history and physical, obtains consent for the indicated procedure, and then awaits further guidance as to their role in the procedure. Whether or not the resident performs the procedure depends on many factors, including the complexity of the procedure, the complexity of the patient, and ultimately the willingness of the attending and fellow to supervise it rather than perform it themselves. Depending on the circumstances, the resident or the fellow will complete the procedure note.”
-Ravi Bhalodia, Class of 2015