"During the regional rotation residents get exposure to a wide variety of peripheral nerve blocks during their CA-2 year, as well as their CA-3 year if they chose to do another month. The vast majority of blocks are concentrated as either upper extremity or lower extremity nerve blocks, with a few other outliers such as TAP and Paravertebral blocks. All of our blocks are performed with the aide of the ultrasound machine, so residents become very proficient at using the U/S for performing peripheral nerve blocks. Since we have two campuses at BIDMC, some days are spent on the East Campus (mainly ambulatory surgery), and other days are on the West (Ortho trauma and more advanced cases).
On a typical day on East, the resident will perform anywhere between 8-12 blocks on average, while on the West the resident will perform anywhere between 4-8 blocks on average. In addition to single shot nerve blocks, we also will occasionally insert peripheral nerve catheters (mainly upper extremity). Also, occasionally residents will aide in placement of epidurals (thoracic and lumbar) for specific abdominal or thoracic procedures. In addition to the regional rotation, residents will rotate on the Acute Pain Service and have a few days of regional experience and learning how to manage peripheral nerve catheters. Overall, we have a very strong regional program at BIDMC and residents by the end of their rotation on CA-2 year are technically proficient and comfortable with performing ultrasound guided peripheral nerve blocks.”
-Fernando Mujica, Class of 2015