The Medical Pain Service (MPS) is a pediatric chronic pain service that includes several clinical responsibilities assigned throughout the week. Fellows spend a total of 15 weeks throughout the year rotating on this service. The MPS consists of two major clinical areas: the outpatient Pain Management Clinic and the inpatient consultation service.
The main goal of the MPS rotation is to prepare fellows for the future role of a consultant in the area of chronic pediatric pain medicine. Several facets of this role will be addressed during this rotation and further cultivated throughout the training:
1. In a position of a multidisciplinary team leader in an outpatient setting, fellows learn about the role of the various team members and their contribution to the treatment.
2. As a member of a multidisciplinary team (inpatient and outpatient), fellows are taught the proper communication with team members, team leaders, patients and their families.
3. Treatment for chronic pediatric patients admitted for inpatient rehabilitation through the Functional Independence Restoration Program. While the physical medicine and rehabilitation team are the admitting service, the medical pain team and its fellow serve as a co-admitting service and work very closely together to design treatment goals. Fellows learn to select appropriate patients, implement interventional techniques, optimize analgesia and manage complications and side-effects to facilitate rehabilitation.
4. Fellows learn to serve as a consultant during multidisciplinary clinics such as epidermolysis bullosa (EB).