Interventional Spine Fellowship

Overview

The Rochester Regional Health Interventional Spine Fellowship comprises a comprehensive one-year outpatient clinical training program designed to master fundamentals of evidence-based interventional spine care.  Exposure to prevalent spinal disorders and commonly employed diagnostic and treatment strategies will serve as a foundation upon which to evaluate the spinal patient. An integral component of this process is the pragmatic use of fluoroscopically guided interventional spine procedures in order to elicit diagnostic data and provide target specific treatment.  Structured didactics, interdisciplinary case conference, Neuroradiology rounds, and collaboration with Neurosurgery uniquely position the fellow in fortifying an inclusive experience. The objective is to enable the fellow to develop an expertise in the algorithmic approach to interventional spine care, to facilitate proficiency in the evaluation and treatment of both common and complex spinal disorders, and technical mastery of interventional spine procedures.

Objectives

  • Identify typical presentations for anatomic sources of low back pain, including pertinent patient history in predicting specific pain generators
  • Enhance targeted neurologic and orthopedic exam skills
  • Assimilate clinical information to efficiently develop a focused diagnostic and treatment plan including appropriate selection of imaging, electrodiagnostic studies, and interventional procedures
  • Understand indications for selection of common interventional spine procedures
  • Develop technical proficiency in performing fluoroscopically guided spine procedures under direct supervision of attending
  • Develop proficiency in the interpretation and appraisal of imaging including radiography, MRI, and CT, and CT myelography
  • Indications for surgical referral
  • Learn to effectively manage a high volume spine practice including prompt and efficient management of patient related tasks

Fellow Appointment

Duration of Training:

  • 1 year non-ACGME accredited program

Number of Fellowship Positions Available:

  • The number of fellowship training positions is one.

Eligibility Criteria:

  • The fellow must possess a current valid and unrestricted New York State Allopathic/Osteopathic medical and DEA licensures. These must be current prior to the fellowship start date.
  • Successful completion of an ACGME-accredited Physical Medicine and Rehabilitation program.
  • The fellow must be board certified or eligible for certification in PM&R.

Educational Program

Curriculum

  • 50-60 fluoroscopically guided spine procedures weekly
  • 1000 consultations annually
  • 2500 follow-ups annually
  • Structured didactics
  • Direct and contribute to multidisciplinary Spine Center and Neurosurgery case conference including case presentations
  • Attend Neuroradiology rounds
  • Neurosurgery/Neuroradiology integrative exposure