Pain Management Fellowships With IAA

IAA Regional Anesthesia & Acute Pain Management Fellowship

Our mission is to train anesthesiology fellows to become specialists in regional anesthesia, acute pain management, and orthopedic anesthesia.  By having our fellows train in a busy, high volume clinical practice, we will ensure that they become proficient in regional anesthetic techniques and can thrive in a busy private practice environment.

Integrated Anesthesia Associates

Integrated Anesthesia Associates (IAA) in Hartford, CT is private-practice / academic hybrid group of 75 Anesthesiologists.  The regional anesthesia & acute pain service is led by fellowship-trained attendings from 10 different training programs.  This diversity and concentration of expertise makes IAA’s regional and acute pain service poised to provide a unique training environment with a focus on efficient, quality clinical care.  Our practice provides anesthetics for over 4,500 surgeries per year at Hartford Hospital and thousands more at outpatient surgery centers, resulting in over 7,000 peripheral nerve blocks and catheters performed each year.

Fellowship Description

The one year fellowship is divided into 2 rotations: 6 months on the regional anesthesia & acute pain service as a fellow and 6 months in the surgery operating rooms as an attending anesthesiologist.

Regional Anesthesia & Acute Pain Management Rotation

While on the regional anesthesia & acute pain service, the fellow will gain vast experience in regional anesthesia techniques by performing peripheral nerve blocks as well as thoracic epidurals.  Fellows will become proficient in blocks of the upper extremity, lower extremity, TAP, paravertebral, and retrobulbar spaces.  Additionally, our fellows will be expected to take a leading role on the acute pain service, caring for the patients who have received peripheral and neuraxial acute pain blocks and catheters.  The fellowship will have a strong focus on education, leadership and organization.  Fellows will be responsible for the daily operation of the regional anesthesia & acute pain service. These responsibilities include involvement in block selection, division of labor, performance and/or supervision of blocks, acute pain service rounds & consultations, orientation of new team members, and maintenance of the quality improvement research database.  This database will be an instrument for quality improvement, chronicling the fellows’ experiences, and for clinical outcomes research.

To ensure patient continuity on the regional anesthesia & acute pain service, the fellow will not take call or work weekends or holidays during this rotation.  Fellows are welcome to work additional shifts for compensation, provided they do not interfere with the usual daily schedule.

While our acute pain service will be responsible for following patients with peripheral nerve and neuraxial catheters, a separate team of pharmacists manage the intravenous and oral narcotic plans for patients with complicated pain issues. Fellows will have the opportunity to rotate electively with this pharmacy pain service.

Fellows will have other academic opportunities such as presenting a department grand rounds lecture, performing a research project and attending national anesthesia conferences.

Attending Rotation and Responsibilities

On this rotation, fellows will function as an attending anesthesiologist, focusing on orthopedic and non-orthopedic surgeries in which a regional anesthetic plays a significant role at Hartford Hospital and the Bone & Joint Institute.  Fellows will perform cases by themselves as well as supervise residents and CRNAs.  This unique opportunity will enable the fellows to become experts in orthopedic anesthesia through becoming familiar with surgical procedures and managing patients with regional anesthetics in an intra-operative setting.  By working in a fast-paced, efficiently run orthopedic hospital, our fellows will gain experience that few fellows obtain, making them highly desired by any group with a high orthopedic caseload.

While working in the ORs, the fellows will work approximately 1 overnight shift a week from 5pm-7am, with the post-call day off. Additionally, our fellows have competitive salaries and a desirable full benefits package.  There are optional moonlighting shifts available, if desired.

The fellows will be given money for CME, 4 weeks of vacation, and an academic week that can be used to attend an academic conference or to take board exams.  Fellows are strongly encouraged to attend a regional anesthesia conference.

Hospitals and Locations

Fellows will function primarily at two locations: Hartford Hospital and the Bone and Joint Institute at Hartford Hospital.  The Bone and Joint Institute is a state of the art orthopedic hospital attached to Hartford Hospital.  Scheduled to open in late 2016, this brand new facility will be the primary location for all types of orthopedic surgeries, including total joint replacements, trauma, minimally invasive surgeries, spine, and ambulatory procedures.  This facility is unique to the northeast and will integrate advanced technologies and provide a unique learning experience for the fellows.  Much of the fellows’ experiences performing regional anesthetics will be done at the Bone & Joint Institute, both in the operating rooms and while on the regional anesthesia & acute pain service.

Hartford Hospital is an 868 bed regional referral center hospital with one of the highest surgical volumes in the country, performing over 36,000 surgeries a year. It is one of the largest teaching hospitals and tertiary care centers in New England with one of the region’s busiest surgery practices.

The regional anesthesia & acute pain service at Hartford Hospital performs over 3,000 peripheral nerve blocks and 300 thoracic epidurals each year, and these numbers are rising as our surgical volume expands.  Residents from all specialties, including Anesthesiology residents from the University of Connecticut rotate through Hartford Hospital.  This unique blend of academics and high surgical volume makes Hartford Hospital and the Bone & Joint Institute an ideal environment for clinical education.

Hartford Hospital Eye Center is a busy outpatient surgicenterthat performs 8,000 ophthalmic surgeries per year.  This four operating room facility has between 50-70 surgeries per day, all before 3 pm.  Many of the surgeries are performed under retrobulbar block, placed by the anesthesiologist.  Fellows will periodically rotate to this facility to become proficient in regional anesthetics for ophthalmic surgery and the management of a busy outpatient practice.  Training of this skill is rarely found in regional fellowships.

In summary, this fellowship offers an exciting opportunity to master regional and orthopedic anesthesia in a unique training environment.  As the fellowship director, I look forward to the opportunity to work directly with the fellows to ensure a fruitful educational experience.

Kevin Finkel, MD
Fellowship Director
IAA Regional Anesthesia and Acute Pain Management Fellowship

Kevin Finkel, M.D.

Apply for a fellowship with IAA

Kevin Finkel, MD
Fellowship Director
IAA Regional Anesthesia and Acute Pain Management Fellowship

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2016 – 2017 Fellows

  • Coming soon

2015 – 2016 Fellows

  • John DaSilva, MD
  • Joseph Tyler McCruiz, MD