Clinical Expectations

In order to provide a broad base in acute pain management, the Fellow will have an opportunity to gain an outside perspective and learn interventions, blocks, and how differences in the management of an Acute Pain Services operate outside their home facility. All Fellows will be required to clinically train at an ASPMF approved facility site for a period of 2 weeks during the last 6 months of the Fellowship. The Fellow may choose additional weeks to train at ASPMF training sites during this time frame. The final decision for securing optional clinical training weeks is based on availability and is made on a case-by-case basis by the Fellowship Director. This training week can be utilized to meet the ASPMF block requirements. ASPMF training sites and available weeks for clinical training will be made available to Fellows upon admission to the Fellowship.

During the first month of the ASPMF, Fellows will submit, in writing, the required week(s) and location(s) they have chosen to meet the clinical site-training requirement. Once approved, each Fellow will need to initiate the credentialing process for each hospital(s) and/or anesthesia group(s) chosen. Once approved, Fellows will be assigned a clinical mentor at their respective sites. Current RN and APN licensure for each facility’s resident state, malpractice insurance, and credentialing approval by the chosen clinical site will be the responsibility of the Fellow. No Fellow will be allowed to observe or participate in the clinical training component at an ASPMF facility without first submitting all required credentialing documentation within 2 weeks of the scheduled clinical training date to both the Director of the Fellowship at MTSA and the clinical mentor assigned at the ASPMF facility site.

Travel expenses for clinical training weeks will be the responsibility of the Fellow. Please ensure all documentation is completed prior to booking travel and lodging arrangements for this clinical training week. MTSA will not be responsible for reimbursing travel expenses if the clinical training week is canceled.

Each 40-hour week of clinical training at an ASPMF facility site will require a $2500 payment to your MTSA Fellow account two weeks prior to the clinical training date. No Fellow will be allowed to participate in clinical training until this clinical training fee is paid in full.

Fellows are expected to follow the training scheduled outlined by the facility mentor. The Fellow is required to contact the clinical mentor by phone and/or email one week prior to the arrival at the clinical site to establish the schedule, policies and procedures, and expectations of this rotation. Case conferences, acute pain service rounds, postoperative evaluations, and actual regional block participation are activities that are expected from each Fellow during this training week. MTSA cannot guarantee a certain number of blocks or any other Fellow expected clinical activity within any given training week, as operating room schedules and inpatient acute pain consults may vary from week to week.

Clinical policies and procedures established by the ASPMF clinical training site must be adhered to at all times by the Fellow. Violations in HIPPA regulations, infection control policies, and safety protocols established by the ASPMF clinical sites could result in the clinical suspension of the Fellow during their assigned clinical training week.

Prior to being enrolled in Fellowship, Fellows must submit documentation verifying a current health insurance policy that can be utilized in the event of a physical injury which may occur while training at an ASPMF clinical site. ASPMF clinical facilities are not responsible for any kind of physical injury that may occur while training at these clinical locations during enrollment in the Fellowship. Universal precautions to avoid the infectious transfer of bacterial or viral pathogens while providing patient care at an ASPMF clinical site is the sole responsibility of the Fellow. Fellows are responsible for all expenses associated with serology testing and follow-up care following a needle stick injury or contact with bodily patient fluids from the inadvertent mishandling of needles or failure to adhere to Universal precautions while at an ASPMF clinical site. Medical expenses associated with any kind of injury while rotating at an ASPMF clinical site is the sole responsibility of the Fellow, and the Fellow accepts these conditions during clinical training while enrolled in the Fellowship or participating in MTSA sponsored cadaveric workshops.

At any time during this clinical week, the clinical mentor has the right to suspend the ability of the Fellow to train at their clinical site for any unprofessional conduct actions that endangers patient care or compromises the reputability of the clinical site. This judgment of unprofessional conduct by the Fellow can be made at the sole discretion of the clinical mentor or by any other anesthesia or surgical professional employed by hospital or the anesthesia group at a ASPMF clinical site.

These clinical expectations can be amended or eliminated at any time. Adequate and timely notice will be given to the Fellow for changes made in these expectations.