Don’t miss this discussion of the new COVID-19 guidelines for pain management between Dr. Steven P. Cohen of Johns Hopkins, Dr. Friedhelm Sandbrink of the Veterans Health Administration, and "Pain Rounds" host Dr. Shravani Durbhakula. Click here for Video. Drs. Cohen and Sandbrink are among the authors of “Pain Management Best Practices from Multispecialty Organizations […]Read More
Don’t miss this excellent report from NPR: How To Teach Future Doctors About Pain In The Midst Of The Opiod Crisis “Pain Rounds” creator and host Dr. Shravani Durbhakula directs an introductory course on pain management for medical students at Johns Hopkins University as communities throughout the country grapple with the opioid crisis. Medical students learn […]Read More
Historically, fellowships accredited by the Accreditation Counsel for Graduate Medical Education (ACGME) have required that learners participate in five neuromodulation cases and five neuromodulation lectures to graduate. The new 2019 ACGME requirements, however, have removed any firm case numbers, and non-ACGME-accredited pain programs, such as the rehabilitation-based spine fellowships, bear no responsibility to adhere to these standards. The range of expertise required to maximize appropriate use of the two most common neuromodulation procedures (SCS and IT pumps) is quite broad. For instance, expertise in SCS requires knowledge of patient selection, mechanism of action, anatomy, placement of epidural electrodes, surgical implantation of hardware, complications, device programming, and infection prevention. Expertise in IT pumps requires additional knowledge such as intrathecal medication dosing, catheter and single-shot trialing, pump refilling, and granuloma recognition. With unclear markers of proficiency, it is possible for a fellow to fulfill the ACGME criteria without mastering the competencies needed to manage any single device, let alone multiple types.
We aim to implement a standardized digital neuromodulation curriculum for use by pain medicine fellows across the nation. We will evaluate the impact of this curriculum on knowledge about and confidence in conducting neuromodulation procedures.
Meet Dr. D
Shravani Durbhakula, M.D., is a board certified interventional pain physician and anesthesiologist. She joined the faculty of the Johns Hopkins School of Medicine in 2017, where she has served as the Director of Pain Education, the Program Director of the Multi-disciplinary Pain Fellowship, and the Course Director of the School of Medicine’s unique and mandatory 21-hour pain and opioids course for first year medical students. She is also the current recipient of a mentored NIH grant that focuses on pain education and has the honor of being fully-funded to pursue a Master of Public Health and a Master of Business Administration dual-degree program at the Bloomberg School of Public Health and Carey Business School at Johns Hopkins University. She has been featured on National Public Radio for her educational innovation and was recently recognized by the Regional Anesthesia Pain Medicine Journal on International Women's Day 2020.