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
This is the first of a series of neuromodulation video "curriculum" created and hosted by Shravani Durbhakula, MD, director of pain education at Johns Hopkins School of Medicine, that features many recognized experts in pain medicine. The video topics are based on the results of a needs-based assessment that was administered to both fellowship directors and graduating fellows, which […]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 serves as the Director of Medical Education for the Pain Treatment Center, the Program Director of the multi-disciplinary pain fellowship, and the Course Director of the School of Medicine pain curriculum. She specializes in spinal cord stimulation, opioid management, and is passionate about innovating medical education into the rapidly advancing digital age. Currently, she is involved in several funded research projects. She also serves on the Johns Hopkins Opioid Guidelines Committee, the Pain Medicine Fellowship Review Committee, the 2019 Scientific Meeting Planning Committee of the American Society of Regional Anesthesia and Pain Medicine (ASRA) and the Diversity Board of the American Society of Pain & Neuroscience (ASPN). She is dedicated to the advancement of future pain physicians, her patients, and the world at large.