1. Residencies & Fellowships
Fellowship group shot

Regional Anesthesiology and Acute Pain Medicine Fellowship Program at Mount Sinai West and Mount Sinai Morningside

The Regional Anesthesiology and Acute Pain Medicine Fellowship at Mount Sinai West and Mount Sinai Morningside is a one-year program designed to graduate innovative academic and clinical leaders in regional anesthesiology with a global perspective on managing perioperative pain. Housed within the Icahn School of Medicine at Mount Sinai, the fellowship is one of nine pioneering regional anesthesia and acute pain medicine programs in the United States to receive the inaugural Accreditation Council for Graduate Medical Education (ACGME) accreditation. This is a testament to our commitment to academic excellence and leadership development for our fellows.

Fellows train in a busy clinical and academic setting and gain a wide breadth of experience across a diverse patient population. Our fellows receive vast clinical exposure to neuraxial and peripheral nerve blockade including blocks of the head and neck, upper and lower extremities, and chest and trunk, with nerve-stimulator, ultrasound-guided, and continuous catheter techniques. Fellows also supervise and perform more than 4,000 peripheral nerve blocks annually, with 1,000 of these blocks involving nerve catheters. The nine members of our practicing regional anesthesia faculty, along with six pain management attendings, represent a third of our department faculty. Together we contribute to a robust clinical service as well as our clinical research and mentoring programs. Our fellows graduate as confident leaders in the world of regional anesthesia due to their excellent clinical training and the ability to master their skills to teach and lead.

Meet the Program Director

About the Fellowship

Our program consists of clinical rotations at both Mount Sinai West and Mount Sinai Morningside. Mount Sinai West is an orthopedic-centric hospital that offers a variety of joint replacement procedures (shoulder, knee, and hip), arm and hand surgery, foot and ankle surgery, and spine surgery. Mount Sinai Morningside is a Level II Trauma Center with a high volume of orthopedic trauma, cardiac, bariatric, rib fractures, and other trauma. Both hospitals also have a broad mix of thoracic, breast, and abdominal procedures that are amenable for a variety of truncal blocks.

You also gain experience in our acute pain medicine service and preoperative testing clinic to allow for a truly multidisciplinary experience. Our other rotations such as research/leadership, point of care ultrasound, and truncal blocks, are constructed and constantly revised based on feedback from our current and past fellows to adapt to the latest changes in practice patterns and innovations in our subspecialty field. In addition, our fellows can rotate to The Mount Sinai Hospital for pediatric experiences with pain medicine.

Every week, our fellows have two protected non-clinical days with one day dedicated to research (including conducting and implementing our ongoing clinical trials) and another day for advancing your supervision and teaching skills.

A typical yearly schedule consists of:

  • Three months of clinical operating room-based regional anesthesia training
  • Three months of acute pain medicine as mandated by ACGME
  • Two weeks to one month of chronic pain medicine as mandated by ACGME
  • One month of regional anesthesia with focus on thoracic and abdominal truncal blocks
  • One or two months of trauma regional anesthesia
  • One month of perioperative ultrasound and POCUS rotation
  • One month of self-directed selective (e.g., pre-admission testing, research, leadership, obstetrics, acupuncture and global health opportunities)
  • One month of pediatric regional anesthesia and acute pain rotation

Our fellows have no attending or on-call responsibilities. Moonlighting opportunities are available along with overtime pay at Mount Sinai affiliate hospitals.

The fellows have tremendous opportunities to shape weekly didactic programs and workshops for residents, lead in the development and establishment of our subspecialty, and expand our practice into other surgical settings such as pediatric, trauma, perioperative ultrasound use, and international missions. You may also participate in numerous departmental and hospital committees to formulate clinical standards and optimize patient outcomes. We strongly encourage fellows to present abstracts and workshops at major international conferences such as the American Society of Anesthesiologists, Post Graduate Assembly (PGA) in Anesthesiology, and the American Society of Regional Anesthesia and Pain Medicine. Our fellows have led regional anesthesia workshops at PGA, and collaborated in interdepartmental, regional Point of Care Ultrasound (POCUS) anesthesia workshops with emergency department and pulmonary critical care residents.

Our fellows learn about nerve stimulation and the proper use of a variety of catheters in a clinical setting along with their management. We offer a weekly didactic program involving journal clubs, hands-on workshops, ultrasound image conferences, problem-based discussion sessions, mock oral exams with three American Board of Anesthesiology examiners in our department, and traditional lectures in our various educational tracks integrated throughout the year. The tracks include basic and advanced extremity blocks, neuraxial ultrasound, perioperative ultrasound, and truncal blocks. Our uniquely integrated cadaver dissection lab helps you understand the anatomy pertinent to regional anesthesia.

Superb research opportunities and unrivaled mentorship from national leaders are a foundation to our fellowship. Fellows are expected to participate in departmental clinical research, book chapters, review articles, and ongoing projects.

Qualified applicants include current trainees or graduates of ACGME-accredited anesthesiology residency programs in the United States. You must be board-eligible and hold either a New York State license or limited permit. Our program has flexible start dates from July to September. We accept two fellows annually.

Fellows must apply for the Regional Anesthesiology and Acute Pain Medicine Fellowship Program at Mount Sinai West and Mount Sinai Morningside through SF Match. In addition to the Central Application Service application, fellows must submit:

  • A personal statement along with a one-paragraph description of a preliminary research idea
  • Curriculum vitae
  • Three letters of reference (one letter should be from the training program director, and two letters should be from objective physicians who have direct personal knowledge of your skills and ethics)
  • Copies of your In-Training Examination scores to date

Fellows receive a salary of $89,811 plus benefits (subject to yearly updates), as well as educational, book allowance, and paid conference reimbursements. We offer guaranteed subsidized housing across the street from Mount Sinai West, within walking distance to Lincoln Center, Columbus Circle, and Central Park.