1. Breadth of Patient Experience
Fellows will independently see patients with a wide-range of primary and secondary headache and craniofacial pain disorders from diverse demographic segments in an outpatient setting. These patients are referred from a regional, national, and international base and present with a broad range of interesting, unusual and refractory disorders. Fellows will have detailed discussions with the headache faculty for each patient seen. Fellows will become proficient in advanced interventional procedures including Onabotulinum toxin injections, occipital nerve blocks, supraorbital and supratrochlear nerve blocks, auriculotemporal nerve blocks, sphenopalatine ganglion blocks, and trigger point injections. Fellows will also have the opportunity to manage complex headache and craniofacial pain disorders in our outpatient infusion center and will become skilled using infusion therapies.
2. Extensively detailed formal headache curriculum
Fellows actively participate in a comprehensive weekly year-long didactic curriculum in which they learn about every facet of headache medicine including all primary and secondary headache disorders, facial pain and other cranial neuralgias, transitional, preventive and acute treatments, interventional procedures, neuromodulation devices, drug-drug interactions, neuroimaging and diagnostic evaluation of headache, and infusion therapy. These weekly didactic sessions are guided by assigned readings on each of these topics and discussed with our entire headache faculty.
3. Neuroradiology rounds
Under the leadership of Dr. Jignesh Modi, our chief neuroradiologist, we have bimonthly dedicated neuroradiology rounds where we review imaging studies and neurointerventional procedures for our patients. As part of our neuroradiology rounds, we also have lectures on incidental findings and normal anatomical variants on neuroimaging in adults for primary headaches.
4. Lecture series and case conference
These include a set of core lectures that are presented by headache faculty and guest speakers expert in topics related to headache as well as from disciplines that intersect with headache medicine such as pediatric headache, behavioral health, psychiatry, neuroradiology, women’s health, neuro-otology, otolaryngology, physical therapy, integrative medicine, medical weight loss, pain medicine, and sleep medicine. Case conferences are held weekly and serve as a venue for formal discussion of patients with complicated headache and medical histories to discuss multidisciplinary treatment plans amongst our entire headache faculty.
5. Headache Council
Recognizing the opportunity to optimize headache care across an entire healthcare system and state, our headache program developed the first monthly interdisciplinary headache council in the country with representation from multiple disciplines that intersect with headache medicine, including primary care, behavioral health, outpatient infusion centers, neuroradiology, rehabilitation, women’s health, pain management, ophthalmology, emergency medicine, urgent care, otolaryngology, neuro-otology, integrative medicine, neurosurgery, medical weight loss, sleep medicine, and the internal research, media, and marketing teams. Our goal is to improve patient access for interdisciplinary headache care by standardizing a communication process for referrals into the headache program; improving interdisciplinary communication to promote education, research, and patient care via interdisciplinary case conferences; and creating an interdisciplinary telemedicine headache program. Fellows actively participate in our monthly council meetings and are engaged in quality initiative projects developed there.
6. Research
It is important to be able to critically evaluate peer-reviewed literature, to have a sense of what is involved in clinical trials, and to learn how to construct, execute, and write up a research project. Fellows will have access to some of the top scientists and clinicians in the field of headache medicine and will participate in research projects and scientific writing. Faculty support is readily available.
7. Professional Growth
Regional, national and international conferences are excellent opportunities to enhance educational connections and establish professional collaborations. Financial support is available through scholarships provided by conference sponsors.
- AHS Scottsdale Headache Symposium (November)
- International Headache Academy (January)
- Headache Cooperative of New England (November)
- AAN Annual Meeting (Spring)
- AHS Annual Scientific Meeting (Summer)
- IHS International Headache Conference (September)