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Introduction and Goals

This rotation is a clinical experience elective that can be taken at any time. The minimum duration of this elective is 1 week, although 2-4 weeks is preferred. The primary educational goal is to provide exposure to various headache and pain syndromes and appropriate pharmacological strategies as well as exposure to and training in procedure-based management techniques. The faculty supervisors for this rotation are Drs. Roland Brilla, Douglas Dulli, and Susanne Seeger.

Objectives and Evaluation Matrix

As with all of the neurology rotations, the specific objectives are reflected in the entrustable professional activities and individual milestones listed below. These form the basis for the end-of-rotation evaluation. (Please see the section End-of-Rotation Evaluations above for the list of milestone abbreviations).


Below is a sample schedule for this rotation, including a combination of clinic time with Headache attendings as well as clinics with APPs to learn technique for office-based procedural injections (Botox, trigger points, nerve blocks). This schedule is subject to attending availability; accordingly, this elective may not be able to be offered during weeks when multiple attendings are out of clinic (for example, national conference weeks or holidays).

The below schedule can, within certain parameters, be adjusted to address specific resident learning goals for the rotation. If there are specific requests for scheduling, these should be included in the elective request form and sent to the Program Coordinators. An individualized schedule will be emailed to the resident the week before the rotation. 

HA shedule.JPG

Work Hours

There are no call or weekend responsibilities during this rotation. The total hours per week at this clinic is expected to be 32.

Suggested References

International Headache Society Classification website:

Lipton, R. B., Silberstein, S. D., & Dalessio, D. J. (2001). Wolff’s headache and other pain. New York; Oxford: Oxford University Press.

Silberstein, S. D., Lipton, R. B., & Goadsby, P. J. (2002). Headache in clinical practice. London; New York; Florence, KY: Martin Dunitz ; Distributed in the USA by Taylor & Francis.

Latest revision: 07-09-2019