This rotation is based at the East Campus Hospital (ECH) of LLUMC, which is located approximately 1/2 mile from the University Hospital. The ECH is a growing state-of-the-art Rehabilitation Institute with 5 operating rooms that serve neurosurgery (spine), orthopedics, and plastic surgery services.

Two residents are assigned per block; one will be based in the Operating Room, mostly doing cases that need neuraxial analgesia such as total joints/knees, and the other will be in charge of peripheral nerve blocks, including catheter placement. During the one-month rotation, the resident will gain experience with neuraxial blocks, peripheral nerve blocks, and acute pain management. Neuraxial opioids, intravenous patient-controlled analgesia, continuous peripheral nerve catheters and combination techniques are widely utilized. Ultrasound and nerve-stimulator modalities are used for peripheral nerve blocks. A "hands-on" gross anatomy lab is held on alternate years as part of the regional anesthesia core curriculum.

This rotation is directed by Sherif Azer, MB ChB, and Gary Stier, MD.