Dr. Adolfo Afonso

Dr. Adolfo Afonso

Anesthesiologist

EDUCATION

July, 2002 – June, 2003University of Miami, School of Medicine. 
Jackson Memorial Medical Center.  
Department of Anesthesia, Perioperative Medicine and Pain Medicine. Division of Pain Medicine.  
Clinical Fellowship on Pain Medicine.
Miami, FL.
July 1999 – June, 2002University of Miami, School of Medicine.  
Jackson Memorial Medical Center.  
Department of Anesthesia, Perioperative Medicine and Pain Medicine. 
Residency.  
Miami, FL.
June, 1998 – June, 1999University of Miami, School of Medicine.  
Jackson Memorial Medical Center. 
Department of Medicine. 
Internal Medicine Internship.
Miami, FL.
January, 1994 – Dec, 1994Universidad de Costa Rica, Facultad de Medicina
Internado Universitario.
Grado Profesional de Doctor en Medicina y Cirugía.  
San Jose, Costa Rica.
January, 1989 – Dec, 1993Universidad de Costa Rica, Facultad de Medicina.  
Grado Académico en Medicina y Cirugía
San José, Costa Rica.
January, 1987 – January, 1989Universidad de Costa Rica, Facultad de Medicina 
Grado Académico de Bachiller en Ciencias Medicas.  
San Jose, Costa Rica.

RESEARCH

May 1997 – May 1998Clinical Research Fellowship.  
University of Miami, Bascom Palmer Eye Institute.  
Department of Cornea and External Diseases.
Miami, FL.
Nov 1996 – March 1997Research Fellowship.      
University of Texas, Houston Health Science Center.
Hermann Hospital.
Department of Ophthalmology and Visual Sciences.
Houston, TX.

EMPLOYMENT

July, 2003 – present Pain Clinic Director
Hospital CIMA San José
San José, Costa Rica
July, 2002 – June, 2003Clinical Fellow.  
University of Miami, Jackson Memorial Medical Center. 
Department of Anesthesia and Perioperative Medicine.  
Division of Pain Management.    
Miami, Florida.
July, 2001 – June, 2002Team Chief, Trauma and Main OR
University of Miami, Jackson Memorial Medical Center
Ryder Trauma Center and JMH Main OR
Miami, Florida
July, 1999 – June 2002Housestaff  Resident. 
University of Miami, Jackson Memorial Medical Center.  
Department of Anesthesia, Perioperative Medicine and Pain Medicine.  
Miami, Florida.
June 1998 – June 1999Housestaff  Resident.  
University of Miami, Jackson Memorial Medical Center. 
Department of Medicine.   
Miami, Florida.
May 1997 – May 1998Post Doctoral Associate.
 Research Fellow. 
University of Miami.  
Bascom Palmer Eye Institute. 
Miami, Florida.
Nov. 1996 – March 1997Research Fellow. 
University of Texas, Houston Health Science Center. 
Hermann Hospital. 
Department of Ophthalmology and Visual Science. 
Houston, Texas.
1995 – 1996Medico Director de Centro Salud y Unidad Móvil
                                                         Ministerio de Salud
                                                         Santa Maria de Dota
San Jose, Costa Rica.
1994Interno Universitario.  
Universidad de Costa Rica. 
Caja Costarricense del Seguro Social.  
San Jose, Costa Rica.

PUBLICATIONS

Afonso A. et al.  Comparison of Fluorescein clearance test and Schirmer 1 test in patients
complaining of ocular irritation.  Invest Ophthalmol Vis Sci; 39 (4): S645; 1998.
Selzer M., Afonso A., Monroy D., Lokeshwar W., Pflugfelder S.C.  Elevated 92KD
Gelatinase activity in the tear fluid of patients with ocular Rosacea is correlated with tear
clearance and IL-1a concentration.  Invest Ophthalmol Vis Sci; 39(4): S667; 1998.
Afonso A. et al. Correlation of Tear Fluorescein Clearance and Schirmer Test Scores
with Ocular Irritation Symptoms. Ophthalmology; 106 (4): 803-810; April, 1999.
Afonso A. et al. Tear fluid gelatinase B activity correlates with IL-1α concentration and
fluorescein clearance in ocular rosacea. Invest Ophthalmol Vis Sci; 40 (11): 2506-12;
Oct 1999.
Pflugfelder, S.C., Jones D., Ji Z., Afonso A., Monroy D., Altered Cytokine balance in the
tear fluid and conjunctiva of patients with sjogren’s syndrome keratoconjunctivitis sicca.
Curr Eye Res; Sep.; 19(3): 201-11; 1999.

COURSES AND SEMINARIES

December, 2015Annual American Neurostimulation Society Meeting
Las Vegas, Nevada
July, 2014Disc Fx Procedure
Bogota, Colombia
February, 2013InterStim Technique
Miami, Florida
April, 2012Minimally Invasive Spine Technique
San Jose, California
March, 2009 Pain World Congress
New York ,City
January, 2004 Clinical training on Percutaneous Disc Decompression
Certification to perform Nucleoplasty™ procedures using 
Perc-D™ family of SpineWands™
ArthroCare Spine
Miami, Florida.
Nov, 2002Advanced Practice on Intrathecal Baclofen Therapy
Medtronic Inc
Charleston, South Carolina.
October, 2002Interventional Therapies Workshop
Continuous Intrathecal Pump Systems Placement.
Spinal Cord Stimulator Placement.
Medtronic Inc
Memphis, Tennessee.
August 5 – 6, 2002Interventional Pain Management Workshop.
Continuous Intrathecal Pump Systems Placement.
Spinal Cord stimulator Placement.
Medtronics Inc.
Miami, Florida.
Aprill 10 – 13, 2002Difficult Airway Management Conference and  Workshops.
University of Miami, Jackson Memorial Medical Center.
Department of Anesthesia, Perioperative Medicine and Pain Medicine.
Miami, Florida.
May, 10 – 15, 1998Association for Research in Vision and Ophthalmology. 
1998 Annual Meeting. 
Fort Lauderdale, Florida.
Nov 4 – 7, 1997 Inter-American Course in Ophthalmology.  
Bascom Palmer Eye Institute, 
Miami, Florida.
June 13 – 14, 1997Bascom Palmer Eye Institute 33rd. Annual Resident’s Day.  
Biltmore Hotel.  
Miami, Florida 
Awarded 7.5 hours of Category 7 credit AMA Physician’s Recognition     Award.
May 11 – 16, 1997Association for Research in Vision and Ophthalmology.  
1997 Annual Meeting. 
Fort Lauderdale, Florida.
Feb, 1997Basic Science Course in Ophthalmology. 
University of Texas, Houston Health Science Center. 
Department of Ophthalmology.
Houston, Texas
July 12-13, 1996Seventh Annual Course in Phacoemulsification.  
Baylor College of Medicine. 
The Cullen Eye Institute. 
Houston, Texas.  Awarded with 16 Hours – Category 1 AMA Physicians Recognition Award.
March 24 – May 11, 1996Rush-Presbyterian St. Luke’s Medical Center Chicago, Illinois.  Medical Education Services – Arc Ventures, Inc., 
USMLE Step 1.  7 weeks Clinical Science Review Course. 
Houston, Texas.
Awarded 140 Credit Hours – Category 1 AMA.  Physician’s Recognition Award.
January 3 – February 17, 1996Rush-Presbyterian St. Luke’s Medical Center Chicago, Illinois.  Medical Education Services – Arc Ventures, Inc., 
USMLE Step 2.  7 weeks Clinical Science Review Course.
Houston, Texas.  
Awarded 139 Credit Hours – Category 1 AMA Physician’s Recognition Award.

INTERNATIONAL INVITED SPEAKER

September, 2004Congreso Anual de la Sociedad Mexicana de Cirugía de Columna.
Implantologia para manejo del dolor crónico.
Veracruz, México
August, 2004KOL (Key of Opinion Leader) Medtronic Latin America.
Conferencista y Asesor técnico para Latinoamérica.
MEDTRONIC, Inc.
Minneapolis, Minnesota, USA.
December, 2003La Instrumentadora de Colombia.
Uso de Estimuladores de Medula y Bombas de Infusion Intratecal
para el Manejo de Dolor.
Bogota, Colombia
December, 2003Fundacion Valle de Lili.
Implante Qirurgico de Estimulador de Medula Espinal
Cali, Colombia
September, 2003Fundación Valle de Lili.
Estimulacion de Medula Espinal 
Revision de Pacientes e Implante de Estimulador de Medula
Cali, Colombia
July, 2003Sociedad Panameña de Anestesiologia.
Nuevos Horizonte
Implantologia para el manejo del Dolor
Ciudad de Panamá, Panamá
Julio, 2003Sociedad de Medicos Anestesilogos de Barranquilla.
Manejo  Intervencionista de Dolor
Barranquilla, Colombia
May, 1998Ocular Irritation Symptoms.
Association for Research in Vision and Ophthalmology. 
1998 Annual Meeting. 
Fort Lauderdale, Florida.

LICENSES, MEMBERSHIPS AND CERTIFICATES

October, 2002Florida Medical License
License Number ME 86323
Florida Health Department
Florida, USA (INACTIVE)
October, 2002Member of Florida Society of Anesthesiologist.
August, 2002Member of American Academy of Pain Medicine.
July, 2002Member of American Pain Society.
May, 2002Member de American Society of Regional Anesthesia and Pain Medicine.
March, 2002Member de American Society of Anesthesiologists.
March, 2001Certificación en Soporte Cardiaco Avanzado.
American Heart Association.
March, 1996Member of Colegio de Médicos y Cirujanos de Costa Rica.
August, 1996Certificate from  ECFMG.  
Education Commission for Foreign Medical Graduates.
Estados Unidos.
June, 1997Member of American Medical Association.
November, 1997 Member of  Association for Research in Vision and Ophthalmology.
Apr, 1998Member of International Medical Graduate Section, American Medical Association.
March, 1994

Licencia de Medico y Cirujano de Costa Rica.

Licencia Numero 4640
San Jose, Costa Rica

PERSONAL

Spanish, English.
Hobbies  fishing, golf.