Anesthesiology, Perioperative and Pain Medicine

Clinical Fellowship Opportunities

Area of Interest


Advanced Clinical Anesthesia

The fellowship for Advanced Clinical Anesthesia Training is designed for anesthesiologists who wish to obtain more experience in the management of particularly challenging cases in the following subspecialties.

Clinical training may include all of the above subspecialties. The schedule of rotations and the length of each rotation will be chosen jointly between the fellow and the program director in order to meet the fellow's educational goals. Experience in pediatric anesthesia is also offered in conjunction with the division of pediatric anesthesia at Lucile Salter Packard Children's Hospital. Clinical exposure will emphasize anesthetic and patient management techniques for complex procedures in the above mentioned subspecialties.

The goal of the Neuro Anesthesia rotation is to acquire clinical experience in the anesthetic management of patients undergoing craniotomies, including neurovascular procedures, and complex spine surgeries. The Head and Neck Anesthesia/Advanced Airway Management rotation will focus on the management of patients undergoing major head and neck cancer surgery, laryngeal surgery, surgery for obstructive sleep apnea, and difficult airway management techniques. During the Thoracic Anesthesia rotation experience will be acquired in the management of patients undergoing thoracic surgery including lung isolation and one lung ventilation techniques. Bariatric Anesthesia will focus on the management of the morbidly obese patient undergoing bariatric surgery. Anesthesia for High Risk Obstetrics will focus on the management of parturients with severe preeclampsia and parturients with placenta accrete. The Regional Anesthesia rotation will allow the fellow to acquire experience in ultra sound guided nerve blocks. Anesthesia for Major Orthopedic Procedures will focus on anesthesia techniques for joint replacement surgeries. Anesthesia for Liver/kidney/Pancreas transplant will expose the fellow to the principles of the anesthetic care for patients undergoing these transplants.
   
Program Director: Hendrikus JM Lemmens, M.D., Ph.D.

Principal Faculty: Hendrikus JM Lemmens, M.D., Ph.D., Richard A. Jaffe, M.D.,PhD.,  Vladimir Nekhendzy, M.D., Vivek Kulkarni, M.D.,PhD., Jerry Ingrande M.D., Ed Riley. M.D., Lindsey Vokach Brodsky M.D., Pedro Tanaka, M.D.

Each candidate must have successfully completed a full anesthesiology residency in the United States in order to be eligible for this fellowship. Applications and additional information may be obtained by contacting Hendrikus JM Lemmens, M.D., Ph.D., Department of Anesthesiology, H3580, Stanford University Medical Center, Stanford, CA 94305-5640.         

Positions: 1 or 2 per year       


Anesthesia Acupuncture

Acupuncture therapy in an ICU patient
The goal of the fellowship is to receive clinical and research training in medical acupuncture. Fellows may choose to specialize in either adult or pediatric acupuncture, or may select a mixture.  The duration of the fellowship is 1 year.Specific Objectives:
  1. Complete certification studies in medical acupuncture.
  2. Take Medical Acupuncture board examination.
  3. Gain facility in common clinical acupuncture protocols eg. perioperative acupuncture, nausea and vomiting, oncology treatments, acupuncture for withdrawal.
  4. Assist in the development of educational programs for medical students, residents and fellows.
  5. Clinical Research training in medical acupuncture, to include biostatistics course (HRP) design and conduct of clinical trials (HRP) other post-graduate courses such as offered through SPCTRM. Design and implement an acupuncture study, including conceptualization and planning of study, writing IRB protocol, screening patients, performing acupuncture, collecting and analyzing data, preparing and submitting a manuscript for publication.
  6. Assessment towards above stated goals will be performed on a monthly basis, in the form of both formative and summative written evaluation. The fellow will maintain a portfolio of complex cases, talks and presentations.

Course Director: Emily Ratner, M.D. (adult), Brenda Golianu, M.D. (pediatrics)

Principal Faculty:  Emily Ratner, M.D., Brenda Golianu, M.D., Sam LeBaron, M.D., Greg Hammer, M.D. (research)


Critical Care Medicine

Stanford University Medical Center offers one year Anesthesiology Critical Care and two year Internal Medicine Critical Care Fellowships.  Both Fellowships are ACGME-accredited.  These training programs emphasize clinical experience as well as didactic learning and scholarly activities.  Both Fellowships begin with a one-month rotation during which new fellows serve as residents in the Stanford Medical-Surgical ICU.  This transition month provides new fellows exposure to the workflow and systems at Stanford Hospital.  During subsequent rotations, Fellows supervise residents from Anesthesiology, Internal Medicine, and Emergency Medicine residency programs.  Progressive independence is built into the clinical training.

ICU pt with pneumonia + MSOF

Anesthesiology and Internal Medicine Fellows participate in scholarly activities related to critical care medicine.  Projects range from quality improvement/patient safety initiatives to clinical research to applied basic science investigations.  Stanford Critical Care Faculty serve as mentors for these projects and provide expertise in fields as diverse as clinical outcomes research, echocardiography, simulation, cardiopulmonary physiology, sedation for the critically ill, and global health.  

ICU rounds

All application information and materials, as well as contact information, can be found on the Critical Care Web Site.

Principal Faculty

Anesthesia: Ana Crawford, M.D., Andrew Patterson M.D., PhD., Carlos Brun, M.D., Charles Hill, M.D., Edward Bertacinni M.D., Erin Hennessey, M.D., Frederick Mihm M.D., Geoffrey Lighthall, M.D., Ph.D., Javier Lorenzo, M.D., Jimmy Wong, M.D., Juliana Barr M.D., Pieter van de Starre M.D., PhD., Ronald Pearl M.D., PhD., Sara Nikravan, M.D., Timothy Angelotti M.D., PhD., Vidya Rao, M.D.

Internal Medicine:Amit Gohil, M.D., Ann Weinacker M.D., Craig Zone, M.D., David Weill M.D., Gundeep Dhillon, M.D., Harman Paintal, M.D., Joe Hsu, M.D., Joe Levitt, M.D., Jon-Erik Holty, M.D., Margaret Neff, M.D., Norman Rizk M.D., Paul Mohabir M.D., Rajinder Chitkara M.D., Rama Sista, M.D., Steven Rouss M.D., Ware Kuschner M.D.

Surgery: Daphne Ly, M.D., David Spain, M.D., Kristan Staudenmayer, M.D., Paul Maggio, M.D., Thomas Weiser, M.D., Yoshi Mitarai, M.D.


Cardiac Anesthesia

Stanford University Cardiac Anesthesia Section offers a one-year fellowship in cardiac anesthesia. The fellowship is designed to provide clinical subspecialty training and clinical research opportunities. The clinical fellowship is flexible enough to meet the needs of those interested in either an academic career or clinical practice.

The general emphasis of the year will be clinical adult cardiac anesthesia and much of the fellow's time will be spent in the operating room. Major vascular surgery, particularly that involving ascending and descending thoracic aortic aneurysms, will also be part of the fellowship. Other subspecialty rotations may be arranged. During the first three months of the year the fellow will function as a resident in the heart room to become familiar with our techniques and personnel. The fellow will be expected to participate in clinical research undertaken by the cardiovascular anesthesia group. It is expected that the fellow will complete a project suitable for publication during the year.

All types of adult and pediatric cardiac surgery are performed at Stanford University Hospital. The Department of Cardiovascular Surgery at Stanford consists of six attending surgeons and is noted for its contributions to cardiac transplantation, combined heart-lung transplantation and the utilization of left ventricular assist devices as bridges to transplantation.

Applications and other materials can be obtained by contacting Jill Wilson, Department of Anesthesiology, H3580, Stanford University Medical Center, Stanford, CA 94305-5640.

Principal Faculty: Ronald Pearl M.D., PhD., Linda Foppiano M.D., Christina Mora Mangano M.D., Ethan Jackson M.D., Pieter van de Starre M.D., Max Kanevsky M.D., Ph.D., Charles Hill, M.D., Daryl Oakes, M.D., David Soran, M.D., and Jimmy Wong, M.D., Vidya Rao, M.D.


Head and Neck Anesthesia/Advanced Airway Management

We are proud to offer a one-year combined head and neck/advanced airway anesthesia fellowship. The Stanford head and neck/advanced airway teaching program has been in place since 1998, and our department has pioneered this subspecialty fellowship training in the U.S. in 2009.

This unique fellowship is highly structured, integrating didactic, clinical, simulation and research components. Comprehensive lectures and discussions are combined with outstanding opportunity to manage complex cases, and to acquire state-of-the-art advanced airway management skill sets in real life situations. The Stanford head and neck anesthesia division is one of the busiest in the department, and runs 3-6 operating rooms every day.

The surgical procedures range from major head and neck cancer surgery to complex laryngeal surgery, surgery for obstructive sleep apnea, advanced neurotologic and skull base surgery, functional endoscopic sinus and pituitary surgery, facial plastic surgery, as well as maxillofacial and orthognatic surgery. The fellow(s) will learn unique anesthetic implications for these procedures, and become proficient with pharmacokinetic principles of different opioid infusions, and administration of total intravenous anesthesia and deliberate hypotension. The trainee(s) will also master different supraglottic and subglottic high frequency jet ventilation techniques.

Although the majority of training will be on the adult patient population, participation in the anesthesia care of pediatric head and neck surgical patients, many of whom present to Stanford with congenital airway abnormalities, can be arranged. Other outstanding training options include the exposure to field airway management by participating in helicopter flights as part of the Stanford Life Flight program. Simulation-based difficult airway management is also included as part of fellowship training.

Flexibility in the fellowship curriculum is allowed, and the program can be structured to suit the individual needs. We will accept 1-2 qualified individuals each year. All applicants must have a strong commitment to excellence in clinical care, education, and research, which will constitute an integral part of the fellowship year.
  
Potential candidates should e-mail a C.V. and a letter of interest to:
Vladimir Nekhendzy, M.D.
Clinical Associate Professor of Anesthesia and Otolaryngology
Director, Stanford Head and Neck Anesthesia and Advanced Airway Management Program
E-mail:


Neurosurgical Anesthesia

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The neurosurgical anesthesia program at Stanford offers a flexible one or two year fellowship in neuroanesthesia. This program is designed to provide clinical subspecialty training while also providing opportunities for both clinical and laboratory research experience.

Clinical training includes required rotations in neurophysiological monitoring, interventional neuroradiology, and neurosurgical intensive care. The lengths of these rotations can be increased to accommodate specific interests. Experience in pediatric neuroanesthesia is also offered in conjunction with the division of pediatric anesthesia at Lucile Salter Packard Children's Hospital. Clinical exposure will emphasize anesthetic and patient management techniques for complex neurovascular procedures.Extensive use is made of mild hypothermia, controlled hypotension and, on occasions, circulatory arrest. Toward the end of the fellowship year, fellows will be expected to function as junior attendings, actively participating in the resident education process.

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Fellows are also expected to participate in a clinical or laboratory research project, with the goal of completing their project by the end of the year and submitting the results for publication. Faculty interests include mechanisms of cerebral protection, effects of mild
hypothermia, and aspects of neurophysiological monitoring. Fellow-initiated research projects are always welcome and internal research funds are available.

Applications and other materials can be obtained by contacting Richard Jaffe M.D. PhD., Department of Anesthesiology, H3580, Stanford University Medical Center, Stanford, CA 94305-5640.

Principal Faculty: Richard A. Jaffe, M.D.,PhD., Rona Giffard, M.D.,PhD., John G. Brock-Utne, M.D., PhD., Hendrikus J. Lemmens, M.D., PhD., Martin S. Angst, M.D., David R. Drover, M.D., Diana McGregor, MB.BS (London), FRCA


Obstetrical Anesthesia

Program Description

The Department of Anesthesia at Stanford University Medical Center offers three one-year ACGME-accredited fellowships in Obstetrical Anesthesia. Lucile Packard Childrens’ Hospital at Stanford University is a tertiary obstetric center and has a busy Labor and Delivery Suite with 4500-5000 deliveries per year, many of which are high-risk. The Obstetric Anesthesia fellowship combines advanced clinical training with the opportunity to engage in research and education. The fellowship equips its graduates for a variety of careers, ranging from academic practice to working in private practice with the ability to act as a consultant in obstetric anesthesia.

Applicants gain experience in the anesthetic management of high-risk obstetric patients, and receive hands-on teaching in state-of-the-art technologies including: advanced labor and cesarean analgesic techniques, ultrasound guided neuraxial anesthetic techniques, transthoracic echocardiography, and point-of-care devices such as thromboelastography. We are world-leaders in obstetric emergency simulation and fellows will have the opportunity to gain experience in participating and teaching using low- and high-fidelity simulation techniques. All fellows will participate in at least one primary research project, which will incorporate research interests of the applicant with mentorship and guidance from the experienced obstetric anesthesia researchers within our group. Many fellows have the opportunity to present a research project at a major anesthesia or subspecialty meeting (including the Society for Obstetric Anesthesia and Perinatology and the American Society of Anesthesiologists). Fellows will also gain instruction in study design, data analysis, scientific writing and important aspects of peer review. Recent research interests in our group have included: optimization of neuraxial techniques for labor and cesarean analgesia; studies to predict individual labor and cesarean pain and analgesic needs; evaluation of local anesthetic potency and anesthetic requirements during labor and cesarean delivery; studies of epidural and spinal opioid applications in obstetrics; investigations of peripartum hemostatic and coagulation changes; preventive and therapeutic strategies for hemorrhage management; management of maternal cardiac arrest and other obstetrical emergencies; and patient attitudes and ethnic preferences towards obstetric analgesia. Other projects have been performed in conjunction with the Department of Fetal-Maternal Medicine and the Section of Perioperative Management and Pharmacokinetics within the Department of Anesthesia (such as, cost-analyses, pharmacokinetics and pharmacodynamics of drugs administered to pregnant women and interdisciplinary outcomes based research). We also offer global health projects and opportunities within our department. Opportunities for a two-year fellowship may exist for candidates anticipating a career in academic medicine, with the second year spent in continuing clinical research and laboratory studies with other anesthesia department faculty. We also offer obstetric anesthesia research opportunities for more experienced researchers (e.g. sabbaticals) wishing to refine and expand their research repertoire and skillsets.

Clinical activities for the fellow include primary responsibility for the management of high-risk parturients as well as involvement in routine obstetric anesthesia care. The fellows participate in intradepartmental educational activities and attend a Medical School lecture series for postgraduate fellows covering a variety of important topics over a three-semester period. Fellows organize the obstetric anesthesia journal club and participate in medical student and resident teaching under the supervision of the obstetric anesthesia faculty. For applicants interested in a career in academic medicine, fellows are also able to attend numerous workshops, seminars, conferences at Stanford University and receive mentoring from internationally recognized senior educators and researchers within and outside the Department of Anesthesia at Stanford University.

Out-of-State and Out-of-Country Scholars

The Department of Anesthesia welcomes out-of-state and out-of-country scholars; however, we do not provide advice or support for becoming legally able to practice medicine in the state of California. With that said, applicants for this position should have a current California medical license (or immediate plans to obtain one) prior to beginning their fellowship. The Post-residency fellowship program does not sponsor H1B Visas. Applicants on J1 Visas are eligible to apply. Canadians that have passed the Canadian board exams can be accepted without the ECFMG. Please visit the following web sites for information:

Applications

For applications and additional information, please contact the Administrative Associate, Ashley Lauren Dunn (adunn2@stanford.edu), and the Fellowship Program Director, Edward Riley (edriley@stanford.edu) or the Director of Obstetric Anesthesia, Brendan Carvalho (bcarvalho@stanford.edu). The fellowship starts in July 1st or August 1st. Applications should be made as early as possible in the academic year for a start date in the following July; however, the deadline for applications will be May 10th. Selected candidates will be invited to Stanford for interview. If the deadline has passed, applications are always welcomed and will be reviewed for the following year.

Principal Faculty: Brendan Carvalho MBBCh, FRCA; Edward Riley MD; Alex Butwick, MBBS, FRCA, MS; Steve Lipman MD; Gillian Hilton, MBChB, FRCA.

Please download the application paperwork below:


Management of Perioperative Services

"Running the Board"

The Department of Anesthesia at Stanford University Medical Center offers a one year fellowship in the Management of Perioperative Services focusing on entrepreneurship, management, and leadership for the clinician.

Fellows receive training and research opportunities in the economics and management of the operating room suite and affiliated perioperative functions. Instructors are drawn from members of the Stanford University Hospital administration, Medical Staff, Nursing Staff, Business School, and the Departments of Economics, Health Research and Policy, and Anesthesia. Fellows audit courses on the Stanford Campus(including the Business School), participate in seminars held by experts in various disciplines, and then apply acquired knowledge in research projects related to solving real problems in the management of perioperative services.

Salary is provided by the Department of Anesthesia. Applications and other fellowship materials can be obtained by contacting Alex Macario M.D., M.B.A at (650) 723-6411.

Principal Faculty: Alex Macario M.D.


Pain Management

The Division of Pain Medicine at Stanford University Medical Center offers a world-class, ACGME-approved, one year Clinical Pain Medicine Fellowship. A second and potentially third year of fellowship training in pain research is also offered for those interested in an academic career. The clinical fellowship program focuses on comprehensive, interdisciplinary, collaborative training in and treatment of chronic, acute and cancer pain. Fellows learn from our core faculty comprised of specialists from Anesthesia, Internal Medicine, Neurology, Physiatry, Psychology, and Addiction Medicine – all additionally trained in Pain Management. Upon graduation, fellows will have gained a comprehensive understanding of the medical, interventional, physical, and behavioral aspects of Pain Medicine, which will allow them to be successful Pain Medicine physicians in both academic and community practices.

The Stanford Pain Management Center offers co-located pharmacologic, procedural, psychological, physical therapy and complementary medicine interventions, all occurring in our 9,000-square-foot clinic and procedure suites or our inpatient setting. Pharmacologic interventions include opioid and non-opioid treatments and continuous medication infusions (e.g., lidocaine, DHE, ketamine). Procedural interventions include diagnostic and therapeutic injections under fluoroscopic or ultrasound guidance, neuroablation, spinal-cord stimulation, intrathecal drug delivery, and disk decompressive therapies. Psychological interventions include individual/group cognitive-behavioral psychotherapy, stress management, coping skills education, and mindfulness/acceptance/relaxation training. Physical rehabilitation interventions include physical and occupational therapy to restore function. Complementary medicine interventions include acupuncture and meditation. We are fortunate to have the only dedicated inpatient, academic, chronic pain medicine unit in the western United States able to care for the most complex pain patients. Our commitment to the interdisciplinary understanding and treatment of pain is exemplified by our recognition with consecutive American Pain Society Clinical Center of Excellence awards (2008 and 2012).

Complete program information and application instructions can be found at: http://paincenter.stanford.edu/fellowship

Please send all fellowship inquiries to painfellowship@pain.stanford.edu

Principal Faculty: Division of Pain Medicine Faculty


Pediatric Anesthesia

Catheterization for Cardiac Anesthesia

The Department of Anesthesia at Stanford University Medical Center offers a one year ACGME-approved fellowship in pediatric anesthesia. We are responsible for the anesthesia for approximately 5000 cases per year in every surgical subspecialty, including organ transplantation. We have eight pediatric anesthesiologists on staff, two fellows, and four residents assigned to our service. All division attendings have completed subspecialty training in pediatric anesthesia and many are certified in pediatrics and pediatric critical care medicine. The fellows on our service will rotate through several assignments during the course of the fellowship year.

The fellowship position is open to candidates who have successfully completed residency training in anesthesiology at an accredited training program and who are board eligible or certified in anesthesiology.

Applications and other materials can be obtained by visiting the Pediatric Fellowship Website.

Principal Faculty: Olga Albert, M.D., Claudia Benkwitz, M.D., Rashmi Bhandari, M.D., M. Gail Boltz, M.D., Meredith Brooks, M.D., Danton Char, M.D., Michael Chen, M.D., Rebecca Claure, M.D., Genevieve D'Souza, M.D., Louise Furukawa, M.D., Brenda Golianu, M.D., Julie Good, M.D., Gregory Hammer, M.D., Anita Honkanen, M.D., Ethan Jackson, M.D., Komal Kamra, M.D., Elliot Krane, M.D., Calvin Kuan, M.D., Birgit Maass, M.D., Kevin Malott, M.D., Julianne Mendoza, M.D., Samuel Mireles, M.D., Srinivas Naidu, M.D.,  Manchula Navaratnam, M.B.B.S., Chandra Ramamoorthy, M.B., B.Chir., RJ Ramamurthi, M.B., Echo Rowe, M.D., Naiyi Sun, M.D., Jennifer Wagner, M.D., Ellen Wang, M.D., Glyn Williams, M.B., Ch.B., F.F.A. (S.A.), Julie Williamson, M.D., Lisa Wise-Faberowski, M.D.


Regional

The Stanford University Medical Center offers a 12 month fellowship in regional anesthesia. The experience provides advanced training in Regional Anesthesia & Perioperative Pain Medicine in surgical patients.  Eight regional anesthesia faculty participate in the fellowship training. Participating sites include the main university Hospital, a free standing surgery center, and the VA hospital.

Fellowship curriculum includes:

Fellowship Director and contact person: Please email Lindsey Vokach-Brodsky, MB if you are interested in applying. In addition to the application and required materials mentioned on the main fellowship webpage, a one page essay descrbibing interest in fellowship is also required. Please note that a California license is required prior to start date.


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