Anesthesia–

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 ENT/Difficult Airway 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., Alice Edler, M.D.(education and statistics), Greg Hammer, M.D. (research)

Critical Care Medicine

Stanford University Medical Center offers one and two year fellowships in Critical Care Medicine (CCM). This ACGME-approved fellowship in both medicine and anesthesia combines research and clinical experience. The fellowship year begins with the fellow serving one month as a CCM resident. During that time, the fellow takes calls and admits patients as a resident, writing all patient care orders under the supervision of the faculty. During the next several months the fellow supervises patient care provided by residents and students. Progressive independence during the fellowship gives the fellow more opportunities to direct patient care and teaching. Near the end of the year, the fellow serves a period as a junior attending on the service and is responsible for all patient care and teaching activities.

ICU pt with pneumonia + MSOF

During the remainder of the year (about 3 months) each fellow is expected to participate in an area of research related to critical care. An 18 month program is available which would begin in the second half of the CA 3 year and allow for 10 - 11 months of research time. The Department offers facilities for physiological and pharmacological research. The varied interests of the faculty afford the fellow exposure to a wide variety of investigative skills. Current faculty interests include mechanisms of acute lung injury in sepsis, the use of vasoactive drugs in shock, pulmonary hypertension and development of improved cardiorespiratory monitoring techniques.

ICU rounds

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

We have a rolling admission process as there is no fellowship matching program. We accept applicants from anesthesia, surgical and medicine programs, and we start fellowship training in July, August, as well as in January of each year.

Principal Faculty: Frederick Mihm M.D., Ronald Pearl M.D., PhD., Norman Rizk M.D., Steven Rouss M.D., Ann Weinacker M.D., Andrew Patterson M.D., PhD., Timothy Angelotti M.D., PhD., Ludwig Lin M.D., Paul Mohabir M.D., Pieter van de Starre M.D., PhD.,Gundeep Dhillon, M.D., David Spain, M.D., Paul Maggio, M.D., David Weill M.D., Juliana Barr M.D., Edward Bertacinni M.D., Geoffrey Lighthall, M.D., Ph.D., Rajinder Chitkara M.D., Ware Kuschner M.D., Joe Levitt, 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 Christina Mora-Mangano, M.D., Department of Anesthesiology, H3580, Stanford University Medical Center, Stanford, CA 94305-5640.

Principal Faculty: Frank Sarnquist M.D., 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., Kent Garman, M.D., Charles Hill, M.D., Daryl Oakes, M.D., David Soran, M.D., and Jimmy Wong, M.D.

Difficult Airway/ENT

Stanford University Department of Anesthesia is pleased to announce that starting 2009 we will be offering a 1 year combined Difficult Airway/ENT anesthesia fellowship.

This unique fellowship is highly structured, integrating didactic, clinical, simulation and research components. The didactic part consists of comprehensive weekly lectures by faculty from the anesthesia, otolaryngology and emergency medicine departments on topics related to difficult and emergency airway management inside and outside of the operating room, as well as topics related to adult and pediatric ENT anesthesia. On the clinical side, the fellow(s) will receive extensive hands-on training in state-of-the-art difficult airway management devices and techniques by designated experienced faculty. Since the ENT surgical population tends to have a higher incidence of difficult airways, the clinical portion of the fellowship will provide a unique opportunity to acquire advanced airway skills in real life situations.

Although the majority of training will be on the adult patient population, the fellow(s) will also participate in the care of pediatric ENT patients, many of whom present to Stanford with congenital airway abnormalities. The fellow(s) will have an outstanding opportunity to acquire experience in 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.

Applicants will acquire broad clinical experience in providing anesthesia for a wide variety of ENT surgical procedures, including major head and neck cancer surgery, laryngeal surgery, including voice restoration, surgery for obstructive sleep apnea, major ear surgery, anterior skull base surgery, facial plastic surgery, functional endoscopic sinus surgery, complicated combined ENT/neuro cases (acoustic neuroma, pituitary surgery), as well as maxillofacial and orthognatic surgery. Fellows will learn pharmacokinetic principles as part of the use of opioid infusions and total intravenous anesthesia.

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 letter of interest to:
Vladimir Nekhendzy, M.D.
Clinical Associate Professor of Anesthesia and Otolaryngology
Director, Difficult 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

The Department of Anesthesia at Stanford University Medical Center offers two one-year fellowships in Obstetrical Anesthesia. The Johnson Center for Pregnancy and Newborn Services has a busy Labor and Delivery Suite with approximately 5000 deliveries per year, many of which are high-risk. The Obstetric Anesthesia fellowship combines advanced clinical training with the opportunity to engage in clinical research and teaching. 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. All fellows will participate in at least one clinical research project, with the degree of involvement depending on the type and duration of the study and the career goals of the applicant. Many fellows have the opportunity to present a research project at a major anesthesia or subspecialty meeting and all are co-authors on any publication resulting from their research involvement. Recent research interests in our group have included: mechanisms, efficacy and optimization of epidural and combined spinal-epidural techniques for labor and cesarean section; studies of epidural and spinal opioid applications in obstetrics; aspects of blood coagulation during pregnancy; evaluation of local anesthetic potency and anesthetic requirements during labor and cesarean section; and patient attitudes towards risk perception of obstetric analgesia. Other projects have been performed in conjunction with the Department of Fetal-Maternal Medicine and the Section of Perioperative Management within the Department of Anesthesia (i.e., cost-efficacy issues). 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 have room for more experienced researchers (e.g. sabbaticals). These programs are set up on an ad hoc basis.

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 applications and additional information, please contact Edward Riley M.D., Director of Obstetric Anesthesia, Department of Anesthesiology, H3580, Stanford University Medical Center, Stanford, CA 94305-5640. The fellowship usually starts in July, although other start dates may be considered. Applications should be made as early as possible in the academic year for a start date in the following July. Selected candidates will be invited to Stanford for interview. Please note - applicants for this position should have a current California medical license (or immediate plans to obtain one). Canadians that have passed the Canadian board exams can be accepted without the ECFMG.

Principal Faculty: Edward Riley M.D., Sheila Cohen MBBS, Brendan Carvalho M.D., Steve Lipman M.D., Jeremy Collins M.D., and Alex Butwick, M.D.


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., Kent Garman M.D.


Pain Management

The Pain Management Services at Stanford University Hospital offers a world class ACGME-approved Clinical Pain Fellowship. Fellowships of 12 and 24 months duration are offered. The program focuses on providing training in the medical, interventional, physical, and behavioral aspects of pain management in a coordinated interdisciplinary approach so that upon graduation the pain management physician will be prepared to succeed in an academic and/or community practice. State-of the-art treatments for chronic pain, including the use of implantable dorsal column stimulators, radio-frequency ablation, intrathecal drug delivery systems are used. A comprehensive multi-disciplinary treatment of both acute and chronic pain is emphasized. Stanford is fortunate to have the only in-patient chronic pain management unit in the Western United States with facilities to care for the most complex pain patients.

All application information and materials, as well as contact information, can be found at http://paincenter.stanford.edu/education/

Applications and other materials can be obtained by contacting Matthew Chen at , Pain Fellowship Coordinator, Stanford University, 780 Welch Road #208, Palo Alto, CA 94304

Principal Faculty: Sean Mackey M.D. PhD., Raymond Gaeta M.D., Ravi Prasad, Ph.D., Ian Carroll M.D., Wendye Robbins, M.D., Vanila Singh, M.D., Alpana Gowda, M.D., Kale Wedemeyer, M.D., Josh Kirz, Ph.D., Tim Dawson, M.D., Meredith Barad, M.D., Mike Brook, M.D., Michael Leong, M.D., Einar Ottestad, M.D.

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., M. Gail Boltz, M.D., Michael Chen, M.D., Rebecca Claure, M.D., Genevieve D'Souza, M.D., Alice Edler, M.D., William Feaster, 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., Katie Larkin, M.D., Kevin Malott, M.D., Manchula Navaratnam, M.B.B.S., Chandra Ramamoorthy, M.B., B.Chir., RJ Ramamurthi, M.B., Jeanne Rosner, M.D., Jeannie Seybold, M.D., Naiyi Sun, M.D., Glyn Williams, M.B., Ch.B., F.F.A. (S.A.), Julie Williamson, M.D., and Imad Yamout, 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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