Fellowship in the Management of Perioperative Services

Alex Macario MD, Fellowship Director

This fellowship in management, entrepreneurship, quality, and leadership for the clinician is one of the first of its kind to be offered by a Department of Anesthesia. 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. The fellow audits courses on the Stanford Campus and then applies that knowledge in relevant projects.

Fellowship Curriculum

The fellowship curriculum consists of 3 components:

  • Lecture courses in the University are chosen to provide didactic sessions regarding critical principles of management. (See Courses section below for summary descriptions of some of the courses available to the fellow to audit.)
  • Seminars provide instruction and opportunity to explore concepts with experts in the management of perioperative services. Fellows are given assigned reading prior to seminars. Discussion with the instructors is intended to clarify understanding of reading assignments as well as requiring fellows to extrapolate to apply analytical skills.
  • Research Projects. The fellows work with instructors chosen from the nursing staff, anesthesia department, and hospital administration to gain real-life experience in applying principles involved in OR and department management. The fellow uses cases describing common OR management problems to learn quantitative and qualitative management skills.


  • BIOMEDIN 432: Analysis of Costs, Risks, and Benefits of Health Care (HRP 392)
  • BIOMEDIN 156: Economics of Health and Medical Care (BIOMEDIN 256, ECON 126, HRP 256)
  • SOMGEN 275: Leadership and Strategies for Health Care Delivery Innovation
  • BIOMEDIN 251: Outcomes Analysis (HRP 252)
  • HRP 263: Advanced Decision Science Methods and Modeling in Health (MED 263)
  • MED 229: Introduction to Global Health
  • STRAMGT 368: Strategic Management of Nonprofit Organizations and Social Ventures
  • PUBLPOL 301B: Cost-Benefit Analysis and Evaluation (IPS 204B)
  • GSBGEN 359: Leading Your Life
  • GSBGEN 551: Innovation and Management in Health Care
  • HRP 391: Health Care Regulation, Finance and Policy (PUBLPOL 231)
  • MS&E 263: Healthcare Operations Management

Research Project

During the research project, fellows apply research principles to an OR management project.

Steps include:

  • planning the project (including budget)
  • presenting a proposal and implementing changes
  • writing a report
  • presenting the report to Stanford
  • publishing a paper
  • presenting the paper at a nationwide meeting

Clinical workload

Continued patient care experience and development of clinical expertise is essential to the fellowship year. The fellowship salary is funded by work in the general OR Suite as an attending anesthesiologist (Clinical Instructor appointment) approximately 12 hours a week; this includes 1-2 late shifts or overnight calls per month.


Alex Macario, Principal Faculty, Professor of Anesthesia and Health Policy and Research

Bassam Kadry, Instructor

Former and Current Fellows


Fellow and Faculty Bios