Question: What kind of skills that are emphasized in the fellowship?
Answer: The fellowship is customized to the individual, their background, their goals, but generally focuses on leadership, quality, management, and/or innovation. When the fellow starts the fellowship or even before then, we develop a 5 year career plan and tailor activities during the fellowship to achieve long-term career goals. For example, some fellows already have MBAs while others have no management training/experience, so each person has a unique path in terms of curriculum and fellowship experience.
Question: What are the options for pursuing an MBA as part of this fellowship?
Answer: We haven’t yet had a fellow do an MBA and the fellowship at the same time. One main reason is that the fellowship was designed for physicians wanting an applied experience with some course work specific to hospital and operating room management. It is possible for a fellow to apply to local MBA programs or online programs and complete the degree, and we would support the idea. However, the department is not able to pay fellows for the tuition at the moment.
Question: What kind of clinical opportunities exist during the year?
Answer: Clinical competence is priority number one, and continued development of patient care skills is essential.
Question: What is the salary?
Answer: The base salary is approximately 72k plus benefits this year (2016). Fellows work as an attending working alone or supervising residents in the Stanford operating rooms 12 hours (one day = 7am–5pm = 10 hours, for example) of clinical activity/week for each of 47 weeks, and that includes about 1–2 late shifts and one overnight call per month. Previous fellows have moonlighted at Stanford to make more money.
Question: Looking at the list of fellows from previous years, there is a large diversity of career paths that have come out of the program.
Answer: Correct! One goal is to identify which region, hospital, or anesthesia group you would like to work at upon completion of your fellowship and work towards that.
Question: What are the core elements of the fellowship?
- Clinical work in the OR one day a week, as stated above.
- Audit courses on campus based on your interests. You can explore courses at any of the schools on campus.
- 2-3 projects. That way there is always something going in at least one project.
- Monthly seminar with physicians doing things outside of clinical medicine to hear their story/career path.
- Weekly seminar where the Fellow presents an article, project, etc. for peer-to-peer teaching and learning.
- Attend a national meeting (such as ASA) and other meetings of interest. These include, for example, the ASA Conference on Practice Management.
- Prepare for the ABA oral exam, if needed.
Question: What are you looking for in an applicant?
Answer: Someone who is curious, hard working, engaged, and has a vision for career development.
Question: Do you prefer people who have been out for a while, or do you take people straight out of residency?
Answer: Half the fellows are straight out of residency and half have significant prior experience, including already having an MBA or having been a leader in a prior position. The fellowship is specifically customized to a person's background and interests.
Question: What kind of focus does the fellowship have (tertiary vs. community vs. ambulatory)?
Answer: That’s up to you. The operating room is a unique environment that requires a specialized fund of knowledge and skill set to manage effectively. Some skills emphasized include: Change Management, Project Management, Presentation and Analytical Skills.
Question: I wanted to ask the experience of a recent grad about taking courses through Stanford?
Answer from a recent graduate: “There are so many courses to choose from and you aren't limited to just Stanford Graduate School of Business (GSB). Pick a few courses that you think you are interested in and either email the professor prior to the first day or go to the first day of class and before it starts ask if you can be added as an auditor. I wouldn't take more than two or three per quarter depending on how you structure your clinical load and other projects/interests.
I took at least 3 courses in GSB (cost benefit analysis, advances in medicine, real estate investment), one in the law school (health care reform), and advanced medical Spanish (I was one of 5 students, no English allowed, plus I took the mid-term, final and oral exam). Plus a career seminar and various other single lectures. During the summer I participated in Stanford Ignite, which was a wonderful, intense learning experience. I can say that I made a lot of friends who I feel I can reach out to or help in the Stanford family. If you have any interest in that, check it out, but you need to apply and interview for it in the October/November time frame for June.”
Question: What are examples of some ongoing projects?
- Quality Improvement
- Anesthesia Information Management Systems
- Computing Accurate Costs for Surgeries and IR Cases
- Obesity and Hip Arthroplasty and Operating Room Time
- Anesthesia Complications Incidence Report from 500,000 Anesthetics
- Mobile Applications for Health Care
- Data Analytics in Health Care and Surgery and Anesthesia
- OR Governance Structure
- Scheduling and Logistics – Ambulatory Anesthesia
Question: What are other available opportunities?
Question: Is there an education fund?
Management fellows have a departmental educational fund of $1,500. Fellows who present at a national conference may also receive up to $1,000 in reimbursement for travel and registration expenses.