Management of Perioperative Services
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 to 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.
The Fellowship curriculum consists of 3 components:
- Lecture courses in the University are chosen to provide didactic sessions regarding critical principles of management. (See Appendix 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.
- 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.
|Name of Fellow||Year||Main Project||Current Position|
|Joel Pash DO||2013-2014||TBD||Community Practice, Canada|
|Kristen Telischak MD||2013-2014||TBD||Anesthesia Resident Beth Isreal|
|Loren Riskin MD||2013-2014||Quality Improvement||Stanford Anesthesia resident|
|John Santiago MD||2011-2012||Economics of bedside transthoracic ultrasound||Kaiser Washington DC Anesthesia Group|
|Jennifer Dubrawski MD||2011-2013||Physician group management||Community Practice, Los Angeles|
|Steve Liu MD||2010-2011||Economic assessment of fiberscopes||Pain Fellow, Columbia|
|Bassam Kadry MD||2010-2011||Complex Event Processing and Computerized Checklists||Stanford faculty|
|Mitchel Tsai MD||2008||Patient satisfaction with a telephone-based preop assessment at a rural, academic medical center||Faculty, University of Vermont|
|Jaume Balust MD||2007-2008||Anesthesia Information Systems in Europe||Faculty, Chief of Service, Barcelona, Spain|
|Harshu Chaobal DO||2005-2006||Economics of an Acute Pain Service||Community Practice, New jersey|
|Chris Egger-Halbeis MD, MBA||2005-2006||Anesthesia Information Systems in USA; Anesthesia Workforce in Europe||Hospital C.E.O.
Hirslanden Beau-Site Hospital, Bern, Switzerland
|Cate McIntosh MBBS||2004-2005||Part-time clinical anesthesia practice: economic, quality, & safety issues; Economics of Simulation Education||Faculty, John Hunter Hospital, Newcastle, Australia; Director, Simulation Program, Hunter New England Skills & Simulation Centre|
|Harrison Chow MD||2004||Economics of RFID tagged sponges||Community Anesthesia Practice, Entrepenuer, San Jose, California|
|Tom Archer MD||2000||Preoperative Clinic IT; Surgery Center Economics||Faculty, Director of OB Anesthesia, UCSD, San Diego, California|
|Miguel Canales MD||1999-2001||Robotic surgery||Entrepeneur, Vice President and Medical Director, Restoration Robotics, Mountain View, California|
|Anthony Chung MD||1999-2000||Cost-effectiveness of a trial of labor after previous cesarean||Community Practice, North Carolina|
|Leo Montejo MD||1999||Anesthesia Billing IT||Entrepeneur, San Francisco Bay Area|
|David Glenn MD||1998-1999||OR management||Community Practice, California|
|John Navarro MD||1997-1998||Anesthesia Information Systems||Community Practice, Oklahoma|
|Craig Scibetta MD||1997-1998||Analgesia for labor pain: a cost model||Community Practice, Arizona|
|Patrick Burch MD||1996-1997||Policy and Politics in Anesthesia||Deceased|
|Matthew Weinger MD||1996-1997||Patient Safety and Medical Simulation||Faculty, Dept of Anesthesia Vanderbilt; Norman Ty Smith Chair in Patient Safety and Medical Simulation, Professor of Anesthesiology, Biomedical Informatics, and Medical Education,Vanderbilt|
|William Fritz MD, MBA||1996||Free standing surgery centers-quality improvement||Community Anesthesia Practice, Chief of Anesthesia, Johnstown, Pennsylvania|
- Hospital Management
- T. Long
- Anesthesia Services
- A. Macario - cost and decision analysis
- S. Fischer - preoperative evaluation program
- T. Vitez - quality improvement, statistical quality control, planning
- Operating Room Nursing
- R. Heinen - material management and personnel resource
- D. Christ - strategies for OR schedules, information systems
- S. Hoopes - outpatient surgery
- Health Economics Instructors on Campus (not all possible faculty are listed)
- M. Hlatky, MD
- A. Garber, MD, PhD
- L. Lenert, MD
- A. Enthoven, PhD
- D. Owens, MD
Continued patient care experience and development of clinical expertise is essential to the Fellowship year. The Fellowship salary is funded by working in the general Operating Room Suite as an attending anesthesiologist (Clinical Instructor appointment) approximately 12 hrs a week and includes 1-2 late shifts or overnight calls/mth.
Knowledge Base for Fellowship
Staffing and Scheduling
Description of a few of the many courses available in the University. After discussion with faculty, fellows are expected to audit selected courses offered by the University.
School Of Medicine
- Health Research & Policy 256: Economics of health & medical care - Empirical, institutional and theoretical analysis of problems of health and medical care, measurement, valuation, and determinants of health; physicians, hospitals and the drug industry, financing and organization of medical care; public policy issues.
- Health Research & Policy 392: Cost-Benefit Analysis in Health Care - Study discussion of the main literature on the principles of cost-benefit analysis applied to health care. Emphasis is on insights into the art of practical application.
- Research in Progress Seminars, Wednesday afternoons at 130pm: Fellows throughout University pursuing health economics research present ongoing projects. Faculty provides guidance and critique early in research progress.
School of Engineering
- Operations Research 154: Operations research - introduction to techniques and models of operation research: theory and computation of optimal selection of decisions under certainty. Linear programming, network optimization models; dynamic, non-linear and integer programming.
- Interdisciplinary Seminar on Conflict Resolution - (same as Eco 386, Law 325, Psych 283) - Addresses problems of conflict resolution and negotiation from an interdisciplinary perspective.
School of Humanities & Sciences
- Economics 281: The Economics of Uncertainty - The theory of choice under uncertainty: the Neumann Morgenstern and Savage theorems. Subjective and objective probabilities. The evaluation of risky prospects and the demand for assets.
- Economics 282: Theory of Information and Organization - The value and cost of information. Demand for information and