Anesthesiology, Perioperative and Pain Medicine

Fellowship in the Management of Perioperative Services




This fellowship in management, entrepreneurship, 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.

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

Bassam Kadry
Instructor



Fellowship Curriculum

The Fellowship curriculum consists of 3 components:


Fellows

Fellows

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

 



Instructors



Clinical workload

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

Health economics
Relationship of OR to hospital and health care system. Economics of Health and Medical Care (HRP 256) gives understanding of where profession/specialty is, how we got there, where we might be going. History of evolution (100 years) of delivery and financing of U.S. health care (e.g., Starr: The Social Transformation of American Medicine)

Management of Hospital and health care institution

Operating Room/Ambulatory Surgery Center Management
Organization and financing

Management tools (Equipment)

Knowledge
Computer applications

Continuous Quality Improvement

Planning

Problem solving

Statistical Process Control (system analysis & system control)

Budget
(Ms. Duperrault, Ms Bird, Stanford course on cost accounting)

Decision making

Operations

Interpersonal relationships

Statistics and Data Analysis

Cost Benefit Analysis & Cost Effective Analysis

Risk Management



Staffing and Scheduling

Protocols

Measurement science

Research Project
Apply research principles to OR management project



Appendix

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

School of Engineering

School of Humanities & Sciences

Stanford Medicine Resources:

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