Anesthesiology, Perioperative and Pain Medicine
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Clinical Education Program

The three year residency is devoted to training physicians to become outstanding anesthesiologists. In the first year, residents learn basic anesthesia skills on routine cases under close faculty supervision in the general operating room. Residents spend about half the year at the Stanford University-Packard Children's Hospital complex and the remainder divided between The Veterans Administration (VA) Palo Alto Health Care System and the Santa Clara Valley Medical Center (SCVMC). Residents take night and weekend calls with in-house faculty supervision as soon as their level of training permits.

During the second 6 months of the first year, all first year residents receive 2 months of subspecialty experience. Residents are trained in our Preop Clinic and Anesthesia Simulator Center from the beginning of the residency.

The second year is devoted to more extensive experience in anesthetic subspecialties.

For most residents, their third year of training constitutes what the American Board of Anesthesiology categorizes as the Advanced Clinical Track. This year is devoted to advanced and complex anesthesia assignments. The experience of residents in the program varies based primarily on their own interest in specific anesthetic subspecialties. A number of CA3 residents are selected for block subspecialty time consisting of 2-6 months in a single subspecialty. Such opportunities exist in cardiac, pediatric cardiac, obstetrics, pain management, neuroanesthesia, pediatrics and critical care medicine. The remainder of each resident's subspecialty experience is determined in a resident-run lottery held every April. The same lottery is also used to determine CA2 subspecialty rotations. This process gives every resident the maximum flexibility in determining both the choice and timing of his/her subspecialty rotations.

Three subspecialty rotations are reserved for CA3 residents.

Throughout the training program, residents are encouraged to participate in case reporting and ongoing clinical research. There are numerous opportunities for further clinical research experience in various clinical fellowships available after the residency.

The Clinical Scientist Track is available for individuals interested in an academic career. During the third year these individuals will have six months of research time. Such individuals are expected to complete a minimum of one additional year of research following completion of the three year residency. Application for these positions takes place during the second year of residency.

Since the start of the mandatory 3-year residency at Stanford, a resident typically performs about 600 anesthetics in the first year and about 400 cases in each of the next two years. An average resident obtains 2 months of subspecialty training in the CA1 year followed by 7 and 9 months in CA2 and CA3 years respectively. The remainder of each year is spent in the general operating rooms of the three major hospitals, performing progressively more complex cases.

Residents may also participate in one of several special anesthesia experiences in the program.

Didactic Education Program

At the start of the residency in July, there are three weeks of an intensive CA1 lecture schedule dealing with basic considerations in anesthesia. For the rest of the year CA1 residents attend their own weekly CA1 lecture program dealing with general anesthesia topics. Lectures are given by faculty. In the second and third years of training, residentsts attend their own weekly two hour CA2/3 lecture program dealing with all aspects of anesthesia care. Lectures are given by faculty (first lecture) and third year residents (second lecture). At the weekly Anesthesia Grand Rounds conference, complex and complicated cases are presented by residents and discussed by residents, faculty and community anesthesiologists. Weekly didactic and research conferences take place in the Pain Management Center for those residents interested in this evolving area of anesthesia practice. Once a month, faculty present current research at Department Research Seminars. The residents' Journal Club meets once a month following the resident lecture. Several subspecialties (pediatrics, obstetrics, critical care) have their own informal lecture series.

At the end of each resident year, an Anesthesia Refresher Course is held over two days on a weekend for our residents. Each day, 5-7 lectures are presented. Our faculty, many of whom give ASA Refresher Courses at our society's annual meeting, give a lecture on a subject of their particular expertise with extensive handouts. Some lectures are delivered by faculty from other institutions. As of 2007, we have integrated an response system into the course so that everyone in the audience can instantaneously respond and view the group's responses to questions asked by the lecturer.

Anesthesia Refresher Course - Sample Curriculum

Perioperative Management of Hemodynamic Insufficiency: A Physiologic Approach D. Patterson
Perioperative Management of Respiratory Insufficiency: A Physiologic Approach M. Rosenthal
A Physiologic Approach to the Surgical Patient with Hepatic and Renal Insufficiency R. Sladen (Columbia University)
Special Cases (obesity, geriatrics) M. Berhow
Avoiding Endocrine Deaths in the OR F. Mihm
Transfusion Practices and Blood Component Therapy R. Pearl
Spinal + Epidural Anesthesia I. Carroll
Risk Assessment and Anesthesia Care for the Patient with Cardiac Disease S. Thomas (Cornell University)
The Neurosurgical Emergency M. Zornow (Univ of Oregon)
What is Special about the Pediatric Patient? G. Hammer
What I Should Know about Cardiopulmonary Bypass S. Thomas (Cornell University)
Pre-Op Evaluation S. Fischer
Regional Anesthesia and Perioperative Analgesia E. Mariano (U.C. San Diego)
Complicated Obstetric Anesthesia B. Carvalho

Special Educational Activities


    Regional Workshop

Each year the department sponsors hands-on workshops to reinforce clinical education in a more relaxed setting.

The Regional Anesthesia Workshop utilizes cadaver dissection, live and inanimate models to teach various aspects of regional anesthesia techniques.

The CA1 Airway Workshop teaches basic fiberoptic airway management skills using multiple stations and various teaching models. The goals of this workshop are:


    CA1 Airway Workshop: working with Bainton models

The CA2/3 Airway Workshop for more senior residents gives residents hands-on trainging in the following:


    CA2/3 Workshop: lower airway anat, DLTs, blockers


The Clinical Competence Committee carefully monitors each resident's progress. Each resident chooses an individual faculty advisor with whom the Committee consults. An In-Training Exam is given once a year and practice oral exams are administered twice each year to all residents as preparation for the American Board of Anesthesiology certification process. Each year, residents receive three weeks of vacation. The department pays the travel expenses of any resident or fellow who presents a paper at a scientific meeting describing original research done at Stanford. Every year, $500 is available to each resident for the purchase of educational materials.

Entry into the Program

Physicians may enter the residency training program in Anesthesia at Stanford after having successfully completed any approved internship (medicine, categorical, surgery, or pediatrics) at a location of their choice.

The Stanford Anesthesia program accepts applications through the AAMC Electronic Residency Application Service (ERAS) only. Please contact your medical school for information regarding the process for submitting application materials.

Please provide the following information through ERAS only:

For additional information regarding the application process and the Stanford Anesthesia Residency Program please contact:

Janine Roberts, Residency Coordinator
Stanford University Medical Center
Department of Anesthesia, H3580
300 Pasteur Drive
Stanford, CA 94305

Tel: (650) 723-7377 Fax: (650) 725-8544

The selection process at Stanford begins only when the application is complete. Applicants are responsible for ascertaining that the application has been completed and all necessary materials are received by the Department. The Resident Selection Committee reviews all completed applications and chooses about 100 applicants to be interviewed. Interviews are held on Tuesdays and Thursdays in December and January. Each applicant has interviews with the Department Chairman and 3 members of the Resident Selection Committee. The interview day also provides ample time to meet with several residents and tour the facilities. The Resident Selection Committee meets at the end of each interview day and again in February to review interviewed applicants. The interviewers independently evaluate each applicant in the area of medical school performance, understanding of anesthesia, research experience and personal qualities. Written comments supplement the scoring system, which determines the applicant's ranking. Many individuals are considered outstanding applicants even though they have had no research background. In February, the Committee meets to determine the final ranking for medical student applicants who will enter our residency through the National Resident Matching Program (NRMP). We expect to fill 15 positions for the PGY-2 (CA-1) level.

Additional residency positions are available from time to time at all levels of training, as vacancies occur. Interested physicians are asked to contact the department to determine if applications are being accepted for senior resident positions.

The Department of Anesthesia and the Stanford University Medical Center are committed to increasing representation of women and minority groups in our residency and fellowship programs and particularly encourage applications from such individuals.

The Stanford Anesthesia program offers four PGY1 positions at Santa Clara Valley Medical Center. However, you must contact them directly to apply to their program. Information regarding these PGY1 (internship) positions may be obtained from:

Jen Eng, M.D.
Santa Clara Valley Medical Center
Department of Medicine
751 South Bascom Avenue
San Jose, California 95128
Contact: Amy Luu

Tel: (408) 885-6305

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