Stanford Combined Pediatrics Anesthesiology Residency

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Overview

We are looking for applicants with outstanding clinical abilities who show potential to be leaders in their field (e.g., pediatric anesthesiology, PICU, pediatric pain management, or other fields).

The program consists of: Year one = 12 months of pediatrics. Year two = 12 months of anesthesiology. In years 3-5, six months/year is devoted to each specialty.

For the Combined Program in Pediatrics and Anesthesiology, the ERAS application material should be sent to the Combined Program in Pediatrics and Anesthesiology. If you are interested in also applying to the categorical programs in either Pediatrics or Anesthesia, please also apply through those ERAS programs. For the Combined Program in Pediatrics and Anesthesiology, you will need to interview at both programs over 2 days.

Residents in this combined program are fully included members of both departments including advising, mentoring, research opportunities, and resident colleagues, etc.

Rotations

Pediatrics

  • 5 months in-patient rotations (may be general pediatrics, mixed or a single subspecialty)
  • 5 months supervisory experience
  • 3 months PICU, 2 months NICU, 1 month CVICU
  • 7 months subspecialty rotations with a mix of inpatient and outpatient experience
  • 3 months ER
  • 1 month acute care illness
  • 1 month normal newborn
  • 1 month adolescent medicine
  • 1 month behavioral/developmental pediatrics
  • 40% of pediatric time is in ambulatory settings
  • Weekly pediatric continuity clinic during pediatrics rotations & once/month during anesthesia rotations. PGY-4 and PGY-5 years, residents may elect to participate in pediatric anesthesia pre-operative clinic to meet this requirement.

Anesthesiology

  • Two one-month rotations in each of obstetric anesthesiology, pediatric anesthesiology, neuroanesthesiology, and cardiothoracic anesthesiology
  • A minimum of one month in an adult ICU in addition to the requirements for training in neonatal and pediatric critical care medicine
  • Three months of pain medicine = one month in acute perioperative pain, one month in chronic pain, and one month of regional anesthesia/peripheral nerve blocks
  • One-half month in a preoperative evaluation clinic
  • One-half month in a post anesthesia care unit
  • No single subspecialty, excluding critical care medicine, exceeds six months total
  • Minimum clinical experiences as defined by the anesthesiology program requirements
  • Rotations are not “counted” twice. Thus, rotations are not considered by the program to meet the requirements for training in pediatrics or anesthesiology simultaneously.
  • Anesthesiology experiences continue at least once a month during pediatric training

Sample Stanford Schedule

                                                    Number of 4 Week Rotations Per Year

HOSPITAL YEAR 1 YEAR 2 YEAR 3 YEAR 4 YEAR 5
Packard Children's Hospital  11 2* 5 8* 6
Stanford Hospital    1 7 6 3 6  
Veterans Affairs Palo Health Care 0 2 1 1 1  
Santa Clara Valley Medical Center 1 2 1 1 0  
Valley Childrens Hospital 0 0 1 0 0  

*Pediatric anesthesia, pediatric cardiac anesthesia, & adult Obstetric anesthesia rotations are at Packard

Residents in combined program typically do 3 months pediatrics residency immediately after CA1 (PGY2) year and alternate back and forth every 3 months 

PGY1 Year

  • Participate in once a month online module: the Stanford Successful Transition to Anesthesia Residency Training (START) program  http://www.learnly.org/learnly-start/ along with the other 24 anesthesia interns
  •  Along with all other local Stanford Anesthesia interns, combined residents also participate in the monthly simulation sessions (STARTplus) which are the third Tuesday of each month from 1-5pm

PGY2 Year

  • During CA1 year, the resident has 12 clinics total. This clinic is scheduled a minimum of 8 weeks in advance with goal to schedule even further ahead of time for the entire year
  • Attend the Pediatric PGY2 Retreat in Spring (includes PALS recertification) as well as the June orientation session for pediatric junior residents

Didactics

  • During anesthesia rotations as permitted by rotation duties, resident may attend pediatrics conferences (daily at 8am & noon (lunch included)) & peds grand rounds Friday 8am.
  • In years 3-5 during pediatric rotations resident attends anesthesia weekday didactics

Exams

  • Residents in combined program take written exams for both residencies. For anesthesia the BASIC Exam is taken July of PGY3 year and focuses on the scientific basis of clinical anesthetic practice and concentrates on content areas such as pharmacology, physiology, anatomy, anesthesia equipment and monitoring.
  • The ADVANCED exam for anesthesia is taken after end of residency and focuses on clinical aspects of anesthetic practice and emphasizes subspecialty based practice & advanced clinical issues.

Vacation

  • Vacation time is taken proportionally equal to time spent in each residency in a given year. As required by the Boards absences from training (e.g., vacation, sick or family leave) exceeding 5 of the 60 months of required training must be made up.

Residents in Combined Program

  • are involved in residency recruitment (e.g., attend dinner night before interview day)
  • get-together twice a year for dinner lectures (e.g., to increase exposure to the PICU and peds anesthesia faculty)

Social Activities

2017 Dinner Get Togethor

2018 Fall Gathering

FAQs

Financial Information

Department-specific benefits apply to the time which is spent in that department.

As an example, below is list of monies/stipends anesthesia residents receive:

Stipends

  • Moving Allowance from hospital GME (graduate medical education office) (pretax) $3,000 one time when first move to Stanford
  • Housing Stipend (pretax from anesthesia department) $300/month = $3600/yr for PGY 2-4 yrs
  • Housing Stipend (pretax from hospital) $600/month = $7200/yr
  • Educational Stipend from hospital $1000/year
  • Hospital GME bonus stipend $2,000/year
  • California medical license/renewal, $895 paid by GME if application done on time
  • Presentation of research at academic meeting - expenses paid by anesthesia dept
  • ASA membership dues $75
  • Call meal money (dining dollars) $12/late call after 7pm
  • DEA registration $550
  • Laptop computer and iPad issued PGY1 year for use during residency.
  • Department educational allowance of $775/yr for PGY 2-4

Faculty Resources

  • Dedicated Anesthesia Associate Program Director
    Dr. Tammy Wang
    tamwang@stanford.edu
    Dr. Wang is a pediatrician and an anesthesiologist so has deep experience in both specialties. She was Chief Resident and then a Hospitalist at Children’s Hospital & Research Center Oakland for several years before completing residency in Anesthesiology and fellowship in Pediatric Anesthesiology.
  • Dedicated Pediatrics Associate Program Director
    Dr. Caroline Buckway

Pediatric - Anesthesia Combined Residents

Alumni

  • Mary Lyn Stein, MD (Clinical Instructor, Department of Anesthesiology, Critical Care and Pain Medicine, Boston Children’s Hospital/Harvard Medical School)
  • Gavin Hartman MD (Community Practice, Reno, Nevada)
  • Adam Was MD (Pediatric Anesthesiology Fellow, University of Michigan)
  • Erin Conner MD (Pediatric Anesthesiology Fellow, Oregon Health Sciences University)
  • Jewel E. Sheehan 
  • Andrew Giustini 

Class of 2020

  • Aiden Tait
  • Michael O’Hara

Class of 2021

  • Allison Nye                

Class of 2022

  • Elena Brandford
  • Kara Furman

Class of 2023

  • Taylor Compton
  • Sean Miller
  • Clarice Nguyen          

Class of 2024

  • Tyler Greenway
  • Laura Tetri

Sample Pediatrics Schedule

**Can do PGY4 or PGY5 year (can interchange with elective).

Note: Subspecialty Continuity Clinic an Option in PGY4 and PGY5 Year (instead of Gen Peds Continuity Clinic). 

ACGME Anesthesiology graduation requirements

   REQUIREMENT MONTHS
  Neuro 1 (intracranial)
1
  Neuro 2 (spine)
1
  Cardiac 2
  Regional 1
  ICU (typically one per year – NICU/PICU/CVICU for peds counts) 3
  Chronic pain
1
  Acute pain
1
  Pediatric anesthesiology 2
  Obstetric anesthesiology 2
  Preoperative clinic
0.5
  Postoperative Acute Care Unit
0.5
  Thoracic 0.5