Anesthesiology, Perioperative and Pain Medicine

Ask Alex

Q&A with Stanford Anesthesia's Residency Director

August 2013

Combined internal medicine-anesthesia residency at Stanford: accepting applications now

Please do apply to the combined internal medicine-anesthesia residency at Stanford to start in 2014.

We are looking for applicants with outstanding clinical abilities who show potential to be leaders in internal medicine and anesthesiology.

The program consists of 12 months medicine internship, followed by 12 months of anesthesiology. Then, in years 3-5, six months/year is devoted to each specialty. Graduates will be Board-eligible in both.

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

Candidates apply to (and need to interview at) both Internal Medicine and anesthesia residencies via ERAS as if they were applying solely to that one residency. This Stanford Medicine-Anesthesiology program NRMP code is 1820742C0.

PGY1s in combined program participate in once a month online module: the Stanford Successful Transition to Anesthesia Residency Training (START) program http://start.stanford.edu along with the other anesthesia interns

PGY1s along with all other local Stanford Anesthesia interns also participate in the simulation workshop Intern PReparedness using INnovations in Teaching Program (ImPRINT) held third Tuesdays of each month from 1-5pm
http://askalex.stanford.edu/archives/2012/10/imprint-an-inno.html

Residents in combined program will have
- 3 or 6 months medicine residency immediately after CA1 year so as to not do 18 months of anesthesia straight.
- an IM continuity clinic throughout the 5 year period

Vacation time is taken proportionally equal to time spent in each residency in a given year.

The core Anesthesiology conferences occur on Monday mornings (Anesthesia Grand Rounds, 6:45-7:45 AM) and weekly didactics/case-based learning from 4:00-5:30 PM on Monday, Tuesday, or Wednesday afternoons (depending on the year of training). During the Internal Medicine portion of the training in years 3-5, residents attend one of these sessions monthly at a minimum, with the plan/expectation that residents attend these sessions on a more frequent basis. Since the timing of the conferences listed above is early & late in the day, it will be feasible for residents to attend other conferences weekly.


FAQs
Question: What will graduates of this program do?
Answer: We donít know for sure what positions will be of most interest to program graduates given the ongoing and future changes in medicine and healthcare. Certainly, graduates will be trained broadly to play an important role in organizing and providing care to the sickest and most complex patients. On one end of the spectrum the graduate could practice anesthesia full time and at the other end could practice internal medicine full time. In between are other exciting possibilities: for example, critical care medicine, pain medicine, hospitalist work, and perioperative management of surgical patients including organizing clinic for high risk patients.

Question: Will residents in combined program have faculty mentors?
Answer: Yes Stanford faculty members dual boarded in medicine and anesthesiology can serve as mentors.

Question: For the application itself, is there a preferred number of letters of recommendation and distribution between anesthesiology letters, medicine letters, or letters from other specialties?
Answer: Please apply as if you were applying to each residency separately with separate letters and essay (you can mention interest in combined program of course). This is because the faculty in both departments will want the applicant to fully fit in their own residency, and because if the person doesnít match in the combined program they will end up in either a medicine only residency or an anesthesia residency only.

Question: What is the process for coordinating the application process between the two departments?
Answer: Once both residencies invite you for an interview we work with the applicants to facilitate interview dates.

Thank you

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Update on CA3 residents and Fellowships

I hope everyone is having a good summer.

Last year 70% of Stanford Anesthesia residency graduates went on to a fellowship, which was an alltime high, and this yr the % is likely to be even higher.

Many of the current CA3s have secured fellowships for next yr and we are delighted with the results so please join me in congratulating them! The list is below.

Other CA3s are interested in pediatric anesthesia and pain medicine fellowships and the match for those is in the Fall so when we know the results will let everyone know, as well with the CA3s that go on to community or academic practice.


Nick Anast, Cardiac Anesthesia, Stanford
Kevin Blaine, Critical Care Medicine, National Institutes of Health, Bethesda, MD
Jorge Caballero, FARM Research, Stanford
Craig Chen, Critical Care Medicine, Stanford
Estee Garazi, Cardiac Anesthesia, University of Miami, Miami, FL
Robert Groff, Critical Care Medicine, Stanford
Leslie Hale, Critical Care Medicine, Stanford
Reed Harvey, Cardiac Anesthesia, UCLA
Ryan Mountjoy, Regional Anesthesia, Duke
Marie McHenry, Cardiac Anesthesia, Texas Heart Institute, Houston, TX
Carter Peatross, Cardiac Anesthesia, Mayo Clinic, Rochester, MN
Lindsay Raleigh, Combined Cardiac Anesthesia/Critical Care Medicine, Stanford
Eric Sun, FARM Research, Stanford
Jim Tan, Regional Anesthesia, Stanford


thank you
Alex

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