About

Stanford University offers a 12-month ACGME-accredited fellowship in regional anesthesiology and acute pain medicine. The experience provides advanced postgraduate training in this subspecialty. Multiple nationally- and internationally-recognized faculty participate directly in fellowship training. Participating sites include the main university hospital on Stanford campus, a freestanding outpatient surgery center, and the nearby Veterans Affairs hospital.

Fellowship Curriculum

Regional Anesthesiology and Acute Pain Medicine is a subspecialty of anesthesiology focused on the management of acute pain including, but not limited to, comprehensive perioperative management of patients receiving neuraxial or peripheral neural blockade for anesthesia and/or analgesia as well as the medical management of acutely painful conditions. Fellowship training is concerned with the development of expertise in the clinical practice and science of regional anesthesiology and acute pain medicine.

On completion of this one-year fellowship, fellows will be able to:

  • Provide acute pain management for the full spectrum of surgeries, injuries, medical etiologies and other invasive procedures that produce acute pain in the hospital setting;
  • Perform a comprehensive range of advanced regional anesthesia procedures for appropriate indications in a safe consistent and effective manner, understanding the risks and benefits and communicating them to patients;
  • Act as a consultant to other anesthesiologists, surgeons, nurses, pharmacists, physical therapists, other medical professionals, operating room managers and hospital administrators;
  • Provide leadership in the clinical practice of acute pain management and the organization of the acute pain service within the hospital setting with the requisite knowledge and skills to establish a new regional anesthesiology and acute pain medicine program in his or her future practice;
  • Integrate emerging technologies and translate new knowledge to continuously improve the subspecialty; and
  • Apply evidence-based methods to teach future subspecialists in regional anesthesiology and acute pain medicine.

Our program is ACGME-accredited so our curriculum follows the program requirements posted on the ACGME website

Fellows rotate between two hospital sites, VA Palo Alto Health Care System and Stanford University Medical Center, and one free-standing outpatient surgery center, Stanford Medicine Outpatient Center. 

Fellows spend a minimum of 3 months rotating at the VA Palo Alto Health Care System to learn acute pain medicine.  The regional anesthesiology and acute pain medicine program at the VA is nested within a Perioperative Surgical Home model.  Fellows engage in co-management of orthopedic surgery and other patients with an emphasis on perioperative pain management, using interventional techniques, pharmacological and nonpharmacological methods, daily management of patients with perineural catheters on the hospital wards and at home, acute pain management consults for surgical and nonsurgical patients, and development of clinical pathways. 

At the Stanford sites, fellows’ educational objectives in regional anesthesiology focus on mastering the techniques and management of basic and advanced regional anesthesia procedures, teaching residents on their regional anesthesia rotations, and coordinating the care of surgical patients who receive nerve block procedures through consultation with all members of the perioperative team.  The Stanford rotations also expose fellows to specialized experiences in pediatric regional anesthesiology as well as regional anesthesia for trauma patients.  Fellows rotating at the Stanford Outpatient Center learn to integrate regional anesthesia within the context of an efficient ambulatory surgery practice and to execute the combination of peripheral nerve blockade for postoperative pain management with optimal anesthesia care for patients having day surgery.

Fellows have scheduled didactic and workshop teaching throughout the year, including cadaver lab.  Fellows are also given ample opportunity and encouragement to participate or lead quality improvement and research projects with dedicated time for these scholarly pursuits.  Previous fellows have presented their projects at national meetings such as the American Society of Regional Anesthesia and Pain Medicine (ASRA) and the American Society of Anesthesiologists (ASA) annual meeting under the mentorship of Stanford faculty.  Many Stanford faculty members participate in medical missions so fellows may have the opportunity to participate in global surgery outreach depending on availability. 

Download Application

Last day to submit for 2020 -2021 RAAPM fellowship is March 15, 2019.

Other Required Materials

  • Application with 2x2 photo of face
  • Current CV
  • Copy of medical school diploma
  • Copy of Dean's letter
  • Copy of medical school transcript
  • Three original letters of recommendation
  • Personal statement
  • Copies of actual USMLE scores
  • Copies of ITE (In-Training Exam) scores
  • ± ECFMG certificate (if applicable)

Contact Us

Please e-mail  Susan Lim all your materials and if you have any further inquiries please contact Edward R. Mariano, MD, MAS.

Please email Edward R. Mariano, MD, MAS if you are interested in applying. In addition to the application and materials mentioned on the main fellowship webpage, a one-page essay describing your interest in the fellowship is also required. Please note that a California medical license is also required prior to start date.

  • Susan Lim
    Executive Administrative Specialist
    Stanford University School of Medicine
    Department of Anesthesiology, Perioperative & Pain Medicine
    300 Pasteur Drive, H3536, Stanford, CA 94305-5640
    susanlim@stanford.edu
  • Ashley Johnson
    GME Benefits Coordinator
    450 Broadway Street, MC6343
    Redwood City, CA 94063
    Phone: (650) 721-7212
    Fax: (650) 721-3471
    Ashley85@stanford.edu
  • Edward R. Mariano, MD, MAS (Clinical Research)
    Chief, Anesthesiology and Perioperative Care Service and
    Associate Chief of Staff for Inpatient Surgical Services
    Regional Anesthesiology and Acute Pain Medicine Fellowship Program Director
    VA Palo Alto Health Care System
    Professor of Anesthesiology, Perioperative and Pain Medicine
    Stanford University School of Medicine
    3801 Miranda Avenue (112A)
    Palo Alto, CA 94304
    emariano@stanford.edu
  • Jennifer Lee, MD 
    Regional Anesthesiology and Acute Pain Medicine
    Site Director, Stanford Rotations
    Stanford University School of Medicine
    Department of Anesthesiology, Perioperative & Pain Medicine
    300 Pasteur Drive
    Stanford, CA 94305-5640
    jwlee2@stanford.edu
  • T. Edward Kim, MD
    Regional Anesthesiology and Acute Pain Medicine
    Site Director, VA Palo Alto Rotations
    Director, Acute Pain Medicine and Regional Anesthesiology
    VA Palo Alto Health Care System
    3801 Miranda Avenue (112A)
    Palo Alto, CA 94304
    tekim@stanford.edu
  • Jean-Louis Horn, MD
    Chief, Division of Regional Anesthesia
    Stanford University School of Medicine
    Department of Anesthesiology, Perioperative & Pain Medicine
    300 Pasteur Drive, H3582
    Stanford, CA 94305-5640
    hornj@stanford.edu