Combined Internal Medicine/Anesthesiology Residency

Stanford Combined Internal Medicine/Anesthesiology Residency

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Contacts in the Combined Medicine/Anesthesia Program

Marianne Chen M.D.
Associate Program Director
Clinical Associate Professor
Department of Anesthesiology, Perioperative, and Pain Medicine
Stanford University School of Medicine
mcchen8@stanford.edu
Angela Rogers, MD, MPH
Associate Program Director
Associate Professor
Department of Internal Medicine
Stanford University School of Medicine
ajrogers@stanford.edu

The Medicine-Anesthesia Residency Program

Stanford Resident
Experience 2020

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Program Information

The combined internal medicine-anesthesia residency is seeking applicants with outstanding clinical abilities who show potential to be leaders in internal medicine and anesthesiology.

Our program aims to train physicians who are excellent in two independent fields of medicine. Graduates are board-eligible in both specialties. Residents in this combined program are fully-included members of both departments including mentoring, research, global health opportunities, resident colleagues, department retreats, etc.

The structure of our program is as prescribed by the ABA and ABIM guidelines. PGY1 year is spent entirely on medicine rotations. PGY2 year consists of all anesthesia rotations. During PGY3-5 years, a resident alternates between 3 months of medicine rotations and 3 months of anesthesia rotations.

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

Residents in the combined program continue to have an IM primary care continuity clinic throughout the five year residency.

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

Residents are encouraged to attend all teaching conferences for both departments regardless of which department they are rotating through. They are expected to attend one teaching conference in each specialty at least once per month. Medicine teaching conferences include daily resident reports and noon teaching conferences, as well as weekly grand rounds. Anesthesia conferences include weekly grand rounds, the 15 minute lectures offered daily, and the 4-530 pm weekly didactic lectures.

Residents in the combined program take written exams for both residencies. Residents take the medicine In-Training Exam (ITE) on an annual basis, and the anesthesia ITE on an annual basis starting in PGY-2.

Residents participate in simulation programs provided by the both departments. Anesthesia Crisis Resource Management (ACRM) and EVOLVE take anesthesia residents through various crisis scenarios in the operating room. SCARED and SMART train medicine residents to deal with a variety of code and pre-code situations in the hospital.

ACGME, ABA, and ABIM Program Requirements for Combined Residency

Medicine

A minimum of 4 months of critical care (MICU, CCU) rotations
A minimum of 1/3 of Internal Medicine training occurs in ambulatory setting, and minimum of 1/3 in inpatient setting
A longitudinal continuity clinic of 130 one half day sessions over the course of training, including one clinic per month. The continuity clinic includes evaluation of performance data for resident’s panel of patients.
Exposure to each of the internal medicine subspecialties and neurology, and an assignment in geriatric medicine
An emergency medicine experience of four weeks
Electives available in experience in psychiatry, allergy/immunology, dermatology, medical ophthalmology, office gynecology, otorhinolaryngology, non-operative orthopedics, palliative medicine, sleep medicine, and rehabilitation medicine.

Anesthesia

Two one-month rotations in obstetric anesthesiology, pediatric anesthesiology, neuro anesthesiology, and cardiothoracic anesthesiology
A minimum of one month adult intensive care unit during each of the last 3 years
Three months of pain medicine, including one month in acute perioperative pain, one month in chronic pain, and one month of regional analgesia/peripheral nerve blocks
One-half month in a preoperative evaluation clinic
One-half month in a post anesthesia care unit
One-half month in out-of-OR locations
No single subspecialty, excluding critical care medicine, exceeds six months total

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:

Pre-Tax Stipends

One-time Stanford moving allowance from hospital of $3,000 (as PGY-1 or CA-1)
Housing stipend from anesthesia department of $3600 per year PGY-2 through PGY-4
Housing Stipend (pretax from hospital) $600/month=$7200/yr
Education stipend from hospital of $1000 per year
Hospital GME bonus $2,000/yr (intended for parking, phone, etc)
Education stipend from anesthesia department of $775 per year PGY-2 through PGY-4

Other Funds

FAQs

What will a graduate of the program do?

Dual training and board eligibility in internal medicine and anesthesiology allows a graduate of the program to pursue many career options ranging from operating room anesthesia to hospitalist medicine. Many of our graduates go on to pursue fellowship training in critical care medicine, adult cardiothoracic aneshesia, or pain medicine. Expertise in both internal medicine and anesthesiology allows graduates to also become leaders in preoperative anesthesia clinics and perioperative medicine services.

Will residents in combined program have faculty mentors?

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?

Please apply as if you were applying to each residency separately with separate letters and essay (you may 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 programs, and because if the person doesn’t match in the combined program, we still strongly consider them for either a medicine only residency or an anesthesia residency only.

What is the process for coordinating the application process between the two departments?

What is the vacation for combined residents?

Pgy1 yr: 4 weeks of vacation as per medicine department for interns.
Pgy2 yr: 3 weeks of vacation and 1 week as a conference week. 5 sick days are allowed during 12 months as a full-time resident in anesthesia.
Pgy 3-5 yrs: While on anesthesia rotations residents take one conference week plus one vacation week during one of the three years. During the other two years, the residents take 2 weeks of vacation during 6 months of anesthesia time and 2 more weeks during the 6 months they spend in the medicine department.

What are some recent changes to the program?

Residents can opt to do one OR anesthesia day during a 2-week medicine elective. We have worked to maximize the number of retreats residents can attend in both departments given the scheduling constraints. To increase scholarship opportunities, we help residents identify research mentors early on in their training. Every other month, the residents get together for a social gathering and journal club that is usually presented by the PGY-4 and PGY-5 residents in the program.

How to apply?

The Stanford Anesthesiology Residency Program accepts applications through the AAMC Electronic Residency Application Service (ERAS) only.

Please provide the following through ERAS:

Personal Statement
Medical School Transcript/USMLE scores
MSPE Letter
3-4 letters of recommendation.

Select the Stanford Combined Internal Medicine/Anesthesiology Residency Program (Program #1820742C0)

*Also apply to both the core Stanford Anesthesiology Residency and Stanford Internal Medicine Residency and upload separate required documents for each program.

Alumni / Current Residents

Alumni

NAME	POST-RESIDENCY POSITION
Michael Lin	ICU and Anesthesiology Faculty at UCLA
Jai Madhok	ICU and Cardiac Anesthesiology Faculty at Stanford
Amy Kloosterboer	ICU And Anesthesiology Faculty at Stanford
Jason Leong	ICU and Cardiac Anesthesiology in Private Practice - Santa Clara, CA
Natalie Bodmer	2020-2021 Cardiothoracic Anesthesiology Fellowship - Stanford University
Tiffany Lee	ICU and Anesthesiology in Private Practice - Oakland, CA
Adam Tiagonce	Private Practice Anesthesiology Group - Chicago, Illinois
Emma Li	2021-2022 Cardiothoracic Anesthesiology Fellowships, Cleveland Clinic
Patrick Sullivan	Anesthesiology Faculty at Stanford
Meihsi Chen	Anesthesiology Faculty at Stanford
Tyler Payne	Critical Care Medicine Fellowship at Stanford
Tara Ramaswamy	Critical Care Medicine Fellowship at MGH

Current Residents

PGY-5	MEDICAL SCHOOL	EMAIL ADDRESS
Alex Goodell	UCSF	agoodell@stanford.edu
Cheng Cheng Ma	University of Washington	macc@stanford.edu

PGY-4	MEDICAL SCHOOL	EMAIL ADDRESS
Christian O'Donnell	Stanford University	codonnel@stanford.edu
Alexander Rodriguez	Northwestern University	ajrod@stanford.edu

PGY-2	MEDICAL SCHOOL	EMAIL ADDRESS
Megan Garland	Stanford University	garlandm@stanford.edu
Jim Goodman	Oregon Health and Science University	goodmjam@stanford.edu

PGY-1	MEDICAL SCHOOL	EMAIL ADDRESS
Luis Acevedo-Soto	University of Puerto Rico	laceved4@stanford.edu

Sample Schedule

HOSPITAL	PGY-1	PGY-2	PGY-3	PGY-4	PGY-5
Stanford University Hospital	9	7	8	8	8
Veterans Affairs Palo Alto Health Care	2	2	3	3	3
Santa Clara Valley Medical Center	2	2	1	1	1
Lucile-Packard Children's Hospital*	0	2	1	1	1

Sample schedule for a combined medicine/anesthesia resident by year

PGY-1 INTERN YEAR	WEEKS
Medicine wards (any site)	24
Nights	4
ICU (VA)	4
Oncology inpatient	4
General cardiology inpatient	4
Geriatrics elective	2
CCU/Heart Failure	2
Other electives	8

PGY-2 CA-1 YEAR	WEEKS
Ambulatory Surgical Center (ASC)	2
Urology	2
Abdomen	2
Bariatrics	2
Orthopedics	2
Orthopedic trauma	2
ENT	2
Cardiac Echo	2
EP	2
Stanford	4
Neuro 1 (Craniotomies)	4
Neuro 2 (Spine)	4
Acute pain	4
MICU	4
General OR at the VA and SCVMC	16

PGY 3- 5 SENIOR ROTATIONS	WEEKS
MSD	8
Liver	4
Thoracic	4
PACU	2
SAU	2
Regional	4
Chronic Pain	4
ENT	4
Neuro 2 (Spinal surgeries)	4
Cardiac Echo (TEE) 2	2
Out of the OR elective	2
Cardiac	8
Pediatric	8
Obstetrics	8
SICU	4
CVICU	4

Clinical Electives (including additional time at the VA or SCVMC if requested)

MINIMUM ROTATIONS (STANFORD)	WEEKS
Medicine Wards	32
VA-ICU (intern)	4
CCU	4
MICU	4
Additional ICU (VA/MICU/CCU/Valley/CVICU)	4
Cards/Onc/Heme (any level intern or res)	12
Nights	10
ER	4
Core Electives	32
Enrichment Electives	10
SIM block	4
Total IM weeks	120

CORES	WEEKS
Cardiology consult	2
Endocrinology (Consults/Clinic)	2
Gastroenterology Inpatient	2
Inpatient Hepatology	2
ICHS (or ICU ID?)	2
6 ID VA or SUH	2
Nephrology Inpatient	2
Outpatient Hematology	2
Palliative Care SUH or VA	2
Pulmonary (Consults/Clinic)	2
Rheumatology (Consults/Clinic)	2
Pulmonary HTN (Inpatient/Clinic)	2
Surgical co-management	2
Geriatrics	2
ICU triage	2
Med Consult	2

ENRICHMENT ELECTIVES	WEEKS
Research	4
Quality improvement	4
J&J	8
BMT inpatient	2 or 4
SCVMC ICU	4
Ultrasound elective	2
ICU-ID	2
Outpatient Nephrology	2
REVIEW all other electives to choose!

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