Stanford Combined Internal Medicine/Anesthesiology Residency

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Contacts in the Combined Medicine/Anesthesia Program

Associate Program Director
Carlos Brun, MD (cbrunmail@yahoo.com)

Dr. Brun completed his Internal Medicine residency at Legacy Emanuel and Good Samaritan in Portland, Oregon. He then spent one year at the Montreal Heart Institute. Afterwards, he came to Stanford and graduated from the Critical Care Medicine fellowship and then the Anesthesia residency. Dr. Brun currently works at the VA Palo Alto in the OR and ICU. His teaching interests include difficult airway management and peri-operative ultrasound. His research interests are in peri-operative patient management, and resident and fellow teaching.

Associate Program Director:
Angela Rogers, MD, MPH (ajrogers@stanford.edu)

Angela Rogers is an Assistant Professor in the Department of Medicine, Division of Pulmonary and Critical Care Medicine. She completed Internal Medicine residency at Brigham and Women’s Hospital, and fellowship in Pulmonary and Critical Care Medicine at the Harvard Combined Program. She attends at Stanford University Hospital. Her research interests include using genetics and genomics methodologies to identify novel ARDS pathobiology.

 

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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.

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. During medicine blocks, this clinic is 2-4 times per month. During anesthesia blocks, this clinic is once per month.

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.

*Pediatric anesthesia & adult obstetric anesthesia rotations are at LPCH

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

  • ASA membership dues of $75 per year
  • Call meal money (dining dollars) of $10 for each 12-hour call shift worked
  • DEA registration fee of $550
  • California medical license and renewal fee of $895

FAQs

Alumni

 HOSPITAL PGY-1 PGY-3
Michael Lin 2017-2018 Critical Care Medicine Fellowship, Stanford University 2018 UCLA faculty

Current Residents

PGY-5 MEDICAL SCHOOL EMAIL ADDRESS
Jai Madhok Stanford University jmadhok1@stanford.edu
Amy Kloosterboer University of Wisconsin aklooste@stanford.edu
Jason Leong Albert Einstein/Yeshiva University jhleong@stanford.edu
PGY-4 MEDICAL SCHOOL EMAIL ADDRESS
Natalie Bodmer University of Illinois nbodmer2@stanford.edu
Tiffany Lee University of California, Irvine tiffany7@stanford.edu
Adam Tiagonce University of Illinois atiagon2@stanford.edu
PGY-3 MEDICAL SCHOOL EMAIL ADDRESS
Xi Li Stanford University xili897@stanford.edu
Patrick Sullivan Stanford University psulliv@stanford.edu
PGY-2 MEDICAL SCHOOL EMAIL ADDRESS
Meihsi Chen Stanford University meihsi@stanford.edu
Robert Payne Georgetown University rtpayne@stanford.edu
Tara Ramaswamy University of Pennsylvania trama34@stanford.edu
PGY-1 MEDICAL SCHOOL EMAIL ADDRESS
Joseph Garagliano Tulane University joseph.garagliano@stanford.edu
Alex Goodell UCSF agoodell@stanford.edu
Cheng Cheng Ma University of Washington macc@stanford.edu

Sample Schedule

Number of 4 Week Rotations Per Year

 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!