Contacts in the Combined Medicine/Anesthesia Program
- Marianne Chen M.D.
Associate Program Director
Clinical Assistant Professor
Department of Anesthesiology, Perioperative, and Pain Medicine
Stanford University School of Medicine
- Angela Rogers, MD, MPH
Associate Program Director
Department of Internal Medicine
Stanford University School of Medicine
Stanford Combined Internal Medicine/Anesthesiology Residency
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
- 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.
- 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
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:
- 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
- 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
|Michael Lin||2017-2018 Critical Care Medicine Fellowship, Stanford University|
|Jai Madhok||2019-2020 Critical Care/Cardiac Fellowships, Stanford University|
|Amy Kloosterboer||2019-2020 Critical Care Fellowship, Stanford University|
|Jason Leong||2019-2020 Cardiac/Critical Care Fellowships, Stanford University|
|Natalie Bodmer||2020-2021 Cardiothoracic Anesthesia Fellowship, Stanford University|
|Tiffany Lee||2020-2021 Critical Care Medicine Fellowship, Stanford University|
|Adam Tiagonce||Private Practice Anesthesia Group, Chicago Illinois|
|PGY-5||MEDICAL SCHOOL||EMAIL ADDRESS|
|Xi Li||Stanford Universityfirstname.lastname@example.org|
|Patrick Sullivan||Stanford Universityemail@example.com|
|PGY-4||MEDICAL SCHOOL||EMAIL ADDRESS|
|Meihsi Chen||Stanford Universityfirstname.lastname@example.org|
|Robert Payne||Georgetown Universityemail@example.com|
|Tara Ramaswamy||University of Pennsylvaniafirstname.lastname@example.org|
|PGY-3||MEDICAL SCHOOL||EMAIL ADDRESS|
|Cheng Cheng Ma||University of Washingtonemail@example.com|
|PGY-2||MEDICAL SCHOOL||EMAIL ADDRESS|
|Christian O’Donnell||Stanford Universityfirstname.lastname@example.org|
|Alexander Rodriguez||Northwestern Universityemail@example.com|
|Jason Batten||Stanford Universityfirstname.lastname@example.org|
|PGY-1||MEDICAL SCHOOL||EMAIL ADDRESS|
|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|
|General cardiology inpatient||4|
|PGY-2 CA-1 YEAR||WEEKS|
|Ambulatory Surgical Center (ASC)||2|
|Neuro 1 (Craniotomies)||4|
|Neuro 2 (Spine)||4|
|General OR at the VA and SCVMC||16|
|PGY 3- 5 SENIOR ROTATIONS||WEEKS|
|Neuro 2 (Spinal surgeries)||4|
|Cardiac Echo (TEE) 2||2|
|Out of the OR elective||2|
Clinical Electives (including additional time at the VA or SCVMC if requested)
|MINIMUM ROTATIONS (STANFORD)||WEEKS|
|Additional ICU (VA/MICU/CCU/Valley/CVICU)||4|
|Cards/Onc/Heme (any level intern or res)||12|
|Total IM weeks||120|
|ICHS (or ICU ID?)||2|
|6 ID VA or SUH||2|
|Palliative Care SUH or VA||2|
|Pulmonary HTN (Inpatient/Clinic)||2|
|BMT inpatient||2 or 4|
|REVIEW all other electives to choose!|