Education at Stanford University Department of Anesthesiology, Perioperative and Pain Medicine is rich, vibrant, diverse and available for faculty , fellows, residents and others with an interest in learning.

The Department offers a 12-month ACGME accredited fellowship training program in regional anesthesia and acute pain medicine, which 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. We provide a comprehensive clinical experience in regional anesthesia allowing the trainee to acquire the knowledge, skills and attributes necessary to become a lead consultants in regional anesthesia. Fellows rotate between two hospital sites, VA Palo Alto Health Care Systemand 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 nested within a Perioperative Surgical Home model.  Fellows engage in co-management of orthopedic surgery, patients on perioperative pain management, interventional techniques, pharmacological and nonpharmacological methods, management of patients with perineural catheters, acute pain management consults for surgical and nonsurgical patients, and the development of clinical pathways. 

At the Stanford sites, fellows’ educational objectives focus on mastering the techniques and management of basic and advanced regional anesthesia procedures, teaching residents, and coordinating the care of surgical patients who receive nerve block procedures.  Additionally, the Stanford rotations expose fellows to specialized experiences in pediatric regional anesthesiology as well as trauma patients.  Fellows rotating at the Stanford Outpatient Center learn to integrate regional anesthesia within ambulatory surgery practices and to execute the combination of peripheral nerve blockade. For more information please go to fellowship page or contact Dr. Ed Mariano, MD at