OHSU

Pediatric Fellowship

Thank you for your interest in our Pediatric Anesthesiology fellowship program.

This program offers two 1-year ACGME-accredited fellowship positions commencing in July every year.  Applications are accepted from January 1st of the preceding year, and interviews are scheduled from January to May.  Both of our positions have been committed to the

NRMP Pediatric Anesthesiology Subspecialty Fellowship Match

We are the only academic medical center and pediatric anesthesiology fellowship program in the state of Oregon. Our fellows enjoy personal attention and instruction from the fifteen attending pediatric anesthesiologists both in clinical settings as well as during the didactic teaching sessions. Protected time is earmarked for weekly teaching sessions, departmental grand rounds, multidisciplinary conferences, PALS/NRP training, and ACGME Competency Workshops run by Graduate Medical Education. We encourage fellows to attend the ASA Meeting in October and/or the SPA Winter Meeting in March/April, and we provide a generous CME allowance with five days of meeting time for this purpose.

The Bob and Mary Jane Stewart Fund provides funding for one or both fellows to accompany our faculty on a pediatric anesthesia mission trip to a developing nation during the course of their fellowship training. This is an exciting new opportunity that we are able to offer our fellows as a result of the generous support from the fund. Expenses may be covered in whole or partially, depending on the mission trip and the number of interested fellows.

Our clinical case load can easily support all our trainees while providing plenty of experience with index cases for the fellows. The total number of cases each fellow provides anesthesia care for during their year of training at OHSU (~550) regularly approaches the 90% percentile (577) for all pediatric anesthesiology fellowship programs in the country, based on the case logs submitted to ACGME (2009-10 statistics). Similarly, the number of neonates as well as other index cases tracked by ACGME falls between the 70%-90% percentile for all programs. We do not ‘double-up’ trainees for cases (i.e. a resident and a fellow claiming credit for the same case). We are able to achieve this in our physician-only pediatric practice by having one fellow rotate through Pain, Pediatric Sedation, Pediatric and Neonatal Intensive Care, and Pediatric Cardiothoracic Anesthesia for several months of the year. We also allow trainees flexibility to tailor the fellowship to their individual needs or interests by choosing an elective month in a subspecialty of interest. Towards the end of the year, graduated teaching opportunities are provided, where the fellow will take on the role of attending to guide residents through appropriate cases with faculty supervision.

Fellows are required to complete at least one academic project during the course of their fellowship year for which academic days will be allocated and mentorship will be provided.  The academic project could involve participation in an ongoing clinical or basic science research project, initiation of a new project, educational research related to resident education and/or simulation, or the presentation of an abstract as a scientific poster or medically challenging case report at the ASA or SPA annual meetings. Review articles, systematic reviews, medical informatics projects or other outcomes research projects are also suitable.

The goals of the fellowship program are to:

  1. Equip the fellow with the knowledge, skills, and abilities to function independently and competently as a Consultant Pediatric Anesthesiologist.
  2. Provide a broad clinical experience that allows fellows to develop proficiency in the care of neonates, infants, children, and adolescents in all surgical subspecialties.
  3. Foster a thorough understanding of the anatomical, physiological, developmental and behavioral characteristics of patients in different age groups.
  4. Teach fellows the technical skills related to airway management and invasive monitoring.
  5. Expose fellows to intravenous sedation techniques for a variety of office-based settings and diagnostic radiology.
  6. Provide experience in acute and chronic pediatric pain management, including cognitive behavioral therapy.
  7. Provide experience in the management of critically ill neonates, infants, children, and adolescents.
  8. Fellows should achieve certification in Pediatric and Neonatal Advanced Life Support.
  9. Encourage the fellow to develop as an educator by providing opportunities to teach principles of airway management and pediatric anesthesia to residents and students.
  10. Teach the basic principles of clinical research, the protection of human subjects, and evidence-based medicine via didactic sessions and involvement in a suitable research project or review article.

Our program offers a comprehensive clinical experience with a strong emphasis on education in a collegial atmosphere. Faculty members are committed to maximizing the educational opportunities available for trainees, and encourage fellows to balance the demands of their training with their personal life by experiencing the outstanding recreational pursuits available in the beautiful Pacific Northwest. We are confident that we offer an excellent experience that previous graduates from our program (some of whom are on our faculty) can attest to. We welcome your interest in our program, and hope you will consider submitting your application.

Kirk Lalwani, MD, FRCA, MCR
Pediatric Program Director
  

Prospective Fellows

To apply, please complete: Additionally, please arrange for the submission of:
  • 3 letters of recommendation (including one from your residency program director)
  • Dean’s Letter
  • Transcripts (unofficial/copies accepted)
  • USMLE and/or COMLEX scores (unofficial/copies accepted)

Please submit completed application packets electronically to:

Administrative Coordinator
Oregon Health & Science University
BTE-2 Anesthesiology and Perioperative Medicine
3181 SW Sam Jackson Park Road
Portland, OR 97239
Tel: 503-494-6736  Fax: 503-494-5945