This program offers three 1-year ACGME-accredited fellowship positions commencing in July every year. We accept applications from December1st- May 31st of the preceding year via ERAS, and interviews are scheduled from March to July. Please note that we participate in the NRMP match process and applicants will have to register separately with NRMP for the fellowship match when permitted by NRMP, typically in the summer for a fall match. We are the only academic health center and pediatric anesthesiology fellowship program in the state of Oregon. Our fellows enjoy personal attention and instruction from the twenty one 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, high-fidelity simulation, ABA Oral Board Examination 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.
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This program aims to train fellows to provide outstanding perioperative clinical care to complex pediatric patients, in an environment of teaching, inquiry and scientific discovery. We strive to provide this in a supportive environment of wellness and inclusion, in alignment with departmental and institutional missions.
The Pediatric Anesthesiology Fellowship program aims to:
1) Research and plan the safe administration of anesthesia to pediatric patients of all ASA classifications, including management of premature neonates and older children with complicated disease processes and syndromes requiring routine or complex surgical procedures.
2) Understand the normal anatomical and physiologic differences between premature neonates, full term neonates, toddlers, adolescents, and young adults and their impact on anesthetic plans.
3) Understand and recognize abnormal pediatric development, disease processes, and syndromes that will impact anesthetic management.
4) Fellows will instruct and teach students and residents principles of anesthesia for infants and children in the operating room.
5) Create a sense of community and wellness to foster and support ongoing development of faculty and learners, including both faculty-learner and peer-to-peer interactions.
6) Encourage and support an environment of educational, clinical and quality scholarship among our trainees and core teaching faculty.
The Bob and Mary Jane Stewart Fund provides funding for our 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 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. If an application is made to the ABA with sufficient lead time and it is approved prospectively, these trips are usually considered normal clinical training time and as such there is no requirement to use vacation, CME or academic time to participate in one of these trips.
All clinical subspecialties are offered, including a busy Pediatric Sedation Service, cardiac, craniofacial, intraoperative MRI, pediatriccritical care and multidisciplinary pain programs. The OHSU Simulator Center is directed by one of the pediatric anesthesiologists and facilitates crisis management training and ACLS certification for trainees. 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 (~520-550) regularly approaches the 90% percentile (577) for all pediatric anesthesiology fellowship programs in the country, based on the case logs submitted to ACGME (2009-10statistics). 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 participate in at least one academic research project during the course of their fellowship year for which academic days will be allocated and mentorship will be provided. The research project could involve participation in an on going clinical or basic science research project, initiation of a new project, or educational research related to resident education and/or simulation, and is expected to result in a fellow presentation at a national scientific meeting, such as the ASA or SPA. Review articles, systematic reviews, medical informatics projects or other outcomes research projects are also suitable. Candidates with strong research interests and planned or on going projects are encouraged to pursue their scholarly projects during training. Following individual review of academic goals and scholarly project/s, we may increase the usual amount of non-clinical academic time for incoming fellows in order to facilitate achievement of academic goals.
In addition, fellows are expected to initiate and implement a quality improvement project as a means of learning the CQI process. They are also offered the opportunity to attend 1-2 meetings of the Departmental CQI Committee as a guest reviewer to familiarize themselves with root cause analysis. Contributions to the pediatric ABA keyword database encourage our fellows to prepare for the new ABA pediatric anesthesiology subspecialty examination. Fellows are encouraged and mentored in the art of writing compelling PBLDs for submission and presentation to the SPA and/or ASA meetings. Finally, each fellow will plan and present a journal club session in pediatric anesthesia during the course of their training and give at least one presentation to the OR staff related to a topic in anesthesia.
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 indifferent 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. Portland is a vibrant, 'clean-green' bike-friendly city that boasts excellent restaurants, cultural attractions, and an easygoing outdoor lifestyle in true Pacific Northwest tradition. It is an hour or less to the spectacular Oregon Coast, Mount Hood, the Columbia Gorge,and Oregon wine country.
We are confident that we offer an excellent experience that previous graduates from our program (several of whom are on our faculty) can at test to. We welcome your interest in our program, and hope you will consider submitting your application.
To apply, please register with ERAS and submit the following documents.
- Personal statement.
- At least 3 letters of recommendation (including one from your residency program director)
- Dean's Letter
- USMLE and/or COMLEX scores
- ABA certificate as evidence of passing the anesthesiology Basic Examination
Please submit completed application packets to ERAS
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