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The
following is a list of the available specialties within
the Fellowship Program. For
specific information regarding each program click on
the specialty
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CARDIOTHORACIC
ANESTHESIOLOGY FELLOWSHIP
INTRODUCTION
The fellowship program consists of one or more
years of training in anesthesiology and life support
of adult patients undergoing cardiac, vascular and thoracic
surgery. The fellowship year is structured to meet the
needs of the individual fellow who seeks specialized
training in cardiothoracic anesthesiology. Learning
opportunities in clinical practice, teaching, and research
are offered and involve a combination of the following
activities:
-
Clinical experience in anesthesia and intensive care
of patients undergoing cardiac, vascular or thoracic
surgery. The training is at a level more advanced
than usually available in a standard anesthesia residency
program. Fellows have the opportunity to spend one
week working with the perfusion service if they wish.
- 3 months dedicated to training in Transesophageal
echocardiography (TEE). 6 weeks of training with cardiology
performing transthoracic (TTE), dobutamine stress
(DSE), and TEE studies, and 6 weeks of dedicated OR
TEE. This program is structured to allow fellows to
meet the criteria for Perioperative TEE certification
after this one year of training.
- TEE training includes didactic as well
as hands-on instruction. Lectures are held weekly,
plus weekly echo reading sessions with faculty. The
lecture series covers a broad spectrum of echo topics
over the first 6 months, and then this knowledge is
converted to practice with review of interesting cases
via interactive learning sessions. Weekly echo reading
sessions allow all the fellows to review interesting
cases from our vast echo library.
- Clinical research in anesthesiology and
intensive care. Each fellow is expected to participate
in clinical investigation during this fellowship year.
There are a variety of ongoing projects from which
to choose.
- Teaching experience including lecturing
and tutoring in cardiac, vascular and thoracic anesthesiology,
cardiopulmonary resuscitation, critical care medicine,
cardiovascular physiology and pharmacology.
- Study and research in a basic science or
clinical discipline closely related to cardiothoracic
anesthesia.
The goal of a fellow in this program
is to become a specialist in the anesthetic management
and life support of patients with cardiopulmonary disease.
The fellow generally spends the major portion of his
time and effort in anesthesia care and life support
of adult patients during cardiac surgery. However, experiences
are available in thoracic anesthesia, pediatric cardiac
anesthesia, anesthesia for major vascular surgery and
critical care medicine. Opportunities to gain teaching
experience are provided, and each fellow is expected
to complete at least one clinical investigation during
his fellowship year.
Information about fellowship opportunities and other
questions should be directed to:
Dr.
Jerrold Levy, Director or
Dr. Kathryn Glas, Associate Director
Cardiothoracic Anesthesiology
Emory University Hospital
1364 Clifton Road NE
Atlanta, Georgia 30322-1104
Phone: (404) 778-5793
Fax: (404) 778-3940
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CLINICAL CARE OPPORTUNITIES
Emory
Healthcare includes 3 teaching hospitals, which performed
2,766 cardiac surgical operations in 2003. In addition
to Emory University (EUH), Crawford Long Hospitals (CLH)
and Children’s Healthcare of Atlanta (CHOA), cardiac
surgery is performed at Grady Memorial Hospital (GMH)
and Veterans Administration Medical Center (VAH), which
brought the total numbers of heart operations to 3,019
in the calendar year 2003. The faculty of the Cardiothoracic
Anesthesia Division of the Emory Department of Anesthesiology
provides care for all cardiac and thoracic patients
at EUH, CLH, CHOA and VAH. Fellow OR training and TEE
training will be evenly divided between EUH and CLH.
ICU training occurs at EUH. Each fellow will provide
care at the VAH approximately once per month.
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Emory
University Hospital · is a 600-bed tertiary
referral hospital in which more than 800 cardiac
and 480 thoracic surgical procedures are performed
each year in adult patients. The Cardiothoracic
anesthesiology fellow functions in both learning
and teaching capabilities during cardiac surgical
procedures. Early in the fellowship year, a fellow
administers anesthesia to patients in relatively
good physical condition who are undergoing more
or less routine cardiac operations. Subsequently
the fellow is assigned more complex and challenging
cases. Later in the year, a fellow is given increasing
responsibility for supervising residents providing
anesthesia for cardiac and thoracic operations.
Our goal is to increase the fellow's knowledge and
experience to the point where s/he can competently
assume full responsibility for patient management
and be both effective and comfortable in the role
of an independent practitioner.
Our program includes all facets of anesthesia care
for surgical patients with coronary, valvular, and
congenital heart disease, heart and lung transplantation,
lung disease and thoracoabdominal aortic aneurysms.
Experience is gained in medical and surgical treatment
of dysrhythmias, management of acute and chronic
heart failure, clinical pharmacology and physiology,
uses of cardiac assist devices, fluid and electrolyte
balance, hyperalimentation, and all aspects of immediate
postoperative care. The most sophisticated invasive
and noninvasive monitoring techniques (e.g. transesophageal
and epicardial echocardiography) are used in most
patients. Opportunities to learn the technical procedures
and to operate the cardiopulmonary bypass machine
are offered. TEE training at EUH involves both echo
lab and OR experience.
Anesthesia care for thoracic surgical procedures
emphasizes the use of one-lung ventilation and pulmonary
vasodilators, such as nitric oxide. A busy thoracic
transplant service has provided the opportunity
to participate in complex single and double lung
transplant procedures. In addition to operations
on the lung, a variety of diagnostic procedures
including bronchoscopy and mediastinoscopy are performed.
The post cardiac surgical intensive care units are
included in the Division of Cardiothoracic Anesthesiology.
Fellows spend a minimum of 4 weeks on the Critical
Care Medicine Service. In addition to direct patient
care, the fellow is given the responsibility of
directing the critical care team of anesthesiology
residents. Fellows demonstrating excellence are
offered the opportunity to serve as assistant attending
physician / junior faculty. It is possible to arrange
extended periods in the surgical ICU's. The training
program for a fellow in the intensive care units
is at a higher level of expertise than that provided
in the usual anesthesiology residency. At the conclusion
of the rotation, a fellow should be able to diagnose
and treat effectively all aspects of acute cardiac
failure as well as multi system organ failure. He
will have become experienced in the use of cardiovascular
drugs, ventilator support, hyperalimentation, renal
dialysis, intraaortic balloon counter pulsation,
and other therapeutic modalities. Because many patients
undergoing cardiac surgery have other systemic diseases,
the fellow can often gain experience in the medical
management of neurological, pulmonary, renal, endocrine,
metabolic, infection and coagulation problems.
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Crawford
Long Hospital is a 583-bed general community
hospital in which more than 1300 cardiac and 300
thoracic surgical operations occur annually. The
caseload is similar to EUH, although all transplant
operations occur at EUH. Off-pump coronary revascularization
(OPCAB) is performed here on over 70% of the patients.
This busy clinical service gives fellows the opportunity
to see aspects of care that resemble private practice
settings, even though all members of the operative
team are employees of Emory Healthcare.
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Children's
Health Care of Atlanta at Egleston Children's
Health Care of Atlanta at Egleston is a 235-bed
major pediatric referral and teaching hospital in
which 584 cardiac operations with cardiopulmonary
bypass (CPB) and including the most complex congenital
lesions and transplantation are performed each year.
In addition, there are 170 cardiac operations, which
do not involve CPB. The cardiac catheterization
lab has a busy EP and invasive service, where anesthesia
provides care for 290 patients per year. Fellows
may elect to spend time on the cardiac anesthesiology
service at this pediatric hospital, either as part
of their 12-month adult cardiac fellowship, or in
addition to it, as a 3 to 6 month rotation.
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Veterans
Administration Hospital is a 550-bed hospital
in which 100-150 cardiac surgical operations are
performed annually. Fellows spend time at the VA
on a rotating basis. TEE is performed on the majority
of patients.
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Grady
Memorial Hospital is a 1000+ bed county hospital
in which approximately 100 cardiac surgical procedures
are performed each year. The emphasis is on patients
with thoracic and cardiac trauma as well as multi-system
disease. The Anesthesiology program, under the direction
of Raphael Gershon MD, emphasizes both the intraoperative
and postoperative management of patients with multi
system injuries. Dr. Brooker has developed an echo
service, and TEE is being used for monitoring and
diagnosis of trauma patients. Special rotations
to Grady Memorial Hospital can be arranged for those
fellows who desire such experience.
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TEACHING OPPORTUNITIES
Fellows
are encouraged to participate in teaching students on
the cardiothoracic anesthesiology service at Emory University.
These students include: fourth year medical students
taking a one-month elective in Cardiothoracic anesthesiology
or cardiac surgical intensive care, anesthesia residents
(CA-2) during their four months on the Cardiothoracic
anesthesiology and intensive care services, and physician's
assistants studying for the Master of Medical Science
degree in Anesthesiology. Once competence in the anesthetic
and life support management of cardiothoracic surgical
patients has been demonstrated, the CT fellow is given
the opportunity to supervise CA-2 residents beginning
their rotations on the CT service.
The Division of Cardiothoracic Anesthesiology conducts
weekly seminars, journal clubs and conferences related
directly to cardiothoracic anesthesiology and intensive
care. These meetings are under the direction of the
cardiothoracic anesthesiology faculty, but the fellows
participate in the organization and presentation of
the programs. It is expected that each fellow will be
responsible for at least one major seminar and one conference
during the year. Twice monthly, there are combined conferences
with the cardiothoracic surgical attending, fellow and
resident staff. In addition, there are opportunities
to make presentations at other departmental and institutional
conferences and at local and national meetings. The
cardiac faculty sponsors a postgraduate course for intraoperative
TEE each year. Drs. Levy, Ramsay, Glas and Tanaka are
actively involved in national lectureships. Dr. Ramsay
is the president-elect of the Society of Cardiovascular
Anesthesiologists. The fellows attend, and some make
presentations, to audiences of anesthesiologists, surgeons,
cardiologists and perfusionists.
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CLINICAL RESEARCH
OPPORTUNITIES Extensive
clinical research is performed in the operating rooms
and intensive care units of Emory University Hospital
in cooperation with the faculty and fellows of the cardiology
and cardiac surgery divisions. Individual Cardiothoracic
anesthesiology faculty also conducts clinical investigations
at the other hospitals affiliated with the Emory School
of Medicine. Dr. Ramsay has clinical trials to evaluate
novel monitoring devices. He also has an on-going interest
in Perioperative Ischemia, and he is a member of the
McSPi study group. Clinical problems related to cardiovascular
pharmacology and physiology are of great interest. The
cardiovascular effects of various anesthetic agents
including opioids, tranquilizers, hypnotics, volatile
anesthetics, and muscle relaxants have been studied.
Drs. Levy and Tanaka are evaluating cardiovascular drugs
such as vasodilators, inotropes, antiarrhythmics, autonomic
blocking drugs, calcium channel blockers, and a variety
of experimental drugs. Drs. Glas and Staples participate
in clinical studies looking at echocardiography and
outcomes in cardiac surgery. New monitoring techniques,
both invasive (e.g. heart catheterization) and noninvasive
(e.g. transesophageal echocardiography), are utilized
in our busy operating suites. Studies dealing specifically
with cardiopulmonary bypass involving brain protection,
hemodilution, hypothermia, cardioplegia, anaphylaxis
and coagulation problems have been performed. The development
and execution of specific research protocols by the
fellows is encouraged, as is their participation in
ongoing clinical and laboratory investigations.
Extensive research training is also available in the
surgical intensive care units. Research in these units
has included studies of cardiovascular drugs, the assessment
of monitoring techniques such as the various modifications
of central venous and pulmonary artery catheters, evaluation
of the effects of hyperalimentation in the perioperative
period, investigations into changes in the immune system
after cardiac surgery, studies of different modes of
ventilation, development of infusion schemes for continuous
analgesia and sedation, and evaluation of various cardiac
pacing modalities.
Extensive studies in the area of pharmacokinetics of
anesthetic, analgesic, sedative, and cardiovascular
drugs have been performed. Sophisticated assays for
virtually all anesthetic, autonomic and cardiovascular
drugs are available in our analytical laboratories.
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LAB RESEARCH
Investigations
of cardiovascular and pulmonary pharmacology and physiology
are performed in the laboratories of the Departments
of Anesthesiology, Surgery, and Medicine in the Woodruff
Memorial Building adjacent to Emory University Hospital.
Among the Cardiothoracic anesthesia faculty, Dr. Levy's
work focuses on mechanisms of anaphylaxis, the actions
of drugs on vascular smooth muscle, and modifiers of
blood coagulation. Dr. Tanaka performs clinical and
laboratory investigations relating to vascular and coagulation
research. Dr. Sniecinski has done work involving ischemic
preconditioning. In collaboration with cardiac surgeons,
there are opportunities for studies of cardiopulmonary
bypass in animals. The animal laboratory is equipped
for invasive monitoring, echocardiographic and angiographic
studies, and other techniques for evaluating cardiovascular
function.
The above studies utilize a broad spectrum of research
techniques including blood gas analysis, chromatography,
spectrophotometry, radioisotopes, sophisticated animal
models, and statistical data analysis. Research fellows
are encouraged at the beginning to join an ongoing project
as part of a team, and those who are interested in an
academic career have the opportunity to pursue their
own projects. The goal is to gain experience in experimental
design, interpretation of data (including statistics),
and presentation of results and conclusions in peer-reviewed
journals and at meetings of national scientific and
medical organizations.
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CRITICAL
CARE FELLOWSHIP
Our ACGME certified fellowship
program in Critical Care Medicine consists of one year of training in
Critical Care units and complimentary specialty fields. The year is structured
to meet the needs of individuals who have completed a core residency in
anesthesiology and seek additional training and certification in Critical
Care Medicine.
CLINICAL ROTATIONS:
(A) The fellow will spend 8-9 months in a combination
of 4 Critical Care Units. The proportion of time in each
unit will depend on the previous experience and training
goals of each individual. The objective of these rotations
is to expose the fellow to a broad range of medical and
surgical patients, as well as teaching from anesthesiologists,
surgeons, and internists who are Critical Care practitioners.
1) Emory University Hospital
Cardiothoracic/vascular ICU:
This 18
bed unit serves the surgical caseload at this tertiary
referral hospital. The fellow will be supervised by
Critical Care Anesthesiology faculty and will, in turn,
supervise anesthesiology residents and students during
their ICU rotations. We enjoy excellent day to day working
relationships with the surgeons and internists who refer
patients to the Critical Care Service.
2) Emory University Hospital
Multidisciplinary ICU:
This 20 bed unit serves the
non cardiac surgical services (70%) with some non surgical
patients as well (30%). The fellow will be supervised
by a multidisciplinary team of Anesthesiology, Surgery
and Pulmonary Medicine Critical Care clinicians and will,
in turn, supervise house staff and students from these
services.
3) Grady Memorial Hospital
Surgery/Trauma ICU:
This 20 bed unit serves
the surgery and level 1 trauma services at this busy 750 bed county hospital.
The fellow will be supervised by Critical Care Surgery faculty and will
supervise residents and students in surgery and emergency medicine.
4) Grady Memorial Hospital
Medical ICU:
This 20 bed unit serves
the Medicine and Pulmonary Medicine services for the hospital. The fellow
will be supervised by Critical Care Pulmonary Medicine faculty and will
supervise residents and students in surgery, emergency medicine, and family
medicine.
(B) The
fellow will spend 1-2 months on one or both of a Neurology/Neurosurgery
Critical Care Unit, and a Pediatric Critical Care Unit.
The Pediatric rotation is at Children's Healthcare of
Atlanta at Egleston; the Neurology/Neurosurgery rotation
is at Emory University Hospital. Fellows with special
interest in these fields may choose additional time
either at Emory-affiliated units, or at comparable units
at different institutions.
(C) The fellow will spend
2-4 months on electives related to the practice of Critical Care Medicine.
The following electives have been designed, however additional customized
electives are possible:
1) Renal medicine
2) Infectious Disease
3) Pulmonary Medicine/bronchoscopy
4) Blood bank/hematology
5) Medical engineering, equipment
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The fellowship
is designed to train candidates to become expert practitioners of
Critical Care Medicine and as such does not have specific time set
aside for research. Fellows will be encouraged to become involved
in ongoing clinical research and will be supported in their efforts
to complete projects in which they have been involved. The opportunity
to spend additional time in research is available.
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TEACHING
OPPORTUNITIES:
Fellows will be expected
to participate in and present at regularly scheduled conferences both
at the individual unit level and at the departmental level. Critical
Care and additional subspecialty and interdisciplinary conferences are
held at least weekly in each of the core units. In addition, as described
above, a major function of the fellow is the direct supervision of less
experienced individuals. The fellow will be expected to teach Critical
Care principles and skills to house staff and students in all the core
units.
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FURTHER
INFORMATION:
Information about fellowship
opportunities and other questions should be directed to:
James G. Ramsay, M.D.
Director, Division of Critical Care Medicine
Department of Anesthesiology
Emory University Hosptial
1364 Clifton Road, NE
Atlanta, GA 30322
Phone: (404) 778-4149
FAX: (404) 778-5194
email: James_Ramsay@emoryhealthcare.org
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OBSTETRIC
ANESTHESIOLOGY FELLOWSHIP
The fundamentals of any Obstetric
Anesthesia fellowship should not depend on epidural/spinal administration,
labor analgesia and surgical anesthesia management. Our fellows become comfortable
with the daily management of an obstetric anesthesia service. While this
may include personally providing labor analgesia in the difficult to manage
parturient (morbid obesity, myocardial dysfunction, valvular stenosis or
regurgitation, CNS tumor, sickle cell crisis, pneumonia, etc), our fellows
more importantly oversee both, junior and senior residents. This includes
didactic lecture series/morning rounds, epidural/spinal placement, and OB
ICU management. Our hands on practice in the intensive care unit includes
pre, intra and postpartum care, for parturients who often present with a
host of complicated medical issues. The fellow is expected as well to participate
in various ongoing research projects, and to initiate a project of his own.
A day a week is provided for nonclinical time to achieve this goal, as well
as to maximize the fellow's knowledge base. While the call schedule is not
fellow dependent, some call duty is taken to allow the fellow to further
work on his independent decision making process.
Specific Goals:
FURTHER
INFORMATION:
Information about fellowship
opportunities and other questions should be directed to:
Raphael Y. Gershon, M.D.
Associate Professor
Emory University School of Medicine
Chief, Department of Anesthesiology
Grady Health System
80 Jesse Hill Drive
Atlanta, GA 30303
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PAIN MEDICINE
FELLOWSHIP
The
Division of Pain Medicine of The Emory University
Department of Anesthesiology offers an ACGME approved
fellowship program. Areas of training include acute,
chronic and cancer pain management. There is also
exposure to the use of therapies ranging from multidisciplinary
treatment to nerve blocks and implantable devices.
The Pain Consultation Services at Emory University
and Crawford Long Hospitals manage approximately 12,000
inpatient visits per year, while the Center for Pain
Medicine sees over 8,000 outpatient visits per year.
There is a pain psychologist in our division with
whom the fellows rotate to gain insight into the psychological
aspects of pain therapies. The fellowship meets the
requirements which qualify the fellow for subspecialty
board certification in Pain Management by the American
Board of Anesthesiology and the American Board of
Pain Medicine. In addition to clinical training, fellows
participate in teaching and research related to pain
medicine.
CLINICAL ROTATIONS
The fellowship is for a minimum
of 12 months. Fellows spend approximately 8 weeks
on the Pain Consultation Service (mostly acute postoperative
pain) at Emory University Hospital. Rotations on the
Pain Consultation Service are generally for 1 to 2
weeks of the month with night call responsibilities.
Another 8 weeks are spent on the Pain Consultation
Service at Crawford Long Hospital which is about 50%
acute pain and 50% chronic pain management.
Call is from home every other night for an average
of 7 calls per month. There is a 2 to 3 month rotation
in the Pain Clinic at Grady Memorial Hospital. During
this rotation the fellow is responsible both for the
management of patients’ pain in the clinic and
the performance of interventional procedures in the
Grady operating room. The remainder of the clinical
time is spent in the Center for Pain Medicine which
is located in the Medical Office Tower of Crawford
Long Hospital. There is also an ambulatory surgical
center within our facility in the Medical Office Tower
where procedures are performed under fluoroscopic
guidance . Fellows are expected to evaluate
new and return patients, examine each patient and
determine a treatment plan in discussion with the
attending physician. While assigned to the Center
for Pain Medicine, fellows may be assigned to clinic
or to assist with invasive procedures at Crawford
Long's ambulatory surgery unit or the ambulatory surgery
center at the Medical Office Tower. Because
of research and educational expectations, there are
no other off-service clinical or call assignments
during the fellowship.
During
the course of training, fellows will gain hands on
experience in the management and/or performance of:
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Fluoroscopically
directed injections
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Precision
spinal diagnostic injections
-
Discography
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Radio frequency
neural ablation
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Intradiscal
Electro thermal Annuloplasty (IDET)
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Spinal
Infusion Devices
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Spinal
Cord Stimulators
DIDACTIC TEACHING
The academic year is filled
with one lecture per week by faculty members from
the Center for Pain Medicine and from other departments.
Topics are carefully chosen to cover those necessary
to fulfill the requirements of the ABA and to give
the fellows exposure to other disciplines. Lecture
topics include reviews of pain anatomy, clinical pharmacology,
clinical psychology, physical therapy, and the use
of invasive procedures. Lectures by outside faculty
include neurology, neurosurgery, orthopedic surgery,
radiology and physiatry. In addition, fellows should
attend the Anesthesiology Department lecture series
and are allowed 5 days of professional leave time
to attend educational meetings.
Fellows are expected to take an active role in teaching
of their colleagues and residents. Fellows
are expected to present several lectures per year
in order to learn the fundamentals of preparing and
presenting an organized lecture and to advance their
own knowledge. Lecture
topics and journal club articles will be assigned
in accordance with his or her specific interests.
WORKSHOPS
The Department
of Anesthesiology holds an annual regional
anesthesia workshop for the benefit of residents
and fellows. The course is held in workshop format
with cadaver stations covering various regional blocks.
There is a corresponding didactic presentation using
lecture format and live models to demonstrate surface
landmarks for each procedure. Cadaver stations are
utilized to demonstrate anatomical relationships as
they relate to the techniques described. While the
workshop uses prosections for resident teaching, it
will be the responsibility of fellows to perform the
dissections in the 2 weeks prior to the workshop.
Fellows may also be asked to assist with teaching
during the workshop.
Each fellow
will be invited to attend a cadaver workshop on implantation
of spinal cord stimulators and intrathecal pumps.
Below is a list of recent workshops designed to enhance the fellows' educational experience:
- Radionics RF/DiscTRODE
Emory University Hospital
August 14-15, 2004
- "RASCI Off Campus Peripheral Nerve Block Workshop"
Regional Anesthesia Study Center of Iowa
Emory University Hospital & Emory University
January 15-16, 200
Advanced Bionics Workshop
- "SCS Physician Workshop"
Emory Crawford Long Hospital
October 8, 2005
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RESEARCH OPPORTUNITIES
We urge that each
fellow to participate in research. Fellows may plan
and execute their own project ideas or may choose
to participate in ongoing projects of the faculty.
A partial list of research interests and current research
of the faculty are included on this web site. Non
clinical days are assigned on an as-needed basis up
to 4 days per month to allow time for project planning,
data collection, and manuscript preparation. Many
previous fellows have participated in research projects
which have resulted in presentations and publications.
APPLICATION PROCESS
Applications should generally be
received by October 1st of the preceding year. The applications are
screened by the faculty and invitations for interviews are extended
beginning as early as September. Offers are extended as early as October
1st. There are currently 5 fellowship positions available for each academic
year. Although most fellows are scheduled to begin in July, other applications
will be considered. For an application to be considered
it must contain the following:
- Application FormReference LettersDean s Letter
- Personal Statement
FOR MORE INFORMATION:
Ann Murray
Administrative Assistant
Department of Anesthesiology
Emory University Hospital
1364 Clifton Rd., NE
Atlanta, GA 30322
(404) 778-5582
Fax (404) 778-5194
Ann_Murray@emoryhealthcare.org
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PEDIATRIC
ANESTHESIOLOGY FELLOWSHIP
Introduction
and Goals
 The
Pediatric Anesthesiology Fellowship at Emory is based
at Childrens Healthcare
of Atlanta at Egleston. Affiliated hospitals include
Emory University Hospital and Childrens Healthcare of
Atlanta at Scottish Rite. The goal of our program is
to produce anesthesiology consultants with expertise
in all areas of pediatric anesthesiology including:
-
Critical CarePain
Management
- Advanced
Life Support
The
Fellowship program is designed to provide fellows the
opportunity to develop skills in clinical care and judgment,
teaching, administration and research. The fellowship
is ACGME approved, one year in duration and all clinical
rotations are at Egleston.
.
The
one year pediatric fellowship includes the following clinical rotations-
-- the program offers some flexibility in rotations for each fellows'
specific interests. 1.
Main operating rooms- 6-7 months- exposure to the full
spectrum of cases including general surgery, orthopedics,
neurosurgery, otolaryngology, craniofacial, ophthalmology,
urology and also off site CT, MRI, radiation therapy
, and angiography. Childrens
Healthcare of Atlanta at Egleston has an
active transplant program including heart , liver, kidney
and lung transplants. 2.
Pain service- 2 months- fellows will gain experience
in pediatric pain management including epidural management,
acute pain management in the recovery room and rounding
on pain service patients.  3.
Cardiac anesthesia- 2-3 months- over 500 operations
with cardiopulmonary bypass are performed at Childrens
Healthcare of Atlanta at Egleston
each year. Fellows will gain experience with the most
complex cardiac lesions ( TOF, hypoplastic left heart
) as well as with the more common cardiac lesions. (
VSD, ASD, PDA) 4.
PICU- 1 month- fellows will round with the PICU team
and participate in the care of critically ill infants
and children, gaining experience in advanced life support
in a wide variety of patients. 5.
Elective/ research- 1 month
Pediatric
Cardiac Anesthesiology Fellowship
The
Division of Pediatric Anesthesiology also offers a
fellowship in Pediatric Cardiac Anesthesia of six
or twelve months duration to applicants having completed
a fellowship in either pediatric or cardiac anesthesia.
This fellowship is also based at Children's Healthcare
of Atlanta, where anesthesia care is provided to approximately
750 children per year undergoing the entire spectrum
of cardiac surgical procedures. Approximately 25%
of these children are neonates and 60% are infants
and over 500 of these procedures are performed utilizing
cardiopulmonary bypass. An additional 400 children
are anesthetized annually for procedures and electrophysiologic
studies in the cardiac catheterization lab. Rotations
through the cardiac intensive care unit and exposure
to echocardiography are also provided during the fellowship.
Clinical research opportunities are available to fellows
wishing to participate in ongoing projects in the
department. Extensive hands-on clinical and technical
experience is gained by the fellows while working
one-on-one with attending cardiac anesthesiologists
and with cardiac intensivists and echocardiographers.
Clinical
Research and Didactics
Fellows are strongly encouraged to participate in ongoing
research projects with the faculty or plan and execute
their own project ideas. Several faculty members at
Egleston have ongoing research projects and fellows
can be matched with mentors to guide them in their research
interests. Morning lectures ( 0645-0700) are presented
four days per week by faculty, fellows and residents.
Journal club and case conferences are also periodically
presented and while on the cardiac service the fellows
attend cardiac cath conference to discuss upcoming cardiac
cases. Monthly lectures are also given by faculty and
special lecturers along with performance improvement
reviews.
Application
Process
Interested
applicants should contact the Department of Anesthesiolgy
at Childrens Hospital of Atlanta at Egleston. Applications
can also be requested on the Emory Anesthesiology website.
Applications should generally be received in the fall
of the preceding year and interviews are extended as
early as September.
FURTHER
INFORMATION:
Click here to download an application. Additional
information about the application process, fellowship opportunities and
other questions should be directed to:
Carolyn
Bannister, M.D.
Director, Division of Pediatric Anesthesiology
Childrens Healthcare of Atlanta at Egleston Hospital
1450 Clifton Road, NE
Atlanta, GA 30322-1062
Phone: (404) 325-6671
FAX: (404) 315-2362
Email:
Carolyn.Bannister@emoryhealthcare.org
For
further information about the Pediatric Cardiac Anesthesia
Fellowship, contact:
Bruce E. Miller, M.D.
Director of Pediatric Cardiac Anesthesia
Children's Healthcare of Atlanta at Egleston
1405 Clifton Road, N.E. Atlanta, GA 30322-1062
Phone: (404) 785-6670
Fax: (404) 785-1362
Email: bruce.miller@emoryhealthcare.org
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