Tufts Medical Center - Pediatric Anesthesia Fellowship Program

Introduction
The Clinical Fellowship in Pediatric Anesthesia provides one year of comprehensive training in providing anesthesia for neonates, infants and children undergoing the following: surgical procedures, diagnostic and therapeutic non-surgical procedures, acute and chronic pain management as well as an overview of intensive care issues for the pediatric patient. Each year 1-2 candidates are accepted into the Pediatric Anesthesiology Fellowship Program at Tufts Medical Center.

Our ACGME-accredited 12-month fellowship qualifies successful graduates as Pediatric Anesthesiologists and fulfills the requirements of this and most other institutions for credentialing of anesthesiologists who provide anesthesia for neonatal and pediatric patients. The period spent in the fellowship can be no less than 12 months, with no more than one interrupted period due to reasonable circumstances. Salary is monthly, based on an annual stipend. Vacation time of 20 working days and 5 CME days are included. Fellows typically begin in July or August.

Detailed information about our fellowship, credentialing requirements and the application process are delineated below:

Thank you once again for your interest in our fellowship. Good luck!

Aman Kalra, MD
Director, Pediatric Anesthesia Fellowship Program
Department of Anesthesiology
800 Washington Street, Box 298
Boston, MA 02111

Credentialing Requirements and Application Process
Fellowship Structure
Goals and Objectives
Evaluation of Fellows

Credentialing Requirements and Application Process

OUR PROGRAM WILL PARTICIPATE IN THE 2013 NRMP MATCH.

AS OF NOW THE FINAL MATCH SCHEDULE IS STILL NOT OUT. HOWEVER, WE DO PLAN TO START SCREENING APPLICANTS FOR 2013 IN MARCH - APRIL 2012. PLEASE LOOK FOR UPDATES ON OUR SITE.

All candidates for the Fellowship program must be currently enrolled in an ACGME-accredited core residency program, or be a recent graduate from such a program. They must be eligible for a Massachusetts Medical License.

An application for a fellowship position will be considered after the residency coordinator has received the following items:

Up-to-date CV
A personal statement is encouraged
Three letters of recommendation
Copies of USMLE Step 1 & 2 scores
Copy of USMLE step 3 score if taken
Copies of the most recent in-training exam scores

Materials should be sent to:

Latescha Ettienne
Program Coordinator
Pediatric Anesthesia Fellowship Program
Department of Anesthesiology
Tufts Medical Center
800 Washington Street, Box 298
Boston, MA 02111
Phone: 617-636-9303
Fax: 617-636-8384
Email: LEttienne@tuftsmedicalcenter.org

Fellowship Structure

10 months of intensive clinical anesthetic training that includes: surgical correction of congenital cardiac disease, major organ transplantation, neonatal surgical emergencies, acutely and severely pre-term infant, difficult airway management, outpatient and multiple off-site scenarios.
1 month of acute and chronic pain management as well as peri-operative pain management throughout the clinical year
1 month of intensive care unit training (NICU and PICU)

Goals and Objectives
The Clinical Fellowship in Pediatric Anesthesia provides one year of comprehensive training in pediatric anesthesia and related diagnostic and therapeutic procedures involving infants and children.

This fellowship qualifies successful graduates as Specialists in Pediatric Anesthesia and fulfills the requirements of this and most other institutions for credentialing of anesthesiologists who provide anesthesia for the preterm infant, neonate, infant or child undergoing surgery.

Experience you will acquire by the end of your training:

Complex pediatric surgical case scenarios, including all those listed above.
You will be given training in the application of a variety of regional anesthetic techniques.
Placement of invasive monitoring catheters and large bore intravenous access lines in both very young as well as older children.
Teaching and supervision of junior residents.
In-depth understanding of normal pediatric physiology; pathophysiology of congenital cardiac disease and many other conditions; the typical pathophysiology of the pre-term infant; and psychological/behavioral issues distinguishing neonates, infants, toddlers and school-age children.
Opportunities to participate in ongoing clinical research.
Techniques for appropriate non-threatening interactions with pediatric patients and their families.
Anesthetic care of healthy neonates and infants for outpatient surgery.
Anesthetic care of infants and children with complex congenital cardiac disease undergoing diagnostic and therapeutic procedures, both surgical and less invasive techniques.
Separation from cardiopulmonary bypass.
Anesthetic care of pediatric patients undergoing hepatic transplantation.
Placement of invasive monitoring and securing IV access in small infants and neonates.
Placement of epidural catheters at various anatomic levels in the pediatric patient.
Administration of spinal anesthesia to infants.
Administration of anesthesia to children in a variety of non-OR sites, including the MRI suite and cardiac catheterization lab.
Introductory training in pediatric intensive care as well as acute and chronic pain management in children.
Creation of a formal presentation to the residents and other clinical teaching opportunities.

Evaluation of Fellows
Fellows are evaluated by the Faculty via the New Innovations Online Portal. The Evaluation format is based on the six core ACGME competencies. At the end of the first six months, a formal evaluation and feedback is given by the Fellowship Director. This is good opportunity and forum for both the fellow and the fellowship director to discuss overall feedback, goals and objectives and areas of concern. A final evaluation is done on completion of the fellowship program. “360 degree” evaluations are used during the year to get feedback from other health care providers (surgeons, nursing staff, and ancillary support staff), patients and their families.