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Fellowship Programs
The Department of Anesthesiology offers many fellowship education programs. In the three areas for which the American Board of Anesthesiology offers subspecialty certification (Critical Care, Pain Management, and Pediatric Anesthesia), the Department provides fellowships that are accredited by the ACGME and that fulfill the entrance requirements for the ABA subspecialty examinations. Fellowship requests are considered on an individual basis and should be directed to the division directors. Cardiac Anesthesiology Fellowship (ACGME; July 2008)Director: Michael P. Eaton, M.D.Fellow: 2005-2006 Elena Sammons, M.D.Fellows in the Cardiac Anesthesiology Fellowship are expected to rapidly progress from accomplished resident status to capable and relatively independent clinicians. Fellows always have faculty supervision but are allowed latitude reflecting their capabilities in caring for patients and guiding the residents they work with. The cardiac surgical division performs approximately 1,000 cases per year, including a wide variety of cases. Clinical caseload and pathology is superb. All ventricular assist devices are implanted at SMH, and the transplant service has recently passed UNOS review with no problems identified. Fellows also become competent in the intraoperative use of transesophageal echocardiography (TEE) through cardiology based echocardiography rotations and application of intraoperative echocardiography. A goal of passing the National Board of Echocardiography intraoperative TEE exam is realistic and supported. Up to three months of non-clinical time can be focused and devoted to learning TEE. Research projects coinciding with expressed interests of the fellow are also supported. Participation in one research project (clinical or bench) is recommended. Teaching opportunities and obligations, and attending numerous conferences, are part of the fellowship. The fellowship is tailored to be in compliance with the recently submitted proposal for subspecialty accreditation by the Society of Cardiovascular Anesthesiologists to the American College of Graduate Medical Education. The clinical case load of cardiac surgical patients is approximately 1,000 per annum with many of the cases being complex, or involving cardiac valves or the thoracic aorta. Special features of the program include an excellent operating room environment, a high quality of skill among the surgical staff, an excellent relationship with cardiology and echocardiography, and state of the art echocardiography equipment. All 6 full time cardiac anesthesia attendings are certified in perioperative transesophageal echocardiography.  Critical Care Medicine Fellowship (ACGME)Director: Peter J. Papadakos, M.D., F.C.C.M., F.C.C.P.Fellow: 2005-2006 Jayashree Raikhelkar, M.D.The fellowship in Critical Care Medicine is open to candidates with a background in Anesthesiology, Surgery, or Internal Medicine. The one-year fellowship is based in the intensive care units of Strong Memorial Hospital and Highland Hospital. Elective programs in hospitalist medicine are provided by Park Ridge Hospital. In addition to general surgical cases, the fellow is exposed to cardiothoracic, medical, burn, transplant, OB/GYN, neurosurgical, and trauma patients. Two-month elective rotations and research options are also available. The Division of Critical Care has an international reputation and is involved in research in the areas of septic shock, systemic inflammatory response, adult respiratory distress syndrome and evidence-based medicine. The fellow is exposed to a multidisciplinary environment and a combined educational program with Medicine and Surgery, with multiple role models in critical care. The fellowship is accredited by the ACGME and fulfills the requirements for subspecialty board in all the parent boards. Obstetric Anesthesia FellowshipDirector: Richard N. Wissler, M.D., Ph.D.Fellow: 2005-2006The Division of Obstetric Anesthesia offers a 12-month clinical fellowship in OB Anesthesiology at the CA-4 level. The emphasis of the fellowship is on individual educational programs based on the career goals of each fellow. Components of a fellow's educational program may include patient care, supervision of residents and medical students, didactic teaching in our daily OB Anesthesiology conferences, clinical research, and administration. Fellows with an interest in laboratory research are encouraged to apply, provided they are willing to invest a minimum of 24 months in academic development in this area. Many clinical and academic resources are available to support this fellowship. Strong Memorial Hospital has a Regional Perinatal Center with a Level III NICU. Currently there are 3,700 deliveries per year, with many patients referred for management of complicated pregnancies. The clinical research program in OB Anesthesiology is active. Laboratory research projects complement the clinical research in several areas. The division enjoys an excellent working relationship with the Department of Obstetrics and Gynecology (OB/Gyn). Fellows in OB Anesthesiology may choose clinical electives in perinatology or neonatology, or choose course work in statistics and research design at the University of Rochester. The goal of the fellowship is to provide the best possible educational experience for the next generation of leadership in OB Anesthesiology.  Pain Management Fellowship (ACGME)Director: Rajbala Thakur, M.D.Fellows: Lida Nadimi, M.D.; John Storheim, M.D. (2004-5);Padamaja Yatham,M.D.; Annie Philip, M.D.; Chirag Patel, M.D.(2005- 6)The ACGME accredited fellowship in Pain Management consists of a twelve-month period of training in which the fellow will participate in patient care on both the outpatient and inpatient pain management services. The fellow will become skilled in the evaluation and treatment of acute, chronic, and cancer pain. The opportunity exists to learn how to organize and establish an acute pain management service and/or chronic pain management clinic. The outpatient pain management facility is a multi-disciplinary clinic, which includes anesthesiologists, Neurologist; nurse practitioners and clinical psychologists on staff. Fellows get to work in close collaboration with orthopedic surgeons, neurosurgeons, gynecologists, urologists and a multitude of other specialists involved in Pain Management. Modalities utilized in the treatment of pain include pharmacological and non-pharmacological treatment modalities; neuraxial analgesia, peripheral plexus blocks and indwelling catheters including ultrasound guided blocks. Fellows get adequate exposure to fluoroscopic guided interventional pain management techniques including somatic blocks, sympathetic blocks, neurolytic blocks, radiofrequency ablation procedure; spinal cord stimulator trials and implants; intrathecal drug delivery system trials and implants. The fellows are encouraged to take part in ongoing research projects and to develop independent projects. After completing the fellowship, individuals are eligible for certification in Added Qualifications in Pain Management, offered by the American Board of Anesthesiology or an equivalent board depending on the educational background of the candidate. Pediatric Anesthesia Fellowship (ACGME)Director: Ashwani K. Chhibber, M.D.Fellow: 2005-2006The ACGME one-year accredited fellowship in Pediatric Anesthesia includes a well rounded clinical experience, including rotations in the NICU, PICU, and pediatric pain. Opportunities exist for interested candidates in clinical research. Fellows also gain experience supervising residents under the direction of attending pediatric anesthesiologists. Fellows participate in resident education and quality improvement. ·Fellowship Training Program in Pediatric Anesthesiology
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