The Brigham and Women's Hospital Anesthesia Clinical Fellowships Program takes advantage of the wide spectrum of patients and expertise available at a major teaching hospital of Harvard Medical School. The Department offers several ACGME-accredited fellowships in Anesthesia subspecialties. These are one-year, CA-4 level programs encompassing clinical care, bedside and didactic teaching of residents, and consultation and collaboration with Staff Anesthesiologists. Fellows also participate in a busy clinical research program with opportunities to complete several research projects and present findings at national meetings.
Fellowship in Anesthesia - Critical Care Medicine
The mission of the Critical Care Medicine Fellowship program is to provide cutting-edge, evidence-based care to critically ill patients, to advance knowledge through biomedical research, and to educate future practitioners, researchers, and leaders in critical care.
July 2002 marked the beginning of the first independent fellowship in Critical Care Medicine in our department. Historically, this emerged from a previous joint fellowship with the Massachusetts General Hospital (MGH), inspired by the realization that in a one-year fellowship, trainees would benefit by focusing their time within a single institution. Taking advantage of our unique interdisciplinary faculty model, we have developed a fellowship designed to allow trainees to develop advanced proficiency in the management of all aspects of the care of critically ill patients and to develop the skills neccessary to supervise critical care units. The one-year fellowship in Critical Care focuses on direct patient care. The fellow spends a minimum of nine months on the care of ICU patients while supervising residents and medical students under the direction of the Critical Care attending staff.
The Critical Care Medicine Fellowship Program is directed by Nicholas Sadovnikoff, MD. More detailed information on the program is available in a pamphlet available at this link.
Obstetric Anesthesia Fellowship
Our hospital performs over 10,000 deliveries per year. We provide a full range of state-of-the-art obstetric and anesthetic services, including exposure to all varieties of high-risk obstetric patients, in utero fetal surgery, a large in vitro fertililization program, as well as ample clinical exposure to normal pregnancies. Approximately 75% of our patients receive regional analgesia for labor.
Unique opportunities for our Obstetric Fellows include consultation and collaboration with obstetricians regarding our high-risk patients, as well as numerous clinical research options. In particular, we offer the opportunity for collaborative research efforts with our Obstetrics and Neonatology departments.
Academic teaching is conducted at twice-daily conferences, an active journal club series, and numerous interdisciplinary conferences with the Department of Obstetrics.
The felloswhip is in conjuction with the Massachusetts General Hospital, where approximately 3,500 births per year occur. Fellows have the opportunity to spend a portion of the fellowship period at the MGH obstetric unit for further clinical and academic advancement and experience.
Please send a letter of interest to:
William Camann, MD
Director of Obstetric Anesthesia
Scott Segal, MD
Fellowship Director
Department of Anesthesia
Brigham and Women's Hospital
75 Francis Street
Boston, MA 02115
Fellowship in Cardiothoracic Anesthesia
The cardiac and thoracic divisions of Brigham and Women's Hospital provide perioperative care to approximately 4000 surgical patients per year. This provides our Fellows with a comprehensive patient care experience in the full spectrum of health problems related to cardiovascular and thoracic disorders requiring surgical intervention. The cardiothoracic fellowship is structured to provide Fellows with a comprehensive perioperative clinical experience balanced with formal didactics, conferences, and research. Fellows should develop sufficient depth of understanding and proficiency in the perioperative evaluation, management, and follow-up of complex cardiothoracic patients such that they can act as expert consultants to our surgical and medical colleagues and teach the concepts to residents.
Our fellowship program has been in existence since 1992, and is currently ACGME accredited for up to six Fellows. The fellowship is either 12 months or 18 months depending on the educational and academic goals of the Fellow. We also have fellowships that combine basic science and/or clinical research in an 18 to 24-month program and a combined ACGME cardiothoracic/ICU two-year fellowship. Applications are reviewed and interviews conducted 12 to 18 months prior to the start date of the fellowship. Decisions are typically finalized by July 1 of the year prior to beginning the fellowship.
If you are interested in any of our cardiothoracic fellowships, please contact:
Douglas C. Shook, MD
Program Director, Cardiothoracic Anesthesia Fellowship
Fellowships in Pain Medicine
Our Center for Pain Medicine accepts 8 Fellows each year into a comprehensive training program stressing compassionate, appropriate, and knowledge-based care, practice-based learning and improvement, interpersonal communication skills, professionalism, and systems-based practice. Training in the Center for Pain Medicine provides full immersion in the multidisciplinary facets of pain assessment and treatment in both inpatient and outpatient situations. Our Center includes staff with backgrounds in anesthesiology, neurology, psychiatry, psychology, dentistry, acupuncture, and nursing, and stresses a unified approach to evaluation and management of simple and complicated pain problems.
As the pre-eminent national and international leader in interventional anesthetic and surgical techniques for pain control, our center sees more than 20,000 patients annually and performs nearly 8000 procedures. This includes a variety of neural blockade procedures, those done fluoroscopically and non-fluoroscopically. Interventions such as radiofrequency lesioning, chemical neuroablation, nucleoplasty, and implantation of spinal cord stimulators, intrathecal pumps, and epidural portacaths are routinely performed. Among our many services are the use of multifaceted management approaches including physical modalities, bio-behavioral therapies, and complementary medicine methods such as biofeedback, hypnosis, acupuncture, and mind/body techniques.
Fellows of our Center for Pain Medicine will learn from a dedicated and diverse staff skilled and knowledgeable in practical and theoretical approaches to solving pain management problems. A comprehensive didactic program of lectures is offered, with daily lectures on topics of pain medicine, a weekly multi-disciplinary conference, and periodic journal reviews. In addition, our residents and fellows will learn practice management techniques, palliative care and end-of-life medicine, efficient office management skills, medicolegal aspects of pain practice, and quality improvement paradigms.
Our Center’s affiliation with the Dana Farber Cancer Institute provides opportunities for Fellows to become skilled in cancer pain assessment and management. Innovative thinking in our center is supported by the individual research efforts of our diverse staff, as well as via our associated Clinical Trials Center, providing research opportunities for our trainees. Overall, pain medicine training in our Center offers an innovative and comprehensive education in the many facets and modalities available for pain control.
For further information about our Fellowships in Pain Medicine, contact :
Srjdan S. Nedeljkovic, MD
Program Director, Pain Medicine Fellowship
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