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 robust clinical research program with opportunities to complete several research projects and present findings at national meetings.
Expand the sections below to learn more about our fellowship programs:
The cardiac and thoracic anesthesia services of Brigham and Women's Hospital provide perioperative care to approximately 4000 surgical patients each year. This provides our fellows with a comprehensive patient care experience in the full spectrum of health conditions 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 so 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
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.
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 necessary 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.
If you are interested in the Critical Care Medicine Fellowship Program, please contact:
Nicholas Sadovnikoff, MD
Critical Care Medicine Fellowship Program Director
The Obstetric Anesthesiology Fellowship is a one-year program that has been ACGME-accredited for five positions since 2012. As integral members of our anesthesia team, fellows benefit from a full range of state-of-the-art obstetric and anesthetic services. The breadth of patient exposure includes approximately 8,000 deliveries with a substantial complement of high-risk comorbidity, approximately 24 fetal surgeries, and 1,500 in vitro fertilization procedures per year.
Brigham and Women’s Hospital is a tertiary referral center for pregnant patients with congenital heart disease and for those who require in utero fetal surgery, and fellows benefit from exposure to these and other high-risk pregnancies. In addition, fellows provide care and expertise for a large in vitro fertilization program and have ample clinical exposure to uncomplicated pregnancies. Approximately 80 percent of our patients receive regional analgesia for labor.
A major goal of the Obstetric Anesthesiology Fellowship is to provide a foundation for effective collaboration in a multidisciplinary peripartum environment. Fellows evaluate patients in the anesthesia department’s high-risk pregnancy clinic , coordinating peripartum care with obstetric, neonatal, and other medical teams. Clinical fellowship rotations in maternal fetal medicine and neonatology, each for two weeks, refine the expertise required for management of parturients in a multidisciplinary environment.
Clinical or basic research is facilitated through advisor mentorship and three months of protected nonclinical time. Fellows benefit from state-of-the–art research tools including thromboelastography and lumbar spine ultrasonography.
Collaborative research with our obstetric, neonatology and other medical departments is encouraged, and fellows frequently present their research at national meetings such as Society for Obstetric Anesthesia and Perinatology (SOAP). Many of our faculty have active roles on editorial boards, administration, and leadership in the arena of obstetric anesthesiology, offering fellows a unique opportunity for mentorship and participation in all aspects of this specialty.
Academic teaching is conducted at twice daily conferences in addition to fellow-specific weekly sessions including journal club, research strategy conferences, and advanced didactic sessions. In addition, there are numerous interdisciplinary conferences with the departments of obstetrics and neonatology, cardiology, hematology, and neurology.
Please send a letter of interest to:
Michaela Farber, MD
Director, Obstetric Anesthesiology Fellowship Program
Our Center for Pain Medicine accepts eight 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 preeminent 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 8,000 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 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 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.
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:
Srdjan S. Nedeljkovic, MD
Program Director, Pain Medicine Fellowship
The overall goal of this unique Fellowship is to provide the trainee with an organized, comprehensive, and advanced educational experience in perioperative medicine. Training will offer opportunities to develop clinical, organizational and managerial skills necessary to become a perioperative medicine consultant. The fellow will be exposed to the principles of perioperative services management, innovation and development of clinical pathways, as well as a systems-based approach to quality, safety, leadership, and value-based care. The Fellowship will provide a well-rounded educational experience consisting of administrative rotations, didactics, research, and clinical work to create leaders in perioperative medicine.
Richard D. Urman, MD, MBA, CPE
Director, Perioperative Medicine Fellowship
Associate Professor of Anaesthesia
Director (Anesthesia), Center for Perioperative Research
Angela M. Bader, MD, MPH
Associate Director, Perioperative Medicine Fellowship
Professor of Anaesthesia
Vice Chair, Perioperative Medicine
Director, Weiner Center for Perioperative Evaluation
David L. Hepner MD, MPH
Assistant Director, Perioperative Medicine Fellowship
Associate Professor of Anaesthesia
Associate Director, Weiner Center for Perioperative Evaluation
Candidates for the Fellowship are sought from physicians who are board-certified or board-eligible in anesthesiology and who will have completed an anesthesiology residency by the start of their Fellowship training. The Fellow must possess a full medical license in the state of Massachusetts at the start of the Fellowship.
The Fellowship is a 12 month full-time experience consisting of four major components. These include a combination of administrative rotations, didactics, projects and research (3 days/week), and a 2 days/week clinical commitment as a staff anesthesiologist (0.4 FTE) at the Department of Anesthesiology, Perioperative and Pain Medicine. The Fellowship aims to provide a diverse set of educational experiences tailored towards individual needs and background of each Perioperative Medicine Fellow.
I. Administrative Rotations
The Fellow will spend time rotating through one of the following clinical/administrative units within the hospital, Partners Healthcare system, or at an external entity. The Fellow will work under the direction of the designated faculty member and will participate in all related activities during the rotation. The rotations will include the following:
1. Weiner Center for Preoperative Evaluation
Rotation Director: David L. Hepner, MD, MPH
Associate Director, Weiner Center for Preoperative Evaluation; Associate Professor of Anaesthesia
2. Operating Room Management (Main OR)
Rotation Director: Bhavani S. Kodali, MD
Vice Chair, Clinical Affairs; Associate Professor of Anaesthesia
3. Perioperative Hospital Services
Rotation Director: Hugh L. Flanagan, MD
Medical Director, Operating Rooms; Assistant Professor of Anaesthesia
4. Quality and Safety
Rotation Directors: Luigi Nascimben, MD, PhD
Director, Safety, Quality and Performance Improvement (Anesthesia); Assistant Professor of Anaesthesia.
Marc T. Pimentel, MD, MPH
5. Non-Operating Room Anesthesia (NORA)
Rotation Director: Wendy L. Gross, MD, MHCM
Clinical Director, Non-OR Anesthesia; Assistant Professor of Anaesthesia
6. Ambulatory Anesthesia
Rotation Director: Richard D. Urman, MD, MBA
Anesthesia Service Director, BWH HealthCare Center (Chestnut Hill); Associate Professor of Anaesthesia
7. Geriatric Medicine
Rotation Director: Houman Javedan, MD
8. Ariadne Labs
Faculty: William Berry, MD, MPH, MPA, FACS
Chief Medical Officer and Director, Safety Surgery Program, Ariadne Labs
David L. Hepner, MD, MPH
Associate Director, Weiner Center for Preoperative Evaluation; Associate Professor of Anaesthesia
9. Hospital Pain Management - Leadership and Clinical Service
Rotation Director: Darin J. Correll, MD
Director, Acute Postoperative Pain Management Service
Chair, Acute Pain Committee
10. Palliative Medicine
Rotation Director: Elizabeth M. Rickerson, MD
Clinical Director, Inpatient Palliative Care Unit, DFCI/BWH; Instructor-In-Anaesthesia
11. Hospital Leadership Track
Rotation Directors: Jose Figueroa, MD, MPH
Co-Director, Management Leadership Track Program; Instructor-In-Medicine
12. Perioperative Nursing and Procedural Areas
Rotation Director: Lisa Morrissey, DNP, MBA, RN, NEA-BC
Associate Chief Nursing Officer, Peri-procedural Department
13. BWH Innovation Hub (iHub)
Rotation Director: Jeffrey O. Greenberg, MD, MBA
Associate Medical Director, BWPO; Medical Director, Standardized Clinical Assessment and Management (SCAMP) program; Medical Director, BWH Innovation Hub
14. Medical Ethics
Rotation Director: Nicholas Sadovnikoff, MD
Director, Critical Care Fellowship
Director, Critical Care Anesthesia
Co-Director, Surgical Intensive Care Units
Assistant Professor of Anaesthesia
Each rotation offers a unique set of didactics, as described under each rotation experience. In addition, the Fellow will be able to take advantage of longitudinal learning opportunities consisting of lectures, seminars and other educational experiences at the Brigham and Women’s Hospital, Harvard Medical School, Harvard Business School, Center for Surgery and Public Health, Harvard School of Public Health, Ariande Labs, national meetings such as Perioperative Medicine Summit, Perioperative Surgical Home (PSH), Enhanced Recovery After Surgery (ERAS), ASA Practice Management, ASA Executive Physician Leadership Program, and online educational resources.
The Fellow is expected to participate in at least one scholarly project under the direct supervision of the Fellowship leadership. The Faculty will assist the Fellow in developing basic research and analytic skills. Topics may include, but are not limited to, perioperative patient outcomes, finance, operations, safety, quality, or information technology. The expectation is that the research project will result in a scientific abstract and eventually in an original publication.
IV. Clinical Work
The Fellow is expected to work as an attending anesthesiologist two days a week (0.4 FTE) in either the main operating room at BWH or one of the non-operating room locations as determined by the needs of the Department of Anesthesiology. The other 0.4 (FTE) (2 days/week) will be spent on different rotations outlined above, and the remaining 0.2 FTE (1 day/week) reserved for research/clinical projects.
1. What are the minimum qualifications for the Fellowship?
Candidates for the Fellowship are sought from physicians who are board-certified or board- eligible in Anesthesiology or anesthesiology residents currently in their CA-3 year of training. The Fellow must possess a full medical license in the state of Massachusetts at the start of the Fellowship.
2. Are all rotations mandatory or is there an opportunity to do an elective rotation?
All rotations are generally mandatory. However, if the Fellow expresses a particular interest in an experience that is not listed in the curriculum, we will make an effort to accommodate it, if possible. Please note that the Fellow will have 1 month of elective time.
3. What is the salary and other support (educational allowance), as well as vacation time?
The Fellow will be expected to work 2 days (0.4 FTE) as an attending anesthesiologist in the BWH Department of Anesthesiology. The salary earned will therefore be significantly higher than the typical PGY 5 level salary at BWH. The Fellow will also receive 4 weeks of vacation time and a benefits package offered to all incoming clinical fellows. Additional information will be available at the time of application.
4. Is this Fellowship accredited?
The Fellowship is accredited by the BWH Graduate Medical Education office. However, it is not accredited by the ACGME. After completion of the 12 month fellowship, the fellow will receive both a Harvard Medical School and a Brigham and Women’s Hospital certificate of completion.
5. What is the start date and duration of the Fellowship? Are they flexible?
For our inaugural fellow, we anticipate the start date of July 1, 2017. The duration of the fellowship is 12 months. The start date may be flexible, and needs to be discussed at the time of application.
6. Is there an opportunity to receive a formal degree such as an MPH, MBA or an MS during the fellowship?
Receiving a formal degree is not included in the Fellowship experience. Many of the Fellowship directors and faculty have advanced degrees (MPH, MBA, MPA, MHCM) and can advise the fellow about such opportunities. However, the fellow may take advantage of the courses and seminars offered by Harvard graduate schools. Unless required as part of the rotation experience, these courses will not be funded by the Fellowship.
7. How much nonclinical time is allowed?
The Fellow will receive approximately 1 day/week of nonclinical time to be dedicated to working on research and other related projects.
For additional information and application materials, contact:
Laura Woods – Fellowship Coordinator
Phone: (617) 525-7921
Richard D. Urman, MD, MBA, CPE
The regional anesthesia fellowship at Brigham and Women’s Hospital is one of the oldest in the country. It started with Dr. Mercedes Concepcion, a true pioneer in the field of the regional anesthesia. Dr. Concepcion’s influence and passion is still carried out by our faculty and under the leadership of Dr. Vlassakov an innovator in the field.
Our mission is to create the best educational and clinical environment for our fellows in order to produce excellent clinicians, teachers and leaders in the area of regional anesthesia and acute pain medicine.
The fellowship is ACGME accredited. The program has been designed to not only comply with the new ACGME standards, but to expose our fellows to the best clinical experience possible. We do an extensive variety of regional techniques and an average of 1800 blocks per year at our main campus. The fellowship aims to provide a nurturing atmosphere in which to acquire and develop the knowledge and skills needed to provide superb clinical care, develop excellent teaching skills, and cultivate quality research. The curriculum includes:
The fellows with participate in the execution of basic and advanced regional anesthesia techniques in the main operating room for orthopedic, thoracic, cardiac, plastic surgery and general surgery procedures.
The fellows with rotate through the Acute Pain Service
The fellow with have a one month at Boston Children’s Hospital
The fellows will have a surgicenter rotation at Foxboro Surgicenter or Faulkner hospital.
The fellows will have a 2-4 week rotation through chronic pain service
Each fellow will become proficient in a wide variety of blocks and will participate in residents regional workshops, hands on teaching and in formal teaching sessions
Research activities will be ongoing, we encourage early communication with the program director to facilitate progress in developing an individualized research agenda.
One month at Boston Children’s Hospital
One month in the acute postoperative service
One month in the chronic pain service
Six months in the regional anesthesia in the main operating room
One month at our ambulatory surgicenter or satellite hospital
One month elective (depends on the project)
One non-clinical day a week
Ultrasound Guided Supraclavicular Brachial Plexus Block vs Retroclavicular Brachial Plexus Block: Comparison of Impact on Ipsilateral Diaphragmatic Function
A prospective, randomized comparison between ultrasound guided paravertebral block and ultrasound guided intercostal nerve block
A Randomized Controlled Trial of Regional Versus General Anesthesia for Promoting Independence After Hip Fracture (REGAIN Trial)
A randomized double blind placebo controlled femoral nerve block with exparel for TKA
A randomized double blind placebo controlled intersacelene nerve block with exparel for TSA or rotator cuff repairs
We hold lectures every Thursday morning from 6:15a to 6:45am
We have a monthly journal club
We have our departmental grand rounds every Wednesday from 7am to 9am
We provide intraoperative teaching every day
Fellows are involved in our Perioperative and Intensive Care Ultrasound course (PICUS) workshops
Fellows are involved in local workshops held in the Boston area
Fellows will be co-directors for workshops for the residents.
For more information regarding the application process, please contact Laura Woods at firstname.lastname@example.org
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