The Department of Anesthesiology offers 2-3 positions for a 12-month CA-4 fellowship in regional anesthesia, beginning July each year. All regional fellowships are non-ACGME approved and this allows flexibility; we can tailor the fellowship to meet the needs of the applicant, e.g. clinical service versus research.
The Regional Anesthesia service performs between 2,500 and 3,000 upper and lower extremity peripheral / plexus blocks for orthopedic surgery per annum. These blocks are performed predominantly under ultrasound guidance with/without the addition of peripheral nerve stimulation. We continue to utilize the peripheral nerve stimulator to maintain the skill set required for this technique of performing peripheral nerve blocks as well as an educational tool.
A unique function of the service is the placement of peripheral nrve catheters to provide continuous postoperative regional analgesia following both upper and lower extremity surgery. Approximately 400 peripheral nerve catheters are performed with anticipated continued growth in catheter placement. The fellow will be involved in placement of these catheters as well as the postoperative management of these patients. This wealth of clinical exposure allows an enthusiastic fellow to gain vast clinical experience and to participate in ongoing clinical research projects. Over the course of the year, the regional fellow will develop the skills and knowledge necessary to function as a consultant regional anesthesiologist particularly in the management of complex patient populations. The Fellowship is designed to expand the Fellows’ knowledge base in regional anesthesia, with an emphasis on anatomy pertinent to the performance of regional anesthesia.
Research experience is another component of the fellowship; experience and instruction in experimental design and implementation will take place during the year, with up to two days per week dedicated to clinical research. Fellows may be primary investigators on assigned research projects, and will be co-investigators in ongoing projects. They will write abstracts, and present these to the department during the year. The department will sponsor one extra-institutional meeting, as well as any meeting at which the fellow’s work is presented. Based on interest, fellows can be paired to an appropriate faculty mentor to facilitate research collaboration.
The regional fellow will become a proficient clinical regionalist during the year, and will spend at least 3 days each week in the operating room suite, performing regional anesthetic techniques and gaining expertise in management of perioperative care of patients undergoing regional anesthesia. Fellows are also expected to instruct and supervise junior residents on rotation in Regional Anesthesia. They will also represent our Division at departmental Case Conferences, participate in a weekly Journal Club and attend monthly Fellow’s conferences. Fellows may also spend time in the anatomy laboratory and have the opportunity to teach first year medical students in their first year clinical anatomy course gaining valuable exposure to cadavers and anatomic variants.
In addition, the Fellow will be available to assist with regional anesthesia techniques outside of the orthopedic surgery core. These techniques include paravertebral blocks for breast surgery, brachial plexus blocks for vascular procedures, and transversus abdominis plane (TAP) blocks following various abdominal procedures. In this way, the resident is exposed to a full spectrum of regional anesthesia techniques that are utilized for intraoperative anesthesia and postoperative analgesia.
Elective rotations are available in the related areas of pain management. Flexibility exists to modify the standard rotation based upon the training, experience, and needs of the individual fellow.
Anthony (Robin) Brown, MBChB., FFA(SA)
Connie Chung, MD
Anis Dizdarevic, MD
Danielle Ludwin, MD
Robert Maniker, MD
Leena Matthew, MD
Current Fellows 2012-2013:
Maricela Sanchez, MD
Residency: Columbia University, NY, NY
Residency: The University of Texas Southwestern, Dallas, TX
Fellowship Application Checklist