Pediatric Anesthesiology Fellowship

Our ACGME accredited program offers one position in a one-year Pediatric Anesthesiology Fellowship. The pediatric anesthesiology fellowship provides training in the principles of pediatric anesthesia. We are a comprehensive pediatric anesthesiology program where fellows are skilled and proficient in the care of newborns, infants, children and adolescents. You should be able to apply the principles learned to deliver excellent, safe and compassionate pediatric anesthesia care.

The fellowship program will follow the educational objectives of the ACGME Core Curriculum in its academic and clinical activities. The pediatric anesthesiology fellow will be evaluated using the following core competencies:

  1. Patient care
  2. Medical knowledge
  3. Practice-Based learning and improvement
  4. Interpersonal and communication skills
  5. Professionalism
  6. Systems-Based practice
Apply

Applications for the fellowship position should be made by applying through SFMatch.

Eligibility

As per new ACGME requirements, fellows must have successfully completed an ACGME accredited residency in anesthesiology or RCPSC/CFPC (Royal College of Physicians and Surgeons of Canada/College of Family Physicians of Canada) accredited training in Canada. Applicants who have completed non-ACGME accredited anesthesiology residencies may be considered if they are eligible for "exceptionally qualified applicant" status.

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Cognitive Training

Develop comprehensive mastery in the following:

  • Preanesthetic assessment and preparation of the pediatric patient
  • Pediatric and developmental anesthetic pharmacology
  • Developmental anatomy and physiology pertinent to anesthesiology
  • Interpretation of pediatric laboratory results
  • Assessment and care of the normal pediatric airway
  • Intraoperative temperature regulation and its maintenance
  • Perioperative fluid therapy
  • Implications of common diseases and surgical interventions in infants and children
  • Postoperative pain care, its assessment and treatment
  • Evaluation and care of common pediatric postanesthesia care unit issues
  • Advanced life support for pediatric patients

Develop expertise and significant experience in the following:

  • Congenital heart disease: evaluation and perioperative care
  • Evaluation and care of the newborn, infant or child with a difficult pediatric airway
  • Methodologies and goals of mechanical ventilator support
  • Care of those encountering massive fluid and/or blood loss
  • Pharmacological support of the circulation
  • Considerations for anesthesia care during diagnostic/therapeutic procedures outside the operating room complex
  • Anesthetic care of major pediatric surgical interventions:
    • Newborn emergencies
    • Solid organ transplantation
    • Craniotomy
    • Craniofacial reconstruction
    • Scoliosis repair
    • Understanding of chronic pain conditions and options for care
    • Recognition and care of perioperative vital organ dysfunction
    • Transport of critically ill pediatric patients
    • Understanding of the psychological impact of serious medical conditions and surgery on pediatric patients and their families

Introductory familiarity with the following experiences:

  • Pediatric critical care and emergency medicine
  • Anesthetic evaluation and care for uncommon conditions or procedures with uncertain implications (e.g. care of newborns during the exit procedure)
  • Appropriate consultation for other specialists

Psychomotor Training

Develop comprehensive mastery in the following:

  • Care of the normal pediatric airway with and without tracheal intubation
  • Vascular access for fluid and pharmacological therapy
  • Common peripheral nerve blocks and TAP block
  • Intraoperative placement of caudal and lumbar epidural nerve blocks with and without catheter

Develop significant experience in the following:

  • Techniques for care of pediatric patients with a difficult airway
  • Vascular access for invasive hemodynamic monitoring
  • Nerve blocks for anesthesia care

Gain an introductory familiarity with the following:

  • Airway care for one-lung ventilation
  • Intraoperative thoracic epidural nerve block with catheter placement
  • Nerve blocks for chronic pain care

Affective Training

Develop expertise in the following:

  • The psychological response of the pediatric patient about to undergo anesthesia
  • The psychological response of the adult(s) caring for the pediatric patient about to undergo anesthesia
  • Methods to develop and demonstrate positive relationships among physicians, paraprofessional staff, pediatric patients and others caring for them.
Program Manual

Contact

Martina Richtsfeld, MD
Fellowship Program Director
richt298@umn.edu

Tammy Carpentier
Fellowship Coordinator
carpe829@umn.edu