Applications to each fellowship are dependent upon the requirements of the individual programs. Please contact the individuals listed on the fellowship pages for additional information.

Penn Anesthesiology Fellowship Programs

Adult Cardiothoracic Anesthesiology

The Adult Cardiothoracic Anesthesiology Fellowship is a one-year clinical training program designed to prepare graduates for leadership positions in the subspecialty practice of cardiothoracic anesthesiology. The fellowship program is dedicated to provide state-of-the-art training and experience in a multidisciplinary academic environment to achieve competence in patient care, medical knowledge, practice-based learning and improvement, interpersonal and communication skills, professionalism, and systems-based practice in the field of cardiothoracic anesthesiology.

The fellowship program offers four Accreditation Council for Graduate Medical Education (ACGME) accredited positions each year to qualified applicants. Completion of the fellowship program curriculum fulfills the minimum program requirements specified by the ACGME and fulfills the eligibility requirements for achieving certification in Advanced Perioperative Transesophageal Echocardiography from the National Board of Echocardiography

Clinical instruction is provided in the cardiothoracic operating room under the supervision of faculty members. The fellow is assigned to provide comprehensive anesthetic and perioperative care that includes the performance and interpretation of the intraoperative echocardiographic examination. The fellow is also responsible for the supervision and education of Penn Anesthesiology residents on the cardiothoracic anesthesiology rotation. A separate rotation to Penn Presbyterian Medical Center provides the opportunity to care for cardiac surgery patients in a community hospital setting. The intraoperative experience in cardiothoracic anesthesiology will be supplemented with clinical experience in the management of cardiac and thoracic surgical patients in the Cardiothoracic Surgical Intensive Care Unit staffed by the Cardiothoracic Anesthesiology Critical Care faculty. The CT-SICU is a multidisciplinary unit where the fellow will have the opportunity to work with Penn surgical residents, critical care medicine fellows, cardiology fellows, and nurse practitioners in the comprehensive management of the cardiothoracic surgical patient. Echocardiography training includes a period of formal instruction in the echocardiology laboratory followed by instruction and direct experience in the performance, interpretation, and reporting of comprehensive transesophageal echocardiographic examinations.

The Penn Cardiothoracic Anesthesiology and Surgery divisions will provide the opportunity to gain extensive clinical experience in the following areas:

  • Transesophageal echocardiography (2-D and 3-D)
  • Coronary revascularization
  • Cardiac valve repair and replacement
  • Thoracic Aortic Operations
  • Heart and lung transplantation
  • Mechanical ventricular assist
  • Extracorporeal membrane oxygenation
  • Catheter-based aortic valve replacement
  • Endovascular aortic repair
  • Port-access and minimally invasive cardiac operations
  • Surgical ablation for arrhythmias
  • Adult congenital heart disease
  • Pediatric congenital heart disease (CHOP elective)
  • Non-cardiac thoracic surgery
  • Electrophysiology and cardiac catheterization laboratory procedures
  • Surgical critical care medicine

The educational activities of the fellowship also include:

  • Guided self-education with reading and subspecialty library.
  • Introduction to TEE course
  • Introduction to Critical Care Medicine course
  • Weekly Advanced Topics in Cardiothoracic Anesthesiology Fellow conference*
  • Weekly multidisciplinary Cardiac Surgical QA/QI meetings
  • Weekly Departmental Grand Rounds*
  • Weekly Departmental research in progress conference
  • Weekly Cardiology, CT surgery, CT Anesthesiology Case Conference*

During the year, the fellow will prepare one case presentation for Department of Anesthesiology Grand Rounds, two case presentations for the Cardiology, CT surgery, CT Anesthesiology Case Conference, and two literature review presentations for the Advanced Topics in Cardiothoracic Anesthesiology Fellow conference.

Investigation is an important element of the fellowship experience for those planning careers in academic practice. Participation in clinical or laboratory research is encouraged. Academic time and support is provided to fellows based on their individual career pathway and area of investigation. For those dedicated to pursuing an academic career, the department offers several subspecialty academic career development training tracks (see below). For more details, visit the faculty page and research section.

Subspecialty Academic Development Tracks

In addition to the straight one-year clinical fellowship, candidates applying to the fellowship program have the option of entering one of several academic development tracks offered by the Department.

  • The combined Critical Care Medicine and Cardiothoracic Anesthesiology track is a two-year program for achieving board certification in both Adult Cardiothoracic Anesthesiology and Critical Care Medicine with an emphasis in Cardiothoracic Surgical Critical Care. Elective time is provided in order to pursue collaborative research with division faculty members.
  • The Instructor track is a two-year program designed for candidates seeking board certification in Adult Cardiothoracic Anesthesiology with the intention of pursuing an academic career as a clinical and/or collaborative investigator in the clinician-educator or academic clinician tracks. In the Instructor track, the candidate will be offered a faculty position as an Instructor in the division of cardiothoracic anesthesiology upon completion of the clinical requirements of the one-year fellowship. As an Instructor within the division, the candidate will be provided with 50% non-clinical time to devote to research or educational projects.
  • The Research Training Grant (RTG) track is a three-year program designed for candidates seeking board certification in Adult Cardiothoracic Anesthesiology with the intention of pursuing an academic career as an independent investigator in the tenure-track. After fulfilling the clinical requirements of the fellowship, the candidate will devote two years of time pursuing clinical or basic research with an established investigator participating in the NIH-funded T-32 program that is in its 34th year at the University of Pennsylvania.

Clinical Caseload

  • Division of Cardiovascular Surgery
  • Cardiac procedures with CPB per year:
    • UPHS = 2,000
    • CHOP = 1,000
    • Non-cardiac thoracic cases per year: 1,400
    • Heart, lung and heart/lung transplants per year: 80
    • Thoracic aortic operations with DHCA per year: 250
    • Estimated Distribution of cardiac cases: 25% CABG, 50% Valves, 5% Congenital, 20% Thoracic aorta and other
    • TEE examinations per fellow per year: 400

Faculty

Name Clinical Areas* Research, Other Interests
John Augoustides, MD, FASE, FAHA A, T, TEE TEE, Aortic surgery
Jared Feinman, MD A, T, TEE TEE, 3D TEE
Emily Gordon, MD A, TEE, ICU
C. William Hanson, MD A, ICU, TEE Nitric Oxide, Information systems
Jiri Horak, MD A, ICU, TEE Intensive Care
Jeremy Kukafka, MD A, TEE  
Warren J. Levy, MD A, TEE CNS monitoring, Computer technology
Thomas Mickler, MD A, TEE  
Bonnie Milas, MD A, ICU, TEE Coagulation, Monitoring
E. Andrew Ochroch, MD T Thoracic postop pain
Prakash Patel, MD A, TEE Adult Congenital Heart Disease, Coagulopathy
Joseph S. Savino, MD A, ICU, TEE Epidemiology, Mitral Valve
Stuart Weiss, MD, Ph.D A, T, ICU, TEE LV function, pharmacology
William J Vernick, MD A  

*A: Adult cardiac; P: Pediatric cardiac (at CHOP); T: Thoracic; ICU: Cardiothoracic intensive care; TEE: Transesophageal echocardiography

Fellowship Application Process

The fellowship program begins on July 1 of each year. Fellow candidates are selected in May or June to start the following July. Applications are accepted for the following year starting on January 1st with an application deadline of March 31st of the year before the fellowship start date. Interviews are required and conducted from January through May each year.

Our fellowship will participate in the SF Matching program this year. The match takes place in June and will be used to process all applicants who want to begin their fellowship training in July of the following year. In order to be considered for a position in any Adult Cardiothoracic Anesthesia fellowship program, you must register for the match at www.sfmatch.org

The applicant should specify if they want to be considered for any of the following subspecialty academic career training tracks as part of the Adult Cardiothoracic Anesthesiology Fellowship. Additional application and arrangements will need to be made for the scheduled interview. Special attention will be provided for qualified applicants.

  • Combined Critical Care Medicine and Adult Cardiothoracic Anesthesiology (2-year program)
  • Instructor track in Adult Cardiothoracic Anesthesiology (2-year program)
  • Research Training Grant (NIH T-32) track in Adult Cardiothoracic Anesthesiology (3-year program)

Eligibility Requirements

Application

In order to be considered, please submit:

  1. Registration with SF Match
  2. Updated CV
  3. Personal statement
  4. USMLE scores (copy)
  5. Copy of Dean's letter and medical school transcript (copy)
  6. In-Training Examination scores (copy)
  7. Passport size photo

Note: For CCM and CT dual fellowship candidates when registering for the SF Match, please register for only one, CT or CCM (whichever you choose to do first). Indicate on your application that you are interested in the dual fellowship.

Scan all documents (with the exception of the letters of recommendation) into one PDF and email it to anesadmission@uphs.upenn.edu. Please also instruct the writers of your letters of recommendation to email them here.

For questions concerning your application or the program, please contact:

  • Jemilla Slaffey
    Fellowship Program Coordinator
    Department of Anesthesiology and Critical Care
    3400 Spruce Street, 6th Floor Dulles
    Philadelphia, PA 19104
    Phone: 215-662-7832
    Email: anesadmission@uphs.upenn.edu

Program Director

Critical Care Medicine

The Anesthesia Critical Care Medicine (ACCM) Fellowship at the University of Pennsylvania has been designed to prepare fellows for a career in Anesthesiology with an emphasis on Critical Care Medicine. The ever expanding role of Anesthesiologists in academic medicine, as well as the private sector, has opened a variety of interests within the broader field of Critical Care. We strongly encourage applications by candidates seeking dual certification in Critical Care and Cardiac Anesthesia. Visit our division website

Neuroanesthesia

The Neuroscience in Anesthesiology and Critical Care Program (NACCP) offers a variety of opportunities for those interested in an advanced experience in neuroanesthesia, neurocritical care, and neuroscience research. We accept no more than a small number of candidates each year and thus provide a highly individualized program modifiable to meet a variety of needs.

The typical fellow will spend 12 months with the time divided between clinical work and clinical research. However, our program in neuroanesthesia has been coordinated with major laboratory and/or clinical research training, research-oriented course work within the University and work required for advanced degrees. We provide a core experience in the care of the adult neurosurgical patient and, depending on individual fellow's goals, can provide variable amounts of elective experience in pediatric neuroanesthesia, anesthesia for interventional neuroradiology, neuromonitoring and neurointensive care. Our aim is to train physicians who will be fully prepared to become exemplary attending neuroanesthesiologists in either clinical or academic practice.

The case range is extensive with a predominance of patients requiring intracranial surgery, including for intracranial aneurysms (approximately 80 patients per year). The number of patients requiring craniotomies for tumors and other problems is usually on the order five to ten per week. We also have a growing seizure surgery practice with about one to two patients per week, and one of our neurosurgeons does carotid endarterectomies (about 40 per year). With surgery for the spinal cord and column, shunts and other miscellaneous procedures, the service provides anesthesia for an average of 15 to 20 neurosurgical cases each week. We use a variety of anesthetic techniques including both general and regional anesthesia for carotid endarterectomies, inhalational and intravenous approaches for intracranial processes and both general and conscious sedation for seizure surgery. Presently we perform about one awake craniotomy per week.

Portions of the fellowship can be spent on the neurophysiological monitoring service. We have close working relationships with experienced, clinical neurophysiologists and can provide experience with intraoperative electroencephalographic monitoring (standard as well as processed) and somatosensory and motor evoked potential monitoring. The degree of monitoring used on some patients is extensive and may include monitoring cranial nerves as well as standard somatosensory sites. Motor monitoring is done using magnetic stimulators as well as direct cortical or spinal cord stimulation.

Neuroanesthesia faculty at Penn work closely with the neurosurgeons to deliver neurocritical care. This improves the continuum of acute care for these patients, fosters collaborative clinical research projects, and provides an additional opportunity for fellows to further augment their clinical experience. The Neuroanesthesia experience can be integrated into a two-year neuroICU fellowship which can lead to certification in Neurocritical care.

Pediatric anesthesiologists at the world-renowned Children's Hospital of Philadelphia are members of the Penn anesthesia department. They take care of children with the full spectrum of pediatric neurosurgical problems. Rotations in pediatric neuroanesthesia can be arranged to be a component of the fellowship.

One important way to consolidate one's knowledge is to teach it. Accordingly, fellows tend to work with second and third year anesthesia residents and have progressively increasing case supervision (and teaching) responsibility as their experience grows. Fellows also play a significant role in our didactic program and have guided experience in lecture preparation and delivery.

A key feature of the training program is a controlled clinical obligation so that virtually all of our trainees have time for clinical or laboratory research. Current research interests include improved techniques for patient cooling and rewarming during neurosurgery, evaluation of origins of postoperative cognitive dysfunction, pathophysiology of traumatic brain injury, and the measurement of local blood flow and its correlation with local brain electrical activity. Our department is unusual in the extent of externally supported funding supporting research activities of clinically active anesthesiologists. A summary of this work can be found in the research training section. Notably, we offer the option to participate in our NIH training grant program. Most of our fellows have had at least one publication as a result of their research activities, and many have had more than one.

The Penn neuroanesthesia program has a many-decade tradition of excellence in clinical care, education and research. Our past trainees hold positions at major medical centers including the University of Pennsylvania Health System, the Johns Hopkins Medical Center and the University of Washington Medical Center. Two of our former trainees head Divisions of Neuroanesthesia at major medical centers. Some have gone into private practice and have leadership positions in their practice.

In general, fellow candidates will have completed an anesthesia residency accredited by the Accreditation Council for Graduate Medical Education.

For further information, please contact:

To request applications, please contact:

  • Anita Bergh, BA, C-TAGME
    anita.bergh@uphs.upenn.edu
    Manager, Medical Education
    Department of Anesthesiology and Critical Care
    University of Pennsylvania Health System
    3400 Spruce Street, 5 Dulles, Dripps Library
    Philadelphia, PA 19104-4283

Obstetrical Anesthesia

The Obstetrical Anesthesia Fellowship allows advanced obstetric anesthesia subspecialty training. The program's emphasis on clinical sciences and scholarly activity includes:

  • Promoting expertise necessary to deliver comprehensive perioperative care to the obstetric patient
  • Becoming involved in the acquisition of new knowledge through clinical investigation and study
  • Developing educational skills by supervising residents and instructing them by means of both formal and case-oriented teaching

Candidates should be from accredited anesthesia residencies, and have completed a CA-3 year by the beginning of the fellowship. The fellowship is typically 12 calendar months.

Clinical Responsibilities

  • Clinical care - Clinical obligations include on-call responsibilities as determined by the needs of the department and the educational objectives of the fellowship. Typically, fellows spend a minimum of 50 days per annum functioning as junior attendings in areas outside the fellowship. Non-clinical time (research, etc.) must be approved prospectively and 120 days of clinical activity is the minimum expected of all fellows.
  • Clinical research
  • Supervision of residents

Educational Responsibilities

These include, but are not limited to continuous self-education and participation in the OB Anesthesia lecture series. Weekly attendance at Departmental Grand Rounds is required of all clinical fellows, and fellows are expected to participate in one yearly presentation at this forum under the guidance of the Director of Obstetrical Anesthesia.

Fellows are expected to attend weekly Departmental Research Conferences. The Department of Anesthesia budgets $2,000 per academic year for use at the fellow's discretion for books, journals, or expenses incurred while attending approved continuing education activities.

Academic Responsibilities

Participation in on-going, approved clinical research protocols or development of a clinical research idea and pathway. Participation in either form of academic activity should lead to a presentation at a national specialty forum and to subsequent preparation of an interdepartmental scholarly review manuscript.

Faculty Supervision

The Director of Obstetrical Anesthesia submits an individualized document describing the goals of the proposed Clinical Fellowship and the mechanism by which progress towards those goals is to be measured. In addition, the Director of Obstetrical Anesthesia submits a quarterly progress report to the Departmental Director of Education for inclusion into a permanent file for each Clinical Fellow.

For further information, please contact:

To request an application, please contact:

  • Anita Bergh, BA, C-TAGME
    Manager, Medical Education
    Department of Anesthesiology and Critical Care
    University of Pennsylvania Health System
    3400 Spruce Street, 5 Dulles, Dripps Library
    Philadelphia, PA 19104
    Email: anita.bergh@uphs.upenn.edu

Pain Medicine

The Department of Anesthesiology and Critical Care Medicine offers a 1-year fellowship in pain medicine. This fellowship is ACGME accredited, and is available to individuals that have completed a ACGME-accredited residency in anesthesiology, physical medicine and rehabilitation, neurology, or psychiatry.

The Pain Medicine Fellowship provides comprehensive education and training in the areas of pain medicine and palliative care in adults. Training includes acute pain, interdisciplinary chronic pain, cancer pain, palliative care, and interventional pain methods. Fellows obtain significant experience in the use of a wide variety of interventional pain modalities, and upon completion of the fellowship can qualify for recognition as qualified in performing a number of interventional procedures.

The pain medicine faculty come from a number of specialties, and many are nationally recognized pain experts. Several are active in the conduct of pain-related research, and as a result there is ample opportunity for pain medicine fellows to actively participate in scholarly activities during their fellowship.

Application Deadline

  • We are now accepting Applications for the 2019 Pain Medicine Fellowship Class.
  • Application Deadline: June 1, 2019

Fellowship Application Process

We currently offer four positions for our 1-year Pain Medicine Fellowship that starts annually on July 1.

Selection to the fellowship is competitive. We will be participating in the NRMP pain match. Please submit your application via ERAS.

Application to our Department via ERAS only:

  • Updated CV
  • Personal Statement
  • Copy of Medical School Diploma
  • Copy of Dean's Letter
  • Medical Transcript
  • Three (3) letters of recommendation addressed to:
    Peter Yi, MD
    Program Director, Pain Medicine Fellowship
  • Most recent, In-training Examination Score and/or USMLE (Email to Nicole.Eppright@uphs.upenn.edu)

For questions concerning your application, please contact:

  • Nicole Eppright
    Pain Medicine Fellowship Coordinator
    Department of Anesthesiology and Critical Care
    1840 South Street, 2nd Floor
    Philadelphia, PA 19146
    Phone: 215-893-7251
    Email: Nicole.Eppright@uphs.upenn.edu

Pediatric Anesthesia

The Children's Hospital of Philadelphia (CHOP) offers outstanding fellowship opportunities in pediatric anesthesia.

Learn more about the Pediatric Anesthesiology Fellowship Program at CHOP

Perioperative Management Quality and Safety

The Hospital of the University of Pennsylvania (HUP) offers a one-year full time fellowship in Perioperative Management, Quality, and Safety starting July 1, 2019. Up to three positions are available annually. The principles and practice of process improvement, quality, and safety, particularly as applied to the complex perioperative environment, are the focus of this program. The Perioperative Safety Fellows (program started 2016) are an integral part of the perioperative leadership group at HUP. They are involved in the hands-on investigation, analysis, and process improvement plan for all significant patient quality and safety issues in the preoperative, intraoperative, and postoperative (PACU) areas. HUP perioperative services encompasses 40 operating rooms (inpatient and outpatient) and 10 endoscopy rooms, performing over 60,000 procedures annually. Graded supervision is provided by dedicated on site faculty and staff from surgery, anesthesia and nursing with special experience and knowledge in safety, quality, and perioperative patient care. The structured curriculum, developed and taught by Penn faculty, includes readings, seminars, training, and projects designed to educate fellows regarding (inter alia): clinical errors and human factors engineering, root cause analysis, process improvement, measurement of clinical quality, six sigma, team training, in-situ simulation and change management. Fellows are also intimately involved in other important aspects of perioperative management including supply chain, scheduling, personnel, materials management and clinical engineering.

Applicants should envision a clinical career trajectory that would include administration and/or management in perioperative services.  Operating room experience is mandatory, and candidates from anesthesia (including CRNA), surgery, nursing and physician assistants are welcome. Physician candidates must have completed two years of training in an ACGME approved program and those who have completed an Anesthesiology residency will have the opportunity to work clinically 20% of their time in order to maintain clinical proficiency and salary support. Interested qualified candidates should contact the Fellowship Director Daniel Dempsey, MD, MBA at daniel.dempsey@uphs.upenn.edu as well John Keogh, MD, Anesthesiology Safety Fellowship Associate Director, at john.keogh@uphs.upenn.edu

Regional Anesthesia

The Regional Anesthesia and Acute Pain Medicine Fellowship at the University of Pennsylvania is a yearlong post-graduate training program aimed to cultivate expertise in the theory, art, and practical delivery of regional anesthesia and acute pain management. This includes hands-on training in ultrasound guided peripheral nerve blocks, management of peripheral nerve catheters, neuraxial anesthesia/analgesia and multimodal pharmacological approaches to postoperative pain management. The fellowship also incorporates a part-time clinical instructorship with the responsibility of supervising residents in the operative setting. Our fellowship is non ACGME accredited.

A particular strength of our program is the ability to customize the structure of the fellowship to the needs and interests of individual candidate. We are especially interested in candidates with a goal of pursuing an academic career and we offer the opportunity for formal education through the Department of Clinical Epidemiology and Biostatics at the Perelman School of Medicine, resulting in a certificate of clinical research during the fellowship year.

  • Category: Acute Pain/Regional Anesthesia
  • Duration: 12 Months
  • Number of Positions: 1
  • Salary: Commensurate with the assigned clinical work during the instructorship
  • Application Deadline: Until position is filled

How to Apply

Required documentation to complete your application include:

  • Curriculum Vitae with photo
  • Personal Statement (1-page) to outline the candidate's academic plan
  • Three (3) letters of reference from current program director and faculty
  • Copies of ABA/ASA In-Training Exam scores to date
  • Official Medical School Transcript and Dean's Letter

Application Requirements:

  • Completion of ACGME accredited anesthesia residency (by time of starting fellowship).
  • Pennsylvania medical license.

Contact Us

  • Lu Cai, MD
    Associate Fellowship Director
    Email: lu.cai@uphs.upenn.edu
    Phone: 215-662-3793
  • Department of Anesthesiology and Critical Care
    University of Pennsylvania Health System
    6 Dulles, 3400 Spruce Street
    Philadelphia, PA 19104
    Phone: 215-662-3793
    Fax: 215-349-5341

Faculty

Other Affiliated Faculty

Participating Hospitals

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