Division of Perioperative Anesthesiology | Fellowship

Message from our Fellowship Selection Committee Chair

Amy VinsonWelcome to the Pediatric Anesthesiology Fellowship at Boston Children's Hospital! We are a large, yet close-knit, Department of dedicated clinicians and educators working in a dynamic hospital environment rich with history and innovation.  We offer a range of rigorous clinical and didactic programs, spanning from general, ambulatory, regional and cardiac anesthesia, as well as critical care and pain management.

Our core fellowship year is demanding, rewarding and will allow you to progress from an excellent general anesthesiologist to an expert consultant in pediatric anesthesia.  Our program will challenge and inspire you through clinical experiences, scholarly activity opportunities, and chances to teach other trainees in clinical environments as well as department-wide lectures, preparing you for the wide range of pediatric anesthesia challenges ahead.

Please take some time to explore our various program specialties available and feel free to contact us should you have additional questions.  We are proud of and have the utmost confidence in those who have graduated from our programs, and we have delighted to see our graduates becoming leaders in their departments and the world of pediatric anesthesia.

Fellowship Overview

The Boston Children's Hospital Pediatric Anesthesiology Fellowship offers a well-balanced 12 month training program blending clinical training with a robust educational curriculum.  It is expected that our fellowship graduates are expert, independent practitioners in the administration of and consultation about pediatric anesthetic and perioperative care.  A framework for our Fellows' success centers on:

Knowledge: the application of expert medical knowledge and judgment in assessing, planning, and solving medical problems associated with pediatric perioperative care.

Skills: proficiency in providing all technical services required in the practice of pediatric anesthesiology.

Attitude: qualitative aspects of professional attitude, characteristics, and traits, which often combine optimism, leadership, resilience, democracy, teamwork and communication.

Scholarship: the talent, training and habits of study necessary for evaluating and appropriately applying new knowledge in pediatric anesthesiology as well as enrich and advance the practice of pediatric anesthesiology and the care of children.


Clinical Training

Clinical training for Pediatric Anesthesia occurs in the Main Operating Rooms, the Cardiac Operating Rooms, Perioperative Care Coordination Clinic, Post-Anesthesia Care Unit (PACU), Pain Treatment Service (including Regional Anesthesia Service) and the Medical-Surgical Intensive Care Unit (MSICU).

One of our 2014-2015 Fellowship Program Graduates, Dr. John Jochman said of his clinical training at Boston Children’s Hospital:

“[M]ost days I was involved in the management of patients with critical illness or those with certain anomalies or conditions that are rarely seen at other institutions. From neonates with “classic” surgical urgencies to adults with congenital heart disease, our experience over the year encompassed managing a wide breadth of patients—usually at a frequency high enough to ensure meaningful understanding and comfort in doing so. Not only were the patients inherently challenging, but we often cared for them during demanding and innovative procedures. This was especially true in cardiac anesthesia, and it was this intensive, truly “hands-on” experience that led me to take on additional training on the cardiac service after completing the formal fellowship year.” 

Our typical rotation schedule conforms to the following parameters:

ROTATION

LENGTH

Perioperative Anesthesia (MOR)

7 Months

Cardiac Anesthesia

2 Months

Critical Care (MSICU)

3 Weeks

Pediatric Pain Medicine

2 Weeks

Regional Anesthesia

2 Weeks

Elective Time (customizable) 2 Weeks

Scholarly Activity Nonclinical Time

Approximately 1 day per month

Vacation

20 Days

Meeting/Conference

5 Days

As part of the seven months spent in Perioperative Anesthesia, there is a distinct week-long Post-Anesthesia Care Unit (PACU) Rotation and an additional 10-12 day-long assignments to the Perioperative Care Coordination Clinic.

This seven month rotation also affords opportunities to participate in elective rotation. Fellows may elect from several electives, including but not limited to:

  • "Go with the Flow": Two-week rotation during which the fellow learns how to administer low flow and closed circuit anesthesia.
  • Neonatal Intensive Care Unit (NICU): One-week rotation to shadow and learn about neonatal physiology, observe post-op care, and spend time with RTs to learn about various vents. 
  • Ambulatory: Opportunity to spend additional time at our Waltham and Lexington satellite locations experiencing high turnover "bread and butter" type cases.

Vacation Time: Fellows are restricted to requesting vacation during operating room (MOR) rotation months. Each fellow may take up to 20 personal/vacations days. Additionally, fellows are allowed 5 days for meeting days, which can be taken on any rotation with proper approval.

Scholarly Activity Nonclinical Time: Fellows are allocated time for research on his/her Scholarly Activity commitment. This nonclinical time is contigent upon suitable progression of each individual's Scholarly Activity project's progress.

 
If you are interested in applying, please see standard fellowship application instructions.