Department of Anesthesiology, Critical Care and Pain Medicine | Residency in Pediatric Anesthesiology

Residents from Harvard-affiliated institutions (Massachusetts General Hospital, Brigham and Women’s Hospital, Beth Israel-Deaconess Medical Center), local hospitals (Boston University Medical Center, St. Elizabeth’s Hospital), and occasionally hospitals outside of the Boston area spend between one and three months at a time in the department, participating in clinical care of the full spectrum of pediatric patients with regard to age, severity of primary and co-existing diseases, and complexity of surgery in the perioperative environment.

Founded in 1869, Boston Children’s Hospital has blossomed into a 397-bed pediatric health care center that cares for local, regional, national, and international patients. The hospital’s medical staff — more than 1,000 staff physicians and 1,200 trainees — cares for more than 500,000 patients annually, including performing more than 29,000 surgical procedures, and delivers 35,000 anesthetics each year.

All rotating anesthesiology residents participate in clinical care of the full spectrum of pediatric patients with regard to age, severity of primary and co-existing diseases, and complexity of surgery in the perioperative environment. Whether this rotation is your core or advanced rotation at Boston Children’s Hospital, residents can expect a thorough experience managing the unique anesthetic concerns of children from neonates to adolescents including their specific physiology, anatomy, and pharmacologic needs.

Core Pediatric Anesthesiology Rotation

The first rotation to Boston Children’s Hospital focuses on the development of the resident’s appropriate knowledge, attitudes, and technical skills concerning perioperative care as defined below.  The expectation at the end of the first rotation is the resident’s safe and competence care of the healthy or moderately ill child in the perioperative environment. “Perioperative” care includes:

  1. preoperative evaluation (data collection/interpretation and risk assessment)
  2. medical optimization
  3. formulation of an appropriate anesthetic plan
  4. intraoperative management (monitoring, vascular access, airway management, delivery of anesthetics, and assessment of anesthetic depth, fluid and blood management, gas exchange, etc.)
  5. immediate postoperative care

Advanced Pediatric Anesthesiology Rotation

For those residents having completed an equivalent core pediatric anesthesiology rotation, we are pleased to offer an advanced rotation. Residents will be presented with patients of more complex pathophysiology and with difficult and challenging anesthetic considerations. Greater emphasis will be placed on the resident’s analysis, synthesis, and evaluation of patient care needs along with patient management. This rotation is not for the purpose of fulfilling ACGME case log requirements. Residents must fulfill these requirements through their home residency program curriculum. The suggested duration of the rotation is two months, but resident requests for a one-month rotation are considered on a case-by-case basis. 


All residents interested the Advanced Pediatric Anesthesiology Rotation must submit the following items:

  1. short personal statement: one or two paragraphs outlining your reasons for pursing an elective rotation in pediatric anesthesia at Boston Children’s Hospital
  2. letter of recommendation from your Residency Program Director or Division Chief of Pediatric Anesthesia
  3. optional: curriculum vitae showing your research experience and/or publications 

These materials are due nine months PRIOR TO YOUR PREFERRED ROTATION START DATE and must be submitted to Abu Jacob. All advanced rotation applications require the approval of the Boston Children’s Hospital Program Director, Jue Wang, MD. 

Residents from Institutions without existing Boston Children’s Hospital Affiliation Agreements

Accepted residents from institutions without formal affiliation agreements must be able to secure sponsorship through their core residency program. The core residency program will need to prepare a formal affiliation agreement signed by both Boston Children’s Hospital and the resident’s core residency program.

**IMPORTANT NOTE**: All rotating residents MUST HAVE A LIMITED OR FULL MASSACHUSETTS MEDICAL LICENSE. The resident must apply to the Board of Registration in Medicine for a license if he/she does not already have one. He/she will need to cover the cost of $100 for a limited license or $600 for a full license. The limited license application and instructions will be included as part of the Boston Children’s Hospital credentialing package.


To request more information or learn more about the core residency rotation, please contact:

Jue Wang, MD
Program Director, Affiliating Residents

Carolyn Butler, MD
Associate Program Director, Affiliating Residents

Abu Jacob
Residency Program Coordinator