Cardiac
The cardiac anesthesia fellowship is available as a CA-4
position. The fellowship is divided into clinical and non-clinical
components. The basic aim of the fellowship is to prepare an
anesthesiologist for a career in cardiac anesthesia in an academic or
non-academic setting. The clinical component utilizes 60% of the
fellowship. Fellows are expected to provide anesthetic care to patients
undergoing cardiothoracic or vascular surgery. This expectation
includes pre-anesthetic evaluation, intra-operative anesthetic
management and post operative intensive care. As part of this
experience, fellows are expected to assume educational responsibilities
for the residents with whom they are working. Fellows are constantly
supervised by a cardiac anesthesia attending. The case load includes
coronary artery, valvular, pediatric cardiac and major aortic vascular
surgery. Additionally, rotations are available in pediatric cardiac
anesthesia and cardiothoracic intensive care.
The non-clinical component accounts for the remaining 40% of
the fellowship. This time is initially devoted to transesophageal
echocardiography. Fellows spend one to two months with cardiologists
learning the basics of clinical echocardiography. Additional time is
spent in the operating room learning the intellectual and manual skills
to become a certified in echocardiography. Transesophageal
echocardiography is performed on almost all of our patients undergoing
cardiac surgery as both a diagnostic and monitoring tool.
The remainder of the non-clinical time is allotted for an
academic project to be completed by the end of the fellowship.
Additionally, fellows are responsible for participating in the
educational program.
Pain
The Division of Pain Medicine offers
a one year subspecialty
training at the CA-4 level. Clinical
activity takes place at the campuses of NYPH, MSKCC, and HSS. The goal of the subspecialty training is to
prepare the anesthesiologist for a career in anesthesiology-based pain
management with sufficient clinical skills to provide acute and chronic
in-patient and outpatient services, therapeutic and diagnostics nerve
blocks,
pain-related invasive procedures and consultative services. Fellows take part in minimally invasive
interventional pain procedures and cutting edge implantable devices
such as intrathecal pumps and spinal cord stimulators.
Furthermore, fellows partake in chemical and radiofrequency
neurolytic procedures. Participation in the clinical activities
of
the service and directed study prepares the fellow fro the AA
examination for
subspecialty Certification in Pain Management.
The clinical
activities include careful evaluation of
both acute and chronic pain patients, recognition of various pain
syndromes,
application and performance of invasive treatments, use of adjuvant
therapies,
understanding and appropriate use of multiple pharmacologic agents, and
the
ability to perform a wide variety of nerve block procedures. Participation in research projects is
encourages and expected. The resident
should be able to participate in writing at least one paper by the end
of the
year, and is required to make at least three academic lecture
presentations per
year to a multidisciplinary audience of faculty, residents, nurse,
pharmacists
and basic science researchers.
