Fellowship directory

We currently accept 4 fellows per year. The training program is 12 months long equally divided into into 4 rotations:

1. Advanced Regional
2. Orthopedic Regional
3. Pediatric / Research / Intra-op / Outpatient (PRIO)
4. Attending Anesthesiologist - Hartford Hospital & The Hospital of Central Connecticut

Advanced Regional Rotation

While on the Advanced Regional rotation, the fellow will gain vast experience in complex regional anesthesia techniques by performing peripheral nerve blocks and thoracic epidurals. Fellows will become proficient in basic and advanced blocks of the upper extremity, lower extremity, thorax, abdomen, and head and neck. This rotation allows the fellows to hone their skills by providing high volumes of blocks and provides the opportunities to explore new and different procedures. Additionally, fellows develop their organizational and leadership skills as they oversee the daily operations of the acute pain service. These responsibilities include involvement in block selection, division of labor, performance and/or supervision of blocks, acute pain service rounds & consultations, orientation of new team members, and maintenance of the quality improvement research database. This database will be an instrument for quality improvement, chronicling the fellows’ experiences, and for clinical outcomes research.

Orthopedic Regional Rotation

This rotation is unique to our fellowship and provides our trainees superb training in regional and intraoperative anesthetics for orthopedic anesthesia, a crucial skill set for any regional anesthesiologist to master.  Fellows start on the regional anesthesia + acute pain service in the morning focusing on regional anesthetics for orthopedic surgeries.  In the afternoon, they transition over to working in the orthopedic ORs as attendings half the week and protected research time the other half of the week.  This specialized rotation trains the fellows to master a crucial, desirable skill set of orthopedic anesthesia preparing them to be experts in this subspecialty.  

Pediatric / Research / Intra-op / Outpatient (PRIO) Rotation

The PRIO rotation is a valuable experience for our fellows that expands the fellows’ education. This flexible rotation will provide the fellow with some of the less common experiences in regional anesthesia training that are crucial to an overall advanced level of education. Fellows participate in the following 4 sub rotations:

• Pediatric – Fellows gain experience in pediatric regional anesthetics at Connecticut Children’s Medical Center and their affiliated outpatient surgery center. Under the training of our board certified pediatric anesthesiologists, fellows will learn numerous types of blocks and learn the techniques unique to the pediatric population..
• Research – Fellows will have dedicated, protected time to pursue new research projects and continue on the several ongoing studies and quality improvement initiatives already in progress. They will work closely with our Clinical Research Coordinator, Dr. Aseel Walker, along with our robust research team consisting of staticians, residents, fellows, medical students, and volunteers. We have over 20 exciting ongoing research projects, mostly at our institution, as well as some multicenter trials. Click here to learn more about some of our research projects in our Department Research Section.
• Intra-op – This rotation is a unique training opportunity in which the fellows perform a pre-op nerve block and then also provide the intraoperative anesthetic. Fellows get additional practice performing peripheral nerve blocks and get the added benefit of seeing how the blocks affect the intraoperative anesthetic. As the fellows are mostly in the orthopedic rooms for this subrotation, they will become proficient in performing spinals as well.
• Outpatient – Fellows work at different outpatient surgery centers gaining experience in ambulatory anesthesia. They become proficient in running a busy, fast-paced outpatient surgery center, while learning peripheral nerve block techniques unique to these types of centers.

Regardless of rotation, fellows will be relieved to attend protected didactic time every Tuesday afternoon from 4-5 pm during which a variety of regional anesthesia topics will be discussed. This lecture series also incorporates journal clubs, guest speakers, as well as practical topics for the developing anesthesiologist such as “Building a Successful Personal Financial Portfolio” and “Elements of Creating and Maintaining an Acute Pain Service.”

Attending Anesthesiologist Rotation - Hartford Hospital + Hospital of Central CT

Making the transition from resident to an attending can be daunting, and this rotation helps make that shift a little smoother. Fellows on the attending rotation will get guidance from our staff of board-certified, fellowship-trained anesthesiologists who are experienced in orienting new attending anesthesiologists. IAA physicians provide an immersive and appropriate orientation to familiarize fellows to the roles and responsibilities of a new junior attending. There are plenty of people available for guidance and help as questions arise on this new journey.  We look forward to aiding with that transition.

On this rotation, fellows function as an attending anesthesiologist, focusing on orthopedic and non-orthopedic surgeries in which a regional anesthetic plays a significant role at Hartford Hospital, The Hospital of Central CT, The Bone & Joint Institute, and the HH Eye Surgery Center. Fellows perform cases by themselves and also supervise residents and CRNAs. Working in the different locations as an attending physician provides the fellows with a unique opportunity to become familiar with various surgical procedures and management of patients with regional anesthetics in an intra-operative setting. By working in efficiently run private hospitals and surgery centers, our fellows gain experience that few fellows obtain, making them highly desired by any group with a high caseload.

Locations

• The Bone & Joint Institute – A state of the art orthopedic hospital attached to Hartford Hospital that opened in 2017. This new facility is the primary location for all types of orthopedic surgeries, including total joint replacements, trauma, minimally invasive surgeries, spine, and ambulatory procedures. This facility increases our already high volume in orthopedic surgeries. It is the only free standing orthopedic hospital in New England and it integrates advanced technologies, providing a unique learning experience for the fellows.
• Hartford Hospital – An 868 bed regional referral center hospital with one of the highest surgical volumes in the country, performing over 36,000 surgeries a year. It is one of the largest teaching hospitals and tertiary care centers in New England with one of the region’s busiest surgery practices.
• The Hospital of Central Connecticut – A 414 bed, acute care, tertiary, community hospital in New Britain, CT that serves Connecticut’s central region. Fellows get a unique education with a different pace than the trauma centers of Hartford Hospital and the Bone & Joint Institute as they learn blocks and work as an attending in this quaint community hospital.
• Hartford Hospital Eye Surgery Center – A busy outpatient surgery center that performs 8,000 ophthalmic surgeries per year. This four operating room facility has between 50-70 surgeries per day, mostly before 3 pm. Many of the surgeries are performed under a retrobulbar block, placed by the anesthesiologist. Fellows periodically rotate to this facility to become proficient in regional anesthetics for ophthalmic surgery and the management of a busy outpatient practice. Training of this skill is rarely found in regional fellowships.
• Connecticut Children’s – A pediatric hospital and surgery center where fellows get experience in pediatric regional anesthesia.  Fellows get direct training by the team of pediatric fellowship trained, board certified anesthesiologists.

Benefits & Conditions

• Fellows will take NO CALL or work weekends or holidays during the entire year of fellowship. This helps to ensure patient continuity on the regional anesthesia & acute pain service. Fellows are welcome to moonlight by doing additional shifts for compensation, provided they do not interfere with the usual daily schedule. However, these shifts are neither mandatory nor expected.
• In addition to the competitive salary, fellows have 4 weeks of vacation, 1 week for academic activities that can be used to attend a conference or to take board exams. They also receive $3750 for CME, fully paid CT medical license, DEA, controlled substance license, and society dues.
• Fellows will attend the Spring ASRA Conference and are provided with an additional stipend to cover their costs.
• Fellows can participate in oral board review sessions with our faculty members who are official ABA Oral Board examiners, including Dr. Finkel who is an ABA board examiner.
• Fellows will have other academic opportunities such as presenting a department grand rounds lecture, performing a research project, or attending national anesthesia conferences.

In summary, our fellowship offers an exciting opportunity to master regional and orthopedic anesthesia in a unique training environment. We have a long history of training successful experts in regional anesthesia and acute pain management who move on to fruitful careers in both private practice and academia. As the fellowship director, I look forward to the opportunity to work directly with the fellows to ensure a robust and enjoyable educational experience. If you are interested in applying for the fellowship, please contact the Program Director, Kevin Finkel, MD, FASA for an application. We use the common fellowship application which can be found by clicking here.

This program uses the common application. Submit the completed application directly to the individual Fellowship Program.

Apply here

Charter Anesthesiology is offering a Regional Anesthesia and Acute Pain Fellowship for duration of one year to a board eligible or board certified anesthesiologist. Our practice works with a wide spectrum of surgical service lines and thus is composed of performing a variety of peripheral nerve blocks (single shot and continuous catheters) alongside neuraxial techniques. The practice performs over a thousand blocks annually and we will support the fellow to perform a majority of them. Upon graduation, the fellow will be skilled in acute pain management as well as ophthalmic retrobulbar blocks, upper extremity blocks (interscalene, supraclavicular, infraclavicular, axillary, etc), chest wall blocks (PECS1, PECS2, Serratus Anterior, Intercostal nerve blocks, etc), truncal blocks (TAP, quadratus lumborum, erector spinae, retrolaminar, etc), lower extremity blocks (femoral, adductor, sciatic, geniculars, IPACK, etc), and neuraxial techniques (spinal, labor epidurals, thoracic epidurals for pain management). In addition, monthly journal clubs and ultrasound workshops will be held with a focus on regional anesthesia and acute pain medicine. These skills will be essential towards building a versatile career. 

Submit CV, 2 Letters of Recommendation (one from program director), and Personal Statement to Liz Engelmann- Liz@charteranesthesia.com

The Frank H Netter MD School of Medicine at Quinnipiac University is offering a one-year Fellowship in Regional Anesthesia and Acute Pain Management. Our program is designed to provide the trainees with the expertise to effectively select and implement various regional and non-opioid options for enhanced recovery, facilitate OR flow, and improve perioperative management. The Fellows will be exposed to and expected to perform as many ultrasound-guided regional blocks as possible, to achieve procedural expertise by completion of their training.

Our faculty consists of a dedicated group of nationally recognized educators, speakers, and fellowship-trained experts. All our peripheral nerve block procedures are performed under ultrasound guidance; we do not provide any training with nerve stimulation. Our two primary hospitals, St Vincent’s Medical Center and Midstate Hospital, are home to the Connecticut Orthopedic Institute, where we perform over 6000 peripheral and neuraxial blocks annually. Outside of the orthopedic service line, we perform another 4000 truncal and chest wall blocks in our hospitals per year.  Our secondary sites are private ambulatory surgery centers which focus on speed and efficiency. During their training, the Fellows will learn multimodal analgesia, management of complex pain patients, coordination of care with chronic pain providers, and the billing aspects of regional anesthesia. Upon completion of the program, fellows should be fully prepared for clinical careers with a focus in ultrasound-guided regional anesthesia.

The position is 75% fellowship and 25% faculty. Fellows will be expected to complete at least one academic project and submit it to a national meeting for presentation. No call or weekends are required, but there are opportunities for extra work for additional compensation.

This program uses the common application. Submit the completed application directly to the individual Fellowship Program.

Apply here

To be eligible, applicants must have completed an ACGME Accredited Anesthesiology Residency Program.

The program is designed to produce experts in Regional Anesthesia and Acute Pain management. During the 12 month training, the Fellows will develop skills in a variety of regional anesthesia techniques including ultrasound guided single shot blocks, placement and management of continuous peri-neural catheters, truncal blocks and neuraxial (thoracic) catheters. The candidates will also learn innovative ultrasound guided infiltration methods directed by Anesthesiologist for acute postoperative pain control. The Fellows will rotate through the Connecticut Joint Replacement Institute (CJRI), Inpatient operating rooms, Ambulatory centers and Connecticut Sports Institute. CJRI is the largest Arthroplasty program in Connecticut and is ranked as one of the top joint replacement centers nationally. The Department performs over 7000 regional anesthesia procedures per year. The Fellows will be expected to initiate and participate in on-going research projects and will have the opportunity to present their studies at national/international meetings. The Department is involved in a variety of clinical studies including patient-reported outcome research, supported by a team of statistician and nurses.

This position is 80% Fellowship training and 20% Junior Faculty.

https://www.waapc.org/education-training/regional-anesthesia-fellowship/

This program uses the common application. Submit the completed application directly to the individual Fellowship Program.

Apply here

 

The ACGME-approved Regional Anesthesiology and Acute Pain Fellowship program at Yale University, provides trainees with advanced knowledge, and the diagnostic & technical skills necessary to build a successful career within the sub-specialty of regional anesthesia and acute pain medicine. Additionally, it aims to develop an academic interest in clinical research or quality & safety research. The goal of the program is to train future leaders in Regional Anesthesiology, with graduates who are scientifically inquisitive and academically inclined.

Fellows perform in the capacity of a PGY-5 level trainee. The successful applicant will have an M.D. or equivalent, will have completed an ACGME-accredited residency program in Anesthesiology in the United States and Canada, and be in the process of primary certification by the American Board of Anesthesiology. Prior to starting training, the applicant must have a CT State Medical License.

Training is divided among didactic teaching, clinical experience, and research. There are various dedicated learning opportunities, and these include: ambulatory anesthesia, a diverse range of regional techniques, ultrasound mechanics, and the management of perioperative pain in the pediatric, adult, trauma, and opioid tolerant patient population. The fellow will also develop technical proficiency in various upper extremity, lower extremity, chest, abdomen, head and neck  peripheral nerve blocks in the format of single injection as well as continuous catheter techniques,  and central neuraxial techniques (including midline and paramedian approach of spinal anesthesia, lumbar and thoracic epidurals,  and combined spinal-epidurals). Ultrasound guidance is used for the vast majority of peripheral nerve blocks, along with the occasional use of a nerve stimulator, and “anatomical land-marked” based techniques. The Yale Regional Anesthesia Fellowship is an ACGME accredited one-year program designed to train the candidates in ultrasound, nerve stimulation and landmark guided peripheral nerve blocks, using both single injection and continuous catheter technique. The peripheral nerve blocks that we perform most commonly include:

• Upper extremity : Interscalene, Superior/upper trunk, Supraclavicular, Infraclavicular, Axillary approach of brachial plexus block , Median nerve block, Ulnar nerve block, Radial nerve block, Intercostal-brachial nerve block, Axillary nerve block, Suprascapular nerve block, etc. 
• Lower extremity: Lumbar plexus block, Femoral nerve block, Gluteal sciatic nerve block, popliteal sciatic nerve block, Saphenous nerve block, Adductor Canal, iPACK, Obturator nerve block, Lateral femoral cutaneous nerve block, Genicular nerve block, PENG, etc. 
• Chest and Abdomen: Paravertebral block, Transversus abdominis plane block, Rectus Sheath block, Quadratus lumborum block, PEC blocks, Serratus plane block, Erector Spinae block, etc. 
• Head and Neck: superficial and intermediate cervical plexus block, etc. 

Almost all the operative blocks are performed immediately outside the OR in a designated treatment area. We are also involved with the pain management of trauma patients in the surgical ICU and Emergency Room. Fellows are expected to attend weekly formal lectures in regional anesthesia, acute pain management, and basic essentials of clinical research, including study design and statistical analysis. There is also the opportunity to participate in fresh cadaver dissection courses and to mentor residents on the clinical service. In addition, this program offers the opportunity to learn EMG techniques and interpretation, and a musculoskeletal ultrasound course is currently an integral part of the curriculum. A 2-year, advanced program in combination with a clinical research track is available, and opportunities for moonlighting are available.

 

Common application
3 Letters of recommendation (1 from Program Director or Chair)
CV
Personal Statement
ECFMG (if required)