The Neuroanesthesiology Fellowship at the University of Washington is a one-year program for trainees who have completed a three-year anesthesia residency training in an accredited program in the U.S. or an equivalent program. This clinical fellowship is based at Harborview Medical Center.
The goal of Neuroanesthesiology fellowship at University of Washington is to provide advanced clinical training in Neuroanesthesiology including monitoring techniques and to provide research and educational experience to develop leading academic Neuroanesthesiologists for the future. At the end of this program, the graduating fellows will become skilled in performing preoperative assessment of patients with neurological and neurosurgical diseases, developing and executing appropriate anesthetic plan including monitoring techniques and provide perioperative management for these patients. The fellows will gain the cognitive and psychomotor skills required for rationale selection and skillful utilization of various monitors and procedures including jugular bulb catheters, fiberoptic intubations, intraoperative evoked potentials monitoring (somatosensory, motor, visual and brainstem evoked potentials), and transcranial Doppler (TCD) ultrasonography. They will also learn basic interpretation of neuroradiological imaging including CT scans, MRIs and cerebral angiographies, intracranial pressure monitoring, regional cerebral oxygenation monitoring and TCD ultrasonography. They will be able to participate actively in the perioperative care of neurosurgical as well as critical neurological patients and will be able to function as part of a multidisciplinary neurocritical care team.
The Neuroanesthesiology Fellows will acquire necessary research skills to be able to plan and conduct clinical / basic sciences research in ethical and systematic manner and to write a manuscript suitable for publication in a reputed scientific journal. They will develop analytical behavior and will be able to review and critique published scientific literature and practice evidence based medicine and to participate in development of clinical guidelines and protocols. The Fellows will also enhance their teaching skills and will be actively involved in resident education in and out of the operative room environment.
The Neuroanesthesiology training program primarily includes:
Faculty fellows responsibilities will involve a 40 /60 division of time between clinical service work (40%) and fellowship activities.
All four teaching hospitals of the UW Medicine (UW Medical Center, Harborview Medical Center, VA Puget Sound HCS, and Children's Hospital) have neurosurgical procedures although the majority of them are conducted in the first two hospitals. The fellowship activities are primarily based at HMC, which is renowned for complex cerebrovascular surgery and is also a leading level-1 adult and pediatric trauma center. Open as well as minimally invasive surgery as well as endovascular treatment is offered for variety of complex neurosurgical diseases. HMC is also a Comprehensive Stroke Center. The UWMC is primarily involved with epilepsy and tumor surgery, skull base surgery and carotid endarterectomy.
Faculty fellows responsibilities will involve a 20/80* division of time between clinical service work (20%) and fellowship activities (such as working with their faculty supervisors and mentors, teaching and research) (80%).
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*In certain cases this time may be flexible or negotiable depending on the educational needs and research interests of the individual fellow, and particularly if the fellow wishes to undertake a 2 year commitment.
NOTE: Actual experience and knowledge acquired during the fellowship is variable, and is dependent on the fellow's own learning objectives, area of interest, level of motivation, enthusiasm and efforts put into it.
The application process for all the faculty fellowships requires that interested applicants send the following information:
Division Manager, Neuroanesthesia
Department of Anesthesiology & Pain Medicine
University of Washington
Harborview Medical Center
325 Ninth Avenue, Box #359724
Seattle, WA 98104
E-mail: laynae@uw.edu
Fax: 206-744-8090
Marie Angele Theard, MD Associate Professor of Anesthesiology Email: mthear@uw.edu
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