Fellowship Training Program:
Fellowship in Pediatric Ambulatory Anesthesia / Continuous Performance Improvement
at Seattle Children's Hospital and affiliated Bellevue Clinic and Surgery Center

Description

Seattle Children's Hospital is a 330 bed free standing children's hospital affiliated with the University of Washington. Faculty Fellows will split their time between the main hospital (as faculty) and Seattle Children’s Bellevue Clinic and Surgery Center (as fellows). The Bellevue Clinic and Surgery Center opened in 2010 and performs over 4,000 cases per year. It is a very busy ambulatory surgery center and continues to increase in volume every year since opening.

The Bellevue Clinic and Surgery Center was one of the first surgery centers to be built with the philosophy of Integrated Facility Design and is a model for Continuous Performance Improvement (CPI). For this reason, in 2015 over 500 healthcare visitors from the US and Canada visited the surgery center to tour the facility and learn about its novel approach to healthcare. The Bellevue Surgery Center is staffed by a group of eight ambulatory anesthesia attendings and includes an active regional anesthesia program (including peripheral nerve catheters); with thousands of peripheral nerve blocks performed every year.

The successful applicant will receive an Acting Instructor title for the 12-month full-time training appointment. 40% of your time will be devoted to ambulatory anesthesia training at the Bellevue facility, 40% working as a supervising attending at Seattle Children’s main campus hospital and 20% conducting research.

The goals of the pediatric ambulatory anesthesia faculty fellowship are to provide advanced training in both pediatric ambulatory anesthesiology and Lean leadership in health care. In addition to clinical teaching, each fellow will complete a certificate program in Patient Safety and Quality offered by the University of Washington. (see website links below for more details) At the completion of training each faculty fellow should be equipped with the clinical, organizational and managerial skills necessary to direct an ambulatory surgery center using Lean principles.

Our recent focus on opiate-free pediatric ambulatory surgery is outlined in this article in Anesthesia & Analgesia. Please click the link below for the full text:

Franz A, Martin L, Liston D, Latham G, Richards M, Low D. In Pursuit of an Opiate-Free Pediatric Ambulatory Surgery Center – A Quality Improvement Initiative. Anesth Analag. 2021. Mar 1;132(3):788-797. PMID: 32282383

https://dx.doi.org/10.1213/ane.0000000000004774

Certificate Program in Patient Safety and Quality at University of Washington

Learn more by clicking the link below:
https://patientsafety.uw.edu/certificate-program

Fellowship Faculty

Goals:

• To become knowledgeable regarding the appropriate selection of patients for pediatric ambulatory surgery.
• To have a detailed knowledge of pharmacology of anesthetic agents and their appropriate use in pediatric ambulatory surgery.
• To become knowledgeable and proficient in the regional anesthesia techniques appropriate for pediatric ambulatory surgery.
• To become familiar with the prevention and management of common causes of unanticipated admission in pediatric ambulatory surgery.
• To develop familiarity with and understanding of principles and activities involved in the conduct of clinical research.
• To become knowledgeable and capable of conducting quality/process improvement projects.
• To become knowledgeable and proficient in the use of the organizational and managerial tools necessary to direct an ambulatory surgery center.

Objectives:

 Upon completion of ambulatory anesthesia fellowship training, the fellow will:

• Demonstrate the ability to screen patients appropriately for ambulatory surgery performed with sedation/analgesia, general and regional anesthesia.
• Demonstrate the ability to discuss the advantages and disadvantages of various anesthetic techniques with surgeon, patient, and patient family.
• Demonstrate knowledge of pharmacology of anesthetic agents and their appropriate use in pediatric ambulatory surgery.
• Demonstrate knowledge of the selection and application of appropriate regional techniques for pediatric ambulatory surgery.
• Demonstrate knowledge of the common causes of unanticipated admission in pediatric ambulatory surgery and of the appropriate methods for prevention and management of these adverse events.
• Demonstrate the knowledge necessary to plan and perform a clinical research project.
• Demonstrate knowledge and capability to conduct quality/process improvement project.
• Demonstrate knowledge of the organizational and managerial tools, including the unique requirements for ambulatory surgery charges, necessary to direct an ambulatory surgery center.

Program Structure

The program is focused on a one year training experience.

• For anesthesiologists, the trainee is in a faculty-fellow role. Sixty percent of the time is dedicated exclusively to training, while forty percent involves the provision of clinical service.

Application Process

Fellowship training in Pediatric Anesthesiology is required to apply.

The application process for all the faculty fellowships requires that interested applicants send the following information:

• Current Curriculum Vitae
• Application for Faculty Fellowship, Letter of intent/personal statement
• Three current reference letters, including one from the residency program director or current director
• Copy of medical school diploma
• Copy of anesthesia degree (if applicable)
• Proof of fellowship training in Pediatric Anesthesiology
• Current medical license
• USMLE all three steps
• ECFMG documentation (if applicable)
• Documentation supporting citizenship status (if applicable)

The next deadline for applications to the faculty fellowship program is December 1, 2021 for positions beginning in the fall of 2022. Preference will be given to applicants completing their application before this date.

Inquiries and applications should be directed to:

Fellowship Director

David E. Liston, MD, MPH Assistant Professor Seattle Children's Hospital 4800 Sand Point Way NE MB.11.500 Seattle, Washington 98105 Phone: (206) 987-5837 Fax: (206) 987-3935 Email: david.liston@seattlechildrens.org