Fellowship Opportunities
Department of Anesthesiology
Wake Forest University School of Medicine
Medical Center Boulevard
Winston-Salem, NC 27157-1009
Phone: (336) 716-3613 Fax (336) 716-0934
Cardiothoracic Anesthesiology Fellowship
Program Director: Thomas Slaughter, MD
Clinical Case Load
Our hospital performs approximately 600 cardiac operations per year, comprised of coronary artery bypass grafting, valve repair-replacement, and correction of congenital heart disease. Transesophageal echocardiography is used in essentially all cardiac surgery patients. We also provide anesthesia for approximately 200 noncardiac thoracic procedures per year, including both thoracoscopies and open thoracotomy approaches. Thoracic epidural catheters are used extensively for postoperative pain control. Our clinical case load encompasses all aspects of contemporary cardiothoracic surgery.
Didactic Program
The Anesthesiology Department as a whole conducts three conferences per week during the academic year. The Monday afternoon conference is most often conducted by a faculty anesthesiologist or visiting professor. A Thursday afternoon conference is resident-lead and serves as a Board review. On Wednesday morning at 6:50 a.m., the faculty and residents attend a case discussion conference. The Cardiothoracic Anesthesiology Section conducts a subspecialty conference at 8:00 a.m. on Wednesday morning that includes journal club, research presentations, case conference, and didactic lectures.
Research
Our group is very active in research both in the clinical area and in the animal laboratory. The most active areas have been cerebral protection during CPB, myocardial function and ischemia, cardiovascular pharmacology, coagulation abnormalities, and endocrine response to CPB.
The Fellowship Year
The 12-month fellowship experience can be tailored to meet the needs of both the future academician and private practitioner. Normally, it commences on July 1 although some flexibility is possible. Fellows will have 8 months of clinical cardiothoracic operating room experience, 3 months of dedicated transesophageal echocardiography, and 1 month in the cardiothoracic intensive care unit. Research time will be available throughout all of these months.
Application Process
To learn more about the Cardiothoracic Fellowship review the application packet which includes a poster and an application. Interested individuals should contact Dr. Thomas Slaughter (tslaught@wfubmc.edu) or call the department at (336) 716-4498 for further information. Thank you for your interest in our program.
We are no longer accepting applications for the 2010-11 Cardiothoracic Fellowship training program. Applications for the 2011-12 year may be submitted after Jan 1, 2010.
Critical Care Fellowship
Internal Medicine/Critical Care Program Director: Drew MacGregor, M.D., (dmacg@wfubmc.edu)
Anesthesiology/Critical Care Program Director: William Andrews, MD (wandrews@wfubmc.edu)
The Adult Critical Care Fellowship Program offered through the Department of Anesthesiology at Wake Forest University School of Medicine allows fellows to tailor their education to the components of Critical Care that compliment and expand their previous training. The program accepts physicians who have completed training in Anesthesiology, Internal Medicine, and Subspecialty Training within Internal Medicine. Applicants with other specialty training are also considered. Fellowships continue for one or two years, depending upon Board requirements. Prior graduates of the fellowship program have come from diverse backgrounds, including Anesthesiology, Emergency Medicine, Cardiology, Internal Medicine, Endocrinology, Obstetrics & Gynecology, Pulmonary Medicine, Nephrology, and Infectious Disease. Both fellowships are fully ACGME accredited and fulfill all requirements for Board certification by the American Board of Internal Medicine and the American Board of Anesthesiology.
Rotations
Rotations for fellows in Critical Care include the Neurosurgical, Cardiothoracic, Trauma, and Medical Intensive Care Units, with direct interaction and responsibilities for care with attending and resident physicians from these respective services. Elective rotations include the opportunity for time in the Operating Rooms, Coronary Care Unit, Pediatric Intensive Care Unit, training in transesophageal echocardiography, and other areas within North Carolina Baptist Hospital, a tertiary referral center for most of central and western North Carolina and southern Virginia. There is involvement in ICU triage, quality assurance (QA) and other ACGME-mandated administrative functions as fellows continue in their training.
Education
The Department of Anesthesiology Section on Critical Care provides didactic lectures for medical students and house officers three days per week on a variety of basic topics relevant to critical care. During their fellowship, fellows will develop one or more didactic talks of their own to participate in this educational process. Each Friday, the section has Critical Care Grand Rounds that is dedicated to topic discussions relevant to critical care that are given by fellows or attending physicians, both from within the Section on Critical Care and faculty outside our department. During Grand Rounds, fellows will have the opportunity to present interesting cases, review the literature, or give prepared topic discussions.
Research
Each fellow will spend between 2 and 6 months per year of fellowship performing research under the guidance of one or more of the attending faculty. It is anticipated that each fellow will be able to complete and submit at least one peer-reviewed abstract or article for publication during the fellowship.
Contact & Application
To learn more about the Critical Care Fellowship review the application packet which includes a brochure and an application. Interested individuals should contact Debbie Singleton at dsinglet@wfubmc.edu for further information. Only applicants who have completed (or will be completing) an ACGME-accredited residency program will be considered for application. Thank you for your interest in our program.
We have no fellowship positions available for the July 2010 start date. We are now accepting applications for fellowships that will begin July 2011. Thank you for your interest.
Obstetric and Gynecologic Anesthesiology Fellowship
Program Director: Robert D’Angelo, MD
The Department of Anesthesiology offers 6-month and 1-year fellowship experiences in obstetric and gynecologic anesthesia. All deliveries in Forsyth County take place in the Women’s Center at Forsyth Medical Center and the obstetric anesthesia services are provided by the Department of Anesthesiology of Wake Forest University School of Medicine. Approximately 6,500 -7,000 women deliver in Forsyth Medical Center, and we provide labor analgesia for 80% of these deliveries. We are a tertiary care obstetric service and high risk, complicated, parturients comprise 30-40% of our case load. Our cesarean section rate is approximately 25%.
Didactic and Teaching
We strive to provide an academic fellowship experience allowing the fellow to gain both clinical expertise and exposure to research and teaching. The obstetric anesthesiology faculty are interested in teaching and have been awarded the "Golden Apple Award" for best teaching in the Department of Anesthesiology. Eleven obstetric anesthesiologists provide instruction, supervision, and consultation. Daily didactic obstetric anesthesiology lectures are offered to junior residents. Faculty and Fellows in obstetric anesthesiology give this daily lecture. Faculty critique and proctor lectures given by fellows. All fellows are expected to teach and supervise junior residents, as this is an integral part of an academic fellowship.
Research
We have a very active clinical research program in obstetric anesthesiology. Ongoing areas of research interest include investigation of new spinal analgesics for labor and techniques for providing postoperative analgesia. Fellows are expected to participate in clinical research. Obstetric anesthesiology faculty have research funding from the NIH and the International Anesthesia Research Society and have authored many original manuscripts, monographs, chapters in textbooks, and edited a recent textbook "Practical Obstetric Anesthesia." Fellows are tutored in every aspect of clinical research including conception of research protocols, writing the proposals and consents, collecting the data, recording the data on a computer, analyzing the data, writing abstracts for presentation, preparing presentation slides, preparing presentation lectures, and writing manuscripts. Most fellows complete at least one original clinical protocol during their fellowship. Past clinical research in the obstetric and gynecologic anesthesiology section by obstetric fellows has been awarded the Gertie Marx Award for best clinical paper at the annual meeting of the Society for Obstetric Anesthesia and Perinatology.
Application Process
To learn more about the Obstetrical Fellowship review the application packet which includes an application and other related resources. Interested individuals should contact Dr. Robert D’Angelo, Professor and Section Head of Obstetric Anesthesiology, or Dr. Laura Dean, Assistant Professor, Director of Obstetric Anesthesiology Fellowships, for further information.
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Address: Forsyth Medical Center.,
OB-GYN Anesthesiology
3333 Silas Creek Parkway
Winston-Salem, NC 27103. |
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Phone: 336-718-8278 | Fax: 336-718-9271 |
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Email: Dr. D’Angelo: rdangelo@wfubmc.edu or
Dr. Dean: ldean@wfubmc.edu. |
Completed electronic application (Microsoft Word) can be emailed to Lori Bailey, OB Anesthesia Office Liaison, at lhbailey@novanthealth.org. Normally, 2-3 fellows are accepted each year and 12-month fellowship applications are preferred. Upon receiving a complete application, qualified candidates are usually invited for an interview. Thank you for your interest in our program.
No more applications for the 2009-2010 fellowship year in Obstetric and Gynecologic Anesthesia are being accepted. Applications for the 2010-2011 year will be accepted beginning in January 2009. Thank you for your interest in our program.
Pain Management Fellowship
Program Director: Richard L. Rauck, M.D.
Number of Fellowships: 4
Length of Training: 12 months
We are pleased to announce that The Residency Review Committee (RRC) for Anesthesiology of the Accreditation Council of Graduate Medical Education (ACGME) has given full approval of the pain management fellowship program for the longest allowed period of time. Our next review will be in 2012.
Application Process
We are no longer accepting Pain Fellowship applications for the 2010-2011 academic year. Invitations to interview will be offered throughout the summer. Applications for the 2011-2012 academic year will be available for download beginning mid-February, 2010. Thank you for your interest in our Pain Fellowship.
Clinical experience
Pain management fellows rotate between two specific services during their 12-month experience with the physicians of Carolinas Pain Institute. Fellows are immersed in the primary clinic rotation for 8 months of the year; the remaining 4 months are spent performing fluoroscopic procedures, surgical procedures, managing inpatient acute pain and chronic pain consults. The fellows rotate on a weekly basis between these services.
During the primary clinic rotation at Carolinas Pain Institute, the fellows’ primary responsibility is new patient evaluations and existing patient management. Fellows coordinate a multi-disciplinary approach to patient care including, but not limited to, invasive procedures, medication management, physical therapy and reconditioning, and psychological evaluation and therapy. Fellows also triage potential research candidates. The attending physician supervises the fellows’ plans, ensuring appropriate patient care. The patients the fellows manage suffer from a variety of pain syndromes including neuropathic, orthopedic, rheumatologic, traumatic, myofascial, sympathetic, and degenerative.
During the procedure/consult rotation, the fellows provide all blocks, all surgical procedures, and also oversee the inpatient consult service. The majority of the invasive procedures are performed at either Medical Park Hospital or WFU Baptist Medical Center’s Comprehensive Rehabilitation Center. Ninety-five percent of the procedures are performed under fluoroscopic guidance. Forsyth Medical Center utilizes our program exclusively for chronic pain consultation. Forsyth Medical Center physicians also consult our program for the majority of their acute pain patients requiring consultation. WFU Baptist Medical Center utilizes our program for surgical implants. Surgical implants are performed at all three facilities. Our surgical block time is every Monday, resulting in 10-16 surgical procedures per month.
Fellow experience in administration and organization of the unit
Pain management fellows are actively involved in the administration and organization of the Clinic of the Carolinas Pain Institute. They administer their own call schedule and also the monthly rotations. All of their rotations are divided such that they are on weekly schedules. The fellows also oversee the senior and junior residents in the WFUSM Department of Anesthesiology while they rotate through the pain management clinic. The fellows also are responsible for much of the ongoing organization in the consult service, as well as coordination the surgical schedule. Fellows actively participate in appointment and training of ancillary staff, as well as development of clinic policies.
Fellow experience as consultant to other specialties
Pain management trainees serve as consultants to other specialties; particularly, all consults who are initially brought through the inpatient service. These are then seen in conjunction with the attending staff. This occurs at , Medical Park Hospital, Forsyth Medical Center, and WFU Baptist Medical Center. The fellows also perform diagnostic blocks for the comprehensive spine specialists and consult for the comprehensive cancer centers at both Forsyth Medical Center and WFU Baptist Medical Center,.
Fellow experience in teaching other residents
Pain management fellows train senior and junior residents in procedures and oversee residents in the management of chronic pain patients. They also are actively involved with junior and senior residents in the care of consult patients.
Teaching Faculty
Full-time: Richard L. Rauck, M.D., James M. North, M.D., Christopher Gilmore M.D., Jennifer Roux M.D.
Part-time: James C. Eisenach, M.D.,, and Kevin E. Wilson, Ph.D.
Research Opportunities
Basic science pain research is provided through a 1500 square foot laboratory administered by Dr. James Eisenach. Pain program trainees utilize this space as needed during their training.
The Center for Clinical Research is a separate research facility dedicated to clinical pain investigations. Physically housed on campus with Carolinas Pain Institute, the research center has 6000 square feet for clinical trials. These trials include pharmokinetic studies, as well as patient examination and evaluations. The fellows are actively involved with these studies on a daily basis.
Training Facilities
Carolinas Pain Institute is the primary facility of the Wake Forest University’s pain medicine fellowship program. This clinic is also one of the pain management training facilities for the Wake Forest University’s Anesthesiology residency program. Carolinas Pain Institute is a facility specifically designed for the management of chronic pain patients. The facility is a 4500 square foot clinic for outpatient care.
Wake Forest University Baptist Medical Center, which is comprised of North Carolina Baptist Hospitals and Wake Forest University School of Medicine (WFUSM), has an 821-bed hospital available for treatment of acute and postoperative pain care.
Forsyth Medical Center is an 847-bed hospital where consults and clinical procedures are performed. Medical Park Hospital, which is affiliated with Forsyth Medical Center, is a 136-bed hospital that specializes in elective and outpatient surgeries, and is where the majority of our admissions and operative procedures are done.
All three treatment facilities are located within 3 miles of each other.
Regional Anesthesia and Acute Pain Management (RAAPM) Fellowship
Program Director: Robert S. Weller, M.D.
Number of Fellowships: 2
Length of Training: 12 months
The Section of Regional Anesthesia and Acute Pain Management
The Section of Regional Anesthesia and Acute Pain Management (RAAPM) is responsible for the provision of regional anesthetics and acute pain management throughout the institution of Wake Forest University Baptist Medical Center. The RAAPM section performs about 3500 peripheral nerve blocks, 2000 neuraxial blocks, and 600 continuous peripheral blocks yearly. This activity occurs in our state-of-the-art six-bed RAAPM area built in 2008. Centrally located within our OR suite, the RAAPM area is well staffed and equipped to provide regional anesthesia for a wide range of surgical specialties. Our teaching faculty number seven.
Teaching Faculty
Stephen J Copeland MD, James C Crews MD (Director of Acute Pain Service), JC Gerancher MD (Section Head for RAAPM), Quinn McCutchen MD, Pamela C Nagle MD, Wells Reynolds MD, Robert S Weller MD (fellowship Director)
Training Facility
The RAAPM Fellowship is an educational opportunity within the much-larger teaching milieu of the Department of Anesthesiology of Wake Forest University School of Medicine. As such, RAAPM Fellows have full access to the infrastructure for research and education provided by the Department and the School of Medicine. Wake Forest University Baptist Medical Center is a 980-bed hospital with 40 operating rooms. Direct Faculty supervision and guidance is provided by subspecialty-trained anesthesiologists with expertise in RAAPM.
The WFU RAAPM Fellowship
Our routine practices includes nerve stimulating catheter techniques, ultrasound guided PNB, extended release epidural morphine, and ambulatory perineural infusions. The RAAPM section manages patients using a systems-based approach to multimodal analgesia. We employ a computer-based and automated regional anesthesia record in the RAAPM area and computer-based progress notes throughout the institution to maintain process improvement in patient care, data collection for research, and billing compliance.
Each day, one RAAPM Faculty, 2-3 residents and 1-2 Fellows provide care for patients in the RAAPM area. RAAPM Residents and Fellows are not assigned to an operating room. Instead, RAAPM Fellows working in the RAAPM area, perform regional anesthesia procedures as well as instruct Residents and conduct clinical research, under the supervision of the RAAPM faculty covering the RAAPM area.
The Acute Pain Service (APS) is an integral part of the RAAPM Section. Unlike pain services at many other institutions, coverage of a Chronic Pain Clinic is not one of the responsibilities of this service. Instead, our APS is fully integrated into the process of perioperative patient care. The APS is committed to providing 24/7 care to patients with acute pain. Each day, a second RAAPM Faculty member, 1-2 Residents, and 0-1 Fellows, integrate postoperative and ambulatory care plans with the regional anesthetics initiated in the RAAPM area. Faculty, Fellows and Residents provide call from home. The RAAPM Fellow call commitment is always specific to the APS, always faculty supervised, and is approximately 1:8.
Each of our two Fellowship positions is designed to extend over one academic year. A strong didactic program enhances the RAAPM Fellowship education. Available didactics include Departmental Grand Rounds, Regional Anesthesia Subspecialty Conference, Morbidity & Mortality Conference and Oral Board Practice Sessions. Our Section supports a Visiting Clinical Preceptorship to our facility, CME RAAPM workshops, and fresh cadaver dissections on a regular basis. Fellows are expected to participate and prepare presentations with faculty guidance. Each Fellow is also expected to participate in and present a research project with faculty mentorship, to be completed by the end of the academic year.
Finally, an important element of the WFU Fellowship is the opportunity to maintain and enhance skills as a consultant anesthesiologist in a tertiary care facility. One day a week, the RAAPM Fellow functions at the level of Faculty— supervising residents and SRNA’s or medically directing CRNA’s for general OR cases. This responsibility is built into the WFU anesthesiology Fellowships in other subspecialty fields as well. This feature of the Fellowship means that a Fellow’s application must be of sufficient quality to support these activities in addition to those of his or her Fellowship training.
Research Opportunities
It is anticipated that each fellow will be able to complete and submit at least one peer-reviewed abstract or article for publication during the fellowship.
Contact & Application
More information about the fellowship and our clinical practices is available at www.allnumbedup.com. Interested individuals may also contact Dr Robert Weller at rweller@wfubmc.edu for further information.
The RAAPM fellowship generally coincides with the July to June academic year; applications are accepted through November 1 of the year preceding the July start date if positions remain available.
Click here to view the goals and objectives of the WFU RAAPM fellowship and here to view the information above in brochure format. Interested parties should download a RAAPM fellowship application and submit to Dr. Weller (Fellowship Director) or Linda Marion (Fellowship Coordinator).
Fellowship positions have been filled for the 2010-2011 academic year. Processing of applications for the 2011-2012 academic year will begin in Spring, 2010.
Links of Interest for Those Considering a Fellowship at WFUBMC
● WFUBMC House Staff
● North Carolina Baptist Hospital
● About Winston-Salem
● Winston-Salem Chamber of Commerce