Pediatric Anesthesiology Fellowship Program

  • About the fellowship

    The one-year, ACGME-accredited Pediatric Anesthesiology Fellowship is designed to provide a comprehensive clinical experience that will allow trainees to acquire and maintain knowledge, psychomotor skills and attitudes necessary to become perioperative consultants in pediatric anesthesiology. Additionally, our program includes a broad educational program (integrated with simulation training) to ensure research exposure, team leadership skills, and supervisory/teaching experience in our graduating fellows.

    Our graduates include many of the top clinicians, recognized educators, and scientific investigators around the nation and the world. Our educational program changes every year to keep up with changing trends in medicine.

    The fellowship consists of:

    Clinical experience:

    • Seven months on our General Anesthesia team (including one month as the regional fellow and one month as the difficult airway fellow)
    • One month on our Pediatric Intensive Care Unit team
    • One month on our Pediatric Pain Service team
    • Three months on our Cardiac Anesthesia team

    Educational programming:

    • Grand rounds
    • Fellow didactic series (weekly)
    • Oral and written board preparation activities (weekly)
    • Multidisciplinary simulation series
    • Research lecture series
    • Journal club

    Career preparation:

    • Formal career mentoring
    • Exposure to multiple diverse exciting pediatric research opportunities
    • Participation in departmental continuous quality improvement activities
    • Teaching and supervisory opportunities for fellows
    • Preparation for lifelong learning in pediatric anesthesiology

    The CHOP Pediatric Anesthesiology Fellowship Program meets or exceeds all of the requirements for Pediatric Anesthesiology Fellowship Education established by the ACGME. Additionally, our fellows benefit from exposure to unique aspects of our program, including:

    Surgical experience:

    • Fetal and intrapartum surgery
    • Surgical procedures on ECMO
    • Organ transplantation program (kidney, liver, heart, lung, and heart-lung)
    • International leadership in care of the infant with congenital heart disease

    Research funding:

    • Over 1,250 institutional NIH grants totaling over $550M USD awarded in 2012 between CHOP and our neighbor and partner, the University of Pennsylvania

    Other opportunities:

    • Our expert medical informatics group creates smartphone apps for providers, including the free PediCrisis app endorsed by the Society for Pediatric Anesthesia
    • Optional Second Year Fellowships are available upon acceptance, including:
      • Pediatric Cardiac Anesthesiology Fellowship
      • Medical Education Training,
      • Mentored Research
  • Fellowship objectives

    Recognizing that no physician emerges from training with a comprehensive understanding of every conceivable aspect of pediatric anesthesiology, the objectives are stratified according to the level of proficiency that is expected at the end of the pediatric anesthesia fellowship:

    Cognitive

    Comprehensive mastery

    • Preanesthetic assessment and preparation of the pediatric patient
    • Pediatric and developmental anesthetic pharmacology
    • Developmental anatomy and physiology pertinent to anesthesiology
    • Interpretation of pediatric laboratory results
    • Assessment and management of the normal pediatric airway
    • Intraoperative temperature regulation and maintenance
    • Perioperative fluid therapy
    • Implications of common diseases and surgical interventions in infants and children
    • Postoperative pain management assessment and therapy
    • Assessment and management of common pediatric postanesthesia care unit problems
    • Advanced life support for pediatric patients

    Significant experience

    • Congenital heart disease: assessment and perioperative management
    • Assessment and management of the difficult pediatric airway
    • Methods and goals of mechanical ventilatory support
    • Management of massive fluid and/or blood loss
    • Pharmacological support of circulation
    • Considerations for anesthesia management during diagnostic/therapeutic procedures outside the operating room complex
    • Anesthetic implications of major pediatric surgical interventions
      • Neonatal emergencies
      • Solid organ transplantation
      • Craniotomy
      • Craniofacial reconstruction
      • Scoliosis repair
      • Understanding of chronic pain conditions and management options
      • Recognition and treatment of perioperative vital organ dysfunction
      • Transport of critically ill pediatric patients
      • Understanding of the psychological impact of serious medical conditions and surgery on pediatric patients and their families

    Introductory familiarity

    • Pediatric critical care medicine
    • Anesthetic assessment and plan for uncommon conditions or procedures with uncertain implications (e.g., fetal surgery)
    • Appropriate consultation for other specialists

    Psychomotor

    Comprehensive mastery

    • Management of the normal pediatric airway with and without tracheal intubation
    • Vascular access for fluid and pharmacological therapy
    • Common peripheral nerve blocks
    • Intraoperative placement of caudal and lumbar epidural nerve blocks with and without catheter

    Significant experience

    • Management techniques for the difficult pediatric airway
    • Vascular access for invasive hemodynamic monitoring
    • Nerve blocks for anesthetic management

    Introductory familiarity

    • Airway management for one-lung ventilation
    • Intraoperative thoracic epidural nerve block with catheter placement
    • Nerve blocks for chronic pain therapy

    Affective

    • Psychological response of the pediatric patient about to undergo anesthesia
    • Psychological response of the adult(s) caring for the pediatric patient about to undergo anesthesia
    • Relationships among physicians, paraprofessional staff, pediatric patients and others caring for them
  • How to apply

    The Children's Hospital of Philadelphia currently participates in the Pediatric Anesthesiology Fellowship NRMP match with six fellowship positions available annually. In general, fellowship education at CHOP begins on July 1 of the year following the match. For candidates with special circumstances, variable start dates may be negotiated.

    Please apply using the common Pediatric Anesthesiology Fellowship Application, available on the Society for Pediatric Anesthesia website. Applications are accepted between Jan. 1 and May 15, and may be sent to Mia Morrison via email or mail (see below).

    Along with your application, please submit the following:

    • Current CV and personal statement
    • Evidence of successful completion of the USMLE Step 1, 2 and 3 examinations
    • Copies of all anesthesiology in-training examination results
    • A minimum of three letters of reference (at least one must be written by your department chair or residency program director)
    • A copy of your medical school Dean's Letter and transcript
    • Two passport-style photos

    Additionally, acceptance into the fellowship is conditional upon the following:

    • Successful completion of your core residency in anesthesiology.
    • Qualification to enter the certification process of the American Board of Anesthesiology.
    • Certification in Pediatric Advanced Life Support (PALS) and Advanced Cardiac Life Support (ACLS). 
    • An unrestricted Pennsylvania medical license and graduate medical training registration with the Pennsylvania State Board of Medicine. (Required once accepted into the fellowship).
    • Compliance with all Human Resources policies established by The Children's Hospital of Philadelphia.

    For more information on Pediatric Anesthesia Fellowships and the match, please visit:

  • Contact

    We appreciate your interest in our program and we hope you found the information on this website helpful. More importantly, we welcome any questions about the program at any time, and we look forward to meeting you!

    Program Coordinator
    Mia Morrison
    Pediatric Anesthesiology Fellowship & Education Coordinator
    Department of Anesthesiology and Critical Care Medicine
    Phone: 215-590-6049
    Fax: 215-590-1415
    E-mail: morrisonm@email.chop.edu

    Program Director, Pediatric Anesthesiology Fellowship
    Justin L. Lockman, MD
    Program Director, Pediatric Anesthesiology Fellowship
    Department of Anesthesiology and Critical Care Medicine
    Phone: 267-426-0669
    Email: lockmanj@email.chop.edu

    Associate Program Director, Pediatric Anesthesiology Fellowship
    Alan Jay Schwartz, MD, MSEd
    Associate Program Director, Pediatric Anesthesiology Fellowship
    Department of Anesthesiology and Critical Care Medicine
    Phone: 215-590-1885
    Email: schwartza@email.chop.edu

    Associate Program Director, Pediatric Anesthesiology Fellowship
    Stephanie A. Black, MD, EdM
    Associate Program Director, Pediatric Anesthesiology Fellowship
    Department of Anesthesiology and Critical Care Medicine
    Phone: 215-590-1858
    Email: black@email.chop.edu

Reviewed on March 28, 2014