Fellowship Training:

Fellowship Program in Neuroanesthesiology

The aim of the Fellowship is to provide advanced training to those individuals who either plan to 1] enter academic anesthesiology with emphasis on neurosurgical anesthesia or 2] join a private practice setting that has a large population of neurosurgical procedures.  We offer a flexible Fellowship program that can be tailored to the needs and experience of the individual Fellow.  Clinical experience, didactics, and research components are all integral to the program.

Clinical Experience:

There are three basic rotations: (1) neurosurgical anesthesia with general operating room experience, (2) neurosurgical intensive care, and (3) neurosurgical anesthesia with a special focus.

• Neurosurgical anesthesia with general OR experience: during these rotations the Fellow will be responsible for supervising anesthetic care in ONE neurosurgical room, four days each week.  This allows the Fellow to focus on the details of the case and participate in the instruction of the resident.  It also allows the Fellow to consult with an additional faculty assigned to that room for case discussion and instruction.  During this rotation, the Fellow will continue to develop his or her skills as a general anesthesiologist by spending one day each week covering two general surgical operating rooms

• Neurosurgical intensive care: the Fellow will spend three months rotating through the neurosurgical ICU for training in neurocritical care.  Our faculty also rotate through the neurosurgical ICU as attending neurointensivists and every effort will be made to coordinate the Fellow’s schedule accordingly.  We believe it is essential for a neuroanesthesiologist to have a fundamental understanding of neurocritical care.

• Neurosurgical anesthesia with a special focus: during these rotations, the Fellow will be responsible for covering one neurosurgical operating room several days a week, but will also have an additional focus for the month.  This includes neurophysiology, neuroradiology, pediatric neurosurgical anesthesia, or academic work.

Didactics:

The Fellow will meet with the Program Director on a weekly basis to discuss relevant literature or other topics in neuroanesthesiology.  Fellows are encouraged to attend seminars related to clinical and basic neuroscience, including neurosurgical anatomy lectures.  The Department of Anesthesiology at the University of Michigan has a weekly Morbidity & Mortality conference, as well as a weekly Research Seminar.  Fellows will be encouraged and supported to attend the SNACC (Society for Neurosurgical Anesthesiology & Critical Care) conference.  A generous academic stipend will be provided for the purchase of books and a subscription to the Journal of Neurosurgical Anesthesiology.  The Fellow will also receive a series of formal didactic lectures on the subject of neurophysiologic monitoring.

Research:

The interface of anesthesiology and neuroscience is an exciting horizon to explore.  There are numerous research opportunities within the Division of Neuroanesthesiology and our Fellows are required to complete at least one academic project that is submitted for publication in a peer-reviewed journal.  There are multiple neuroscience laboratories associated with the Department of Anesthesiology, with the opportunity for the Fellow to become involved in a basic science project.  Alternatively, the electronic perioperative information system at the University of Michigan is among the most sophisticated in the country and provides a virtually limitless source of clinical data for study.

We appreciate your interest in the Fellowship Program and encourage you to contact us if you have any questions.  For more information, please contact:

Relevant Links:

• Anesthesiology Research Division: http://www.med.umich.edu/anesresearch/

• Dr. Mashour’s Webpage: http://www.med.umich.edu/anesresearch/georgemashour.htm

• Department of Neurosurgery: http://www.med.umich.edu/neurosurgery/

• Application for Fellowship Training (in Acrobat)

Dept. of Anesthesiology, Univ. of Michigan Medical School

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