The Department of Anesthesiology is excited to announce a new Fellowship in Perioperative Medicine.  The term perioperative medicine describes the non-surgical care of patients from the time surgery is considered through the perioperative period and to full recovery.  In the practice of perioperative medicine, many medical specialties work in concert to provide optimal outcomes for surgical patients.  The medical knowledge distinct to this field includes that of surgical and anesthesia risks and complications, patient-specific risks due to co-morbid medical conditions, and methods by which to reduce risk and manage medical illness in the perioperative period. 

The evidence supporting the value of best practices in perioperative medicine is rapidly expanding, and the full spectrum of this domain of medicine is not covered in any core residency program. In light of this, the Department of Anesthesiology’s innovative new fellowship program is designed to place trainees at the forefront of this important area of medicine, preparing them to provide personalized precision perioperative care.  As one example, if postoperative mortality from cardiac causes (within 30 days of surgery) was considered as a disease entity, it would be the third leading cause of death among adults in the United States.  Knowledge of how to properly assess risk and manage medical comorbidities throughout the entire perioperative period stands to make significant improvement in the highest risk patients.

The Perioperative Medicine Fellowship was created with input from a multi-disciplinary team at Vanderbilt, including faculty from the Departments of Anesthesiology, Medicine, and Surgery. It is a one-year program that will train participants to be leaders in the clinical and academic research components of their professions, teaching them the skills needed to implement and manage their own perioperative consult service upon completion.  Up to four trainees will be admitted into the fellowship each year.  During the fellowship program, participants can expect to gain experience in the following core rotations: Perioperative Consult Service, High-Risk Preoperative Evaluation Clinic, Echocardiography and Cardiac Implantable Electronic Device Management, Research, and a wide variety of electives.

One unique aspect of this new fellowship offering is that it is open to those who have completed an ACGME-accredited residency program in anesthesiology or in general surgery.  Furthermore, faculty instructors in the program come from the VUMC Departments of Anesthesiology, Surgery, and Medicine, making this a truly cross-departmental educational effort - mirroring the collaboration inherent to the concept of perioperative medicine. 

Applications are now being accepted for training to start in August 2020. To learn more about the new Perioperative Medicine Fellowship, including information on how to apply, visit the Department of Anesthesiology’s website at www.vandydreamteam.com.

We are now accepting applications for the academic years beginning July 2020 and July 2021.

To be considered, all potential fellows must have completed an ACGME-accredited residency program in Anesthesiology or General Surgery OR be a current Anesthesiology or General Surgery resident in good standing and targeted for residency completion prior to the fellowship start date.

Application Requirements
To apply, please provide the following:

  • Completed application.
  • Cover letter with personal statement and preferred start date.
  • Transcript from medical school.
  • Official licensure verification from all states in which you have been or are currently licensed.
  • USMLE and ITE scores.
  • Three (3) letters of recommendation, one of which must be from your current program director or equivalent (i.e., Division Chief or Department Chair for those applicants currently in practice).

2018

Evidence Review Conducted for the Agency for Healthcare Research and Quality Safety Program for Impriving Surgical Care and Recovery: Focus on Anesthesiology for Bariatric Surgery

Use of American College of Surgeons National Surgical Quality Improvement Program Surgical Risk Calculator During Preoperative Risk Discussion: The Patient Perspective

An enhanced recovery program in colorectal surgery is associated with decreased organ level rates of complication: a difference-in-differences analysis

An enhanced recovery program for bariatric surgical patients significantly reduces perioperative opioid consumption and postoperative nausea.

Enhanced Recovery Pathway in Microvascular Autologous Tissue-Based Breast Reconstruction: Should It Become the Standard of Care?

Competence: The Link between Education and Quality Patient Care.

American Society for Enhanced Recovery and Perioperative Quality Initiative Joint Consensus Statement on Nutrition Screening and Therapy Within a Surgical Enhanced Recovery Pathway.

American Society for Enhanced Recovery and Perioperative Quality Initiative Joint Consensus Statement on Postoperative Gastrointestinal Dysfunction Within an Enhanced Recovery Pathway for Elective Colorectal Surgery.

American Society for Enhanced Recovery and Perioperative Quality Initiative Joint Consensus Statement on Patient-Reported Outcomes in an Enhanced Recovery Pathway.

Cardiac Arrest in the Operating Room: Resuscitation and Management for the Anesthesiologist: Part 1.

Cardiac Arrest in the Operating Room: Part 2-Special Situations in the Perioperative Period.

 


2017

Standard Setting for Clinical Performance of Basic Perioperative Transesophageal Echocardiography: Moving beyond the Written Test.

Mobile Technology in the Perioperative Arena: Rapid Evolution and Future Disruption.

A Quick Look Into the Future: Focused Cardiovascular Ultrasound (FCU).

Anesthesiologists: Physicians to the System.

A Perioperative Systems Design to Improve Intraoperative Glucose Monitoring Is Associated with a Reduction in Surgical Site Infections in a Diabetic Patient Population.

Perioperative Medication Management.

American Society for Enhanced Recovery (ASER) and Perioperative Quality Initiative (POQI) joint consensus statement on measurement to maintain and improve quality of enhanced recovery pathways for elective colorectal surgery.

American Society for Enhanced Recovery (ASER) and Perioperative Quality Initiative (POQI) joint consensus statement on prevention of postoperative infection within an enhanced recovery pathway for elective colorectal surgery.

American Society for Enhanced Recovery (ASER) and Perioperative Quality Initiative (POQI) joint consensus statement on optimal analgesia within an enhanced recovery pathway for colorectal surgery: part 1-from the preoperative period to PACU.

American Society for Enhanced Recovery (ASER) and Perioperative Quality Initiative (POQI) Joint Consensus Statement on Optimal Analgesia within an Enhanced Recovery Pathway for Colorectal Surgery: Part 2-From PACU to the Transition Home.

 


2016

Surgical Apgar score is associated with myocardial injury after noncardiac surgery.

Enhanced recovery after surgery, perioperative medicine, and the perioperative surgical home: current state and future implications for education and training.

Significant discrepancies exist between clinician assessment and patient self-assessment of functional capacity by validated scoring tools during preoperative evaluation.

Education in Anesthesiology: Is It Time to Expand the Focus?

A perioperative consult service results in reduction in cost and length of stay for colorectal surgical patients: evidence from a healthcare redesign project.

Disruptive Education: Training the Future Generation of Perioperative Physicians.

Evidence-Based Perioperative Medicine comes of age: the Perioperative Quality Initiative (POQI): The 1st Consensus Conference of the Perioperative Quality Initiative (POQI).

American Society for Enhanced Recovery (ASER) and Perioperative Quality Initiative  (POQI) joint consensus statement on perioperative fluid management within an enhanced recovery pathway for colorectal surgery.

Postoperative Ketamine: Time for a Paradigm Shift.

Education in Anesthesiology: Is It Time to Expand the Focus?

Initial Experience of the American Society of Regional Anesthesia and Pain Medicine Coags Regional Smartphone Application: A Novel Report of Global Distribution and Clinical Usage of an Electronic Decision Support Tool to Enhance Guideline Use

Perioperative and Acute Care Transfusion Strategies: One size may not fit all.

Observational Research Using Propensity Scores.

Patient safety and the risk of i.v. fluid therapy in perioperative medicine: importance of host susceptibility and exposure dose.


2015

Why Have So Many Intravascular Glucose Monitoring Devices Failed?

The aging of America: a comprehensive look at over 25,000 geriatric trauma admissions to United States hospitals.

Dialogue on the Future of Anesthesiology.

The Future of Anesthesiology: Should the Perioperative Surgical Home Redefine Us?

A Brief History of the Perioperative Surgical Home.

Perioperative transfusion: a complicated story.

 

Anesthesiology Team Members

allen
Brian Allen, MD
Perioperative Consult Service
 
cummings
Jared Cummings, MD
Perioperative Consult Service
Hi-RiSE Clinic
edwards
David Edwards, MD, PhD
Chronic Pain
 
ende
Holly Ende, MD
Hi-RiSE Clinic Team
 
furman
Kevin Furman, DO
Perioperative Consult Service
 
george
Alexander George, MD
Perioperative Consult Service
 
hayhurst
Christina Hayhurst, MD
Perioperative Consult Service

 
kertai
Miklos Kertai, MD, PhD
Hi-RiSE Clinic Team

 
mcevoy
Matthew McEvoy, MD
Perioperative Consult Service
Hi-RiSE Clinic Team
 
miles
Merrick Miles, MD
Perioperative Consult Service
 
mueller
Dorothee Mueller, MD
Perioperative Consult Service
 
pisansky
Andrew Pisansky, MD
Transitional Pain Service &
Chronic Pain
raymond
Britany Raymond, MD
Perioperative Consult Service
Hi-RiSE Clinic Team
rengel
Kimberly Rengel, MD
Hi-RiSE Clinic Team
 
robertson
Amy Robertson, MD
Hi-RiSE Clinic Team
 
walco
Jeremy Walco, MD
Hi-RiSE Clinic Team
weaver
Sheena Weaver, MD
Perioperative Consult Service
Hi-RiSE Clinic Team
 

Medical and Surgical Team Members

beckman
Josh Beckman, MD, MS
Cardiology
 
biesemeirer
Chris Biesemeier
Nutrition
 
dudenhofer
Rosemarie Dudenhofer, MD
Pulmonary/Sleep Medicine
 
duggan
Mariu Duggan, MD
Geriatrics

 
el-sourday
Maie El-Sourady, MD
Hospice
Palliative Medicine
 
fowler
Michael Fowler, MD
Endocrinology

 
geiger
Tim Geiger, MD, MMHC
Colorectal Surgery
 
idrees
Kamran Idrees, MD, MSCI
Surgical Oncology
 
lillie
Lisa Lillie, MS-MPH, RD, LDN
Nutrition
 
marcovitz
David Marcovitz, MD
Addiction Psychiatry
 

morton
Colleen Morton, MBBCh
Hematology
 

sevin
Carla Sevin, MD
Pulmonary Medicine
 
shinall
Myrick Shinall, MD, PhD
Surgical Pallative Care
tindle
Hillary Tindle, MD, MPH
Smoking Cessation