Pediatric Anesthesiology Fellowship

Fellowship objectives

The fellowship provides training in the principles of pediatric anesthesia. This is not a comprehensive pediatric anesthesiology program, but a foundation so  by the end of the year the trainee is skilled and proficient in the care of newborns, infants, children and adolescents. The trainee should be able to apply the principles learned to deliver excellent, safe and compassionate pediatric anesthesia care.

The fellowship program will follow the educational objectives of the ACGME Core Curriculum in its academic and clinical activities. The pediatric anesthesiology fellow will be evaluated using the following core competencies:

  1. Patient care
  2. Medical knowledge
  3. Practice-Based learning and improvement
  4. Interpersonal and communication skills
  5. Professionalism
  6. Systems-Based practice

The above will be accomplished as follows:

Cognitive Training and Performance:

Develop comprehensive mastery in the following:

  • 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 care of the normal pediatric airway
  • Intraoperative temperature regulation and its maintenance
  • Perioperative fluid therapy
  • Implications of common diseases and surgical interventions in infants and children
  • Postoperative pain care, its assessment and treatment
  • Evaluation and care of common pediatric postanesthesia care unit issues
  • Advanced life support for pediatric patients

Develop expertise and significant experience in the following:

  • Congenital heart disease: evaluation and perioperative care
  • Evaluation and care of the newborn, infant or child with a difficult pediatric airway
  • Methodologies and goals of mechanical ventilator support
  • Care of those encountering massive fluid and/or blood loss
  • Pharmacological support of the circulation
  • Considerations for anesthesia care during diagnostic/therapeutic procedures outside the operating room complex
  • Anesthetic care of major pediatric surgical interventions:
      • Newborn emergencies
      • Solid organ transplantation
      • Craniotomy
      • Craniofacial reconstruction
      • Scoliosis repair
      • Understanding of chronic pain conditions and options for care
      • Recognition and care 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 with the following experiences:

  • Pediatric critical care and emergency medicine
  • Anesthetic evaluation and care for uncommon conditions or procedures with uncertain implications (e.g. care of newborns during the exit procedure)
  • Appropriate consultation for other specialists

Psychomotor training and performance:

Develop comprehensive mastery in the following:

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

Develop significant experience in the following:

  • Techniques for care of pediatric patients with a difficult airway
  • Vascular access for invasive hemodynamic monitoring
  • Nerve blocks for anesthesia care

Gain an introductory familiarity with the following:

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

Affective training and performance:

Develop expertise in the following:

  • The psychological response of the pediatric patient about to undergo anesthesia
  • The psychological response of the adult(s) caring for the pediatric patient about to undergo anesthesia
  • Methods to develop and demonstrate positive relationships among physicians, paraprofessional staff, pediatric patients and others caring for them.


Please e-mail applications to for consideration. 

A complete application will include:

  1. Your Curriculum Vitae
  2. A personal statement
  3. Three letters of recommendation

Please direct inquiries to:

John Raymond
Department of Anesthesiology
Fellowship Coordinator