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Q&A with Stanford Anesthesia's Residency Director

New Program: Combined internal medicine-anesthesia residency at Stanford

Posted 5:34 PM, September 29, 2012, by amaca

We are pleased to announce that we are offering a combined internal medicine-anesthesia residency at Stanford of 5 years duration.

Year one = 12 months medicine internship. More information at http://medicine.stanford.edu/education/residency.html
Year two = 12 months of anesthesiology.
In years 3-5, six months/year is devoted to each specialty.
Graduates will be Board-eligible in both.

Candidates apply to (and need to interview at) both internal medicine and anesthesia residencies via ERAS as if they were applying solely to that one residency. This Stanford Medicine-Anesthesiology program NRMP code is 1820742C0.

Curriculum details:

MEDICINE
• A minimum of 4 months of critical care (MICU, CCU) rotations (maximum six months) with at least one additional month in a surgical ICU.
• A minimum of 1/3 of Internal Medicine training occurs in ambulatory setting, and minimum of 1/3 in inpatient setting.
• A longitudinal continuity clinic of 130 one half day sessions over the course of training. The continuity clinic includes evaluation of performance data for resident’s panel of patients.
• Exposure to each of the internal medicine subspecialties and neurology, and an assignment in geriatric medicine.
• An emergency medicine experience of four weeks in the PGY1.
• Electives available: psychiatry, allergy/immunology, dermatology, medical ophthalmology, office gynecology, otorhinolaryngology, non-operative orthopedics, palliative medicine, sleep medicine, and rehabilitation medicine.

ANESTHESIOLOGY
• Two one-month rotations in obstetric anesthesiology, pediatric anesthesiology, neuro anesthesiology, and cardiothoracic anesthesiology.
• A minimum of one month adult intensive care unit during each of the last 3 years.
• Three months of pain medicine = one month in acute perioperative pain, one month in chronic pain, and one month of regional analgesia/peripheral nerve blocks.
• One month in a preoperative evaluation clinic.
• One-half month in the post anesthesia care unit.
• No single subspecialty, excluding critical care medicine, exceeds six months total.
• During the Anesthesiology rotations, residents attend a minimum of one Internal Medicine continuity clinic session per month.

A sample rotation schedule for Medicine internship at Stanford is:
Dates Intern
6/25 - 7/06 Stanford Night Team
7/7 - 7/20 Geriatrics
7/21 - 8/3 Stanford Wards
8/4 - 8/17 Stanford Wards
8/18 - 8/31 VA Wards
9/1- 9/14 VA Wards
9/15 - 9/28 Infectious Disease VA
9/29 - 10/12 Cardiology Consult
10/13 - 10/26 Stanford Wards
10/27 - 11/9 Stanford Wards
11/10 - 11/23 Vacation
11/24 - 12/7 Gastroenterology VA
12/8 - 12/21 Elective
12/22 - 1/4 Elective
1/5 - 1/18 Vacation
1/19 - 2/1 Stanford Night Team
2/2- 2/15 Stanford Wards
2/16 - 3/1 Stanford Wards
3/2 - 3/15 Oncology
3/16 - 3/29 Oncology
3/30 - 4/12 Stanford ED
4/13 - 4/26 Stanford ED
4/27 - 5/10 VA ICU
5/11 - 5/24 VA ICU
5/25 - 6/7 Hematology
6/8 - 6/24 Hematology

Also, PGY1s in combined program will participate in once a month module: the Stanford Successful Transition to Anesthesia Residency Training (START) program http://start.stanford.edu.

Residents in combined program will do 3 or 6 months medicine residency immediately after CA1 year so as to not do 18 months of anesthesia straight.

The core Anesthesiology conferences occur on Monday mornings (Anesthesia Grand Rounds, 6:45-7:45 AM) and weekly didactics/case-based learning from 4:00-5:30 PM on Monday, Tuesday, or Wednesday afternoons (depending on the year of training). During the Internal Medicine portion of the training in years 3-5, residents attend one of these sessions monthly at a minimum, with the plan/expectation that residents attend these sessions on a more frequent basis. Since the timing of the conferences listed above is early and late in the day, it will be feasible for residents to attend other conferences weekly.


Thank you,
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