The Ann and Robert H Lurie Children’s Hospital of Chicago pediatric anesthesia fellowship program administered through the Northwestern University McGaw Medical Center is one of the most competitive in the country. The ACGME accredited pediatric anesthesiology fellowship offered at Ann and Robert H. Lurie Children’s Hospital, under the direction of Richard Dsida, MD, is an individually designed mixture of clinical, academic, and research experiences. The American Board of Anesthesiology has now approved board certification in pediatric anesthesiology and, in the future, will require completion of an ACGME accredited pediatric anesthesiology fellowship for pediatric board subcertification.
In June 2012, the Department moved into the Ann & Robert H. Lurie Children's Hospital, a brand new, state of the art facility, located in downtown Chicago between Lake Michigan and Michigan Avenue, and adjacent the campus of Northwestern Memorial Hospital and medical school, and Prentice Women’s Hospital. The Northwestern Pediatric Anesthesiology Fellowship accepts ten fellows each year and participates in the NRMP Pediatric Anesthesiology Match process.
Guided by pediatric anesthesiology fellowship-trained staff, fellows have increased exposure to advanced pediatric anesthesia techniques and complex pediatric surgical cases. In an effort to ensure a comprehensive caseload experience and even distribution of cases amongst each fellow, we departed from specific monthly rotations (neuro, cardiac, pain, etc.). Instead, fellows maintain a case log frequently evaluated by the program director and operating room scheduler to actively prevent disparities in case experiences.
Our fellows participate in approximately 275 cardiopulmonary bypass cases per year. In addition, we provide anesthesia in the cardiac catherization lab for both diagnostic and interventional procedures and take part in cardiac imaging procedures. In addition, the fellows frequently participate in the care of children with congenital heart disease undergoing non-cardiac surgery. Our fellows are involved in all aspects of the care of these medically complex patients including invasive line placement.
Renowned both nationally and internationally for our expertise in pediatric regional anesthesia, our program produces graduates known for their regional skills and lead the nation in their number of peripheral nerve blocks performed. The department chairman, Dr. Santhanam Suresh, is well-known for his work in pediatric regional and chronic pain. Our fellows are expected to master numerous regional anesthetic techniques consisting of head and neck, upper and lower extremity, and truncal blocks in children of all ages. Fellows also assist with the pain service, managing inpatient acute pain consults and participating in a chronic pain clinic. Each fellow will have ample opportunities throughout the year where they are responsible for all peripheral nerve blocks in the main operating room. In addition, this rotation involves daily rounding on the acute pain service with the acute pain attending. This fellow also attends chronic pain clinic with the chronic pain attendings.
Ann and Robert H. Lurie Children’s Hospital of Chicago typically performs 30 kidney, 15 liver and 15 heart transplants per year. These cases provide the fellow with the opportunity to care for extremely sick children with end-stage organ failure. Each fellow will participate in several transplants during their year at this institution.
Intensive Care Unit
Each fellow will rotate for two weeks during the year in an intensive care unit. One week of Cardiac ICU is required. Understanding the medical care for children who undergo cardiac intervention provides valuable insight into congenital heart disease. Complex multi-disciplinary decisions oftentimes govern both surgical and medical care, and as anesthesiologists we take part in the decision making process and our fellows have found the pediatric cardiac ICU experience here to be an incredible learning opportunity. Fellows may then choose to rotate an additional week in the Cardiac ICU or arrange experiences with the Neurocritical Care team, the Neonatal ICU, or Pediatric ICU.
Complex midface and cranial reconstructions in the pediatric population present an anesthetic challenge and a valuable experience for our fellows. Ann and Robert H. Lurie Children’s Hospital of Chicago performs more than 50 craniosynostosis repairs and more than 50 complex cleft lip repairs per year.
There is a variety of neurosurgical pathology that the fellow will have the opportunity to encounter during their year. Malignancy resection, intracranial vascular repairs, neuro-interventional procedures, and complex seizure surgery are some examples of the cases encountered. s a myelomeningocele referral center, there will be numerous opportunities for fellows to participate in the care of these neonates in the operating arena.
Complex General Surgery
Pyloric stenosis, gastroschisis, omphalocoele, congenital diaphragmatic hernia, and tracheo-esophageal fistulas are common surgical pathology encountered at Ann and Robert H. Lurie Children’s Hospital of Chicago and our fellows participate in all aspects of the perioperative care of these patients.
Outpatient Surgery Center
Fellows also administer pediatric anesthesia services at the Westchester outpatient surgery center in Westchester, Illinois. Our fellows go on to succeed in both the academic and private practice settings and Westchester helps prepare our fellows for a non-university style practice.
Additional Education and Training
Daily morning conferences are provided. Monday morning’s the OR starts an hour late, and affordseducation time including regional workshops, airway lectures, grand rounds, and departmental quality assurance topics. Specific topics on the pediatric anesthesiology subspecialty certification examination are covered on Tuesday and Thursday morning conferences. Several simulation sessions are planned throughout the year. Actual board examiners give mock examinations to ensure oral board preparation.
Journal club convenes four times per. Each fellow is strongly encouraged to submit a poster or presentation to a national meeting or publish their work in a peer reviewed journal. Our institution commonly hosts numerous regional anesthesia workshops throughout the country and fellows actively contribute to teaching at these sessions.
The Anesthesia Department participates in numerous research endeavors and our fellows have routinely published in prestigious anesthesia journals as well as presented at many national meetings. Over the past several years, our fellows have produced research in the areas of regional anesthesia, anesthesia education, cardiac anesthesia, and airway management. Every fellow is required to participate in a research project that leads to a presentation or publication in a peer reviewed journal.
Call is covered at Lurie Children's Hospital by 3 pediatric anesthesia attendings, 3 anesthesia residents, and 1 anesthesia fellow each day. The first call resident and first call attending cover all in house operating room cases overnight. The fellow on call for the day is generally assigned to the cardiac operating room for the day and is on call at night from home for fellow level cases. A separate fellow is assigned to call each day M-Th. The weekend fellow on call will be encouraged to be in house from 0730-1500 to gain additional experience rounding on the pain service as well as gain experience with supervision of residents and aspects of clinical decision making that are unique to the weekend. The same fellow will be on call Fri/Sun and a separate fellow will be on call Saturday. If not needed in the OR, the call after 1500 on weekends will be home call. The weekend fellow is on call for fellow level cases and to assist the on call attending in supervising anesthesia residents when appropriate for supervisory experience. We pay close attention to the duty hours mandate set forth by the ACGME, and we adhere to these rules strictly.
In addition to McGaw Medical Center benefits, Pediatric Anesthesiology fellows receive:
- The PGY5 salary for the 2016-2017 academic year is $66,859 (as set forth for by McGaw Medical Center).
- 4 weeks paid vacation
- 2 weeks sick time, consistent with Northwestern GME policies
- 1 week meeting time with program director approval
- $2000 meeting allowance with expenses approved by the program director
- Office space with computer
- E-textbooks provided by the department: Cote's Pediatric Anesthesia and Andropoulos' Pediatric Cardiac Anesthesia
To be considered for a Pediatric Anesthesiology fellowship position, candidates must be eligible for certification or fully certified by the American Board of Anesthesiology before fellowship training begins. In addition, candidates must obtain an Illinois Temporary or Permanent License and have taken USMLE Step 3 prior to training. All Pediatric Anesthesiology fellowship positions are filled through the NRMP Match.We are participating ERAS. Along with the necessary application materials, we ask that you please submit supplemental documents listed below to our program coordinator, Nicole Ladehoff, at email@example.com
- A current curriculum vitae (Submit to Nicole Ladehoff)
- Two letters of recommendation from anesthesiologists (ERAS)
- A letter of recommendation from the anesthesiology training program director or chair (ERAS)
- A copy of your medical school transcript (ERAS)
- The results of your two most recent ABA/ASA in-training examinations (Submit to Nicole Ladehoff)
- The results of your USMLE Steps I-III exams (ERAS)
- Copies of CA-1 and CA-2 Summative Performance Evaluations (Submit to Nicole Ladehoff)
- A personal statement explaining interest in pursuing a fellowship position in pediatric anesthesia (ERAS)
- A current photo (ERAS)
December 1st -- ERAS application submission opens (make sure supplemental materials submitted via email)
February 2017 -- Application review process begins
May 31, 2017 -- ERAS application closes
Early June 2017 -- Initial Interview Invites offered; additional interview offers through August 2017
July - September 2017 -- Interview dates (Saturday interviews)
Illinois Department of Financial & Professional Regulations (IDFPR)
Applicants must obtain a Temporary or Permanent Illinois Medical License before starting their fellowship training. Licensing information and application can be found at www.idfpr.com. In order to apply for a permanent license, the applicant must already have taken the USMLE Step III. Please be aware that it may take up to 120 days for IDFPR to process and grant an Illinois license.
Contact Northwestern's Office of Graduate Medical Education:
McGaw Medical Center of Northwestern University
Graduate Medical Education
240 East Huron
Chicago, IL 60611
- McGaw Benefits (McGaw Medical Center of Northwestern University)
Access the handbook to review benefits available to all residents at Northwestern Medicine
Check out the many external resources on the Student Housing section of the Augusta Webster, MD, Office of Medical Education website; the Off-Campus Life housing section of the Northwestern University Division of Student Affairs has additional resources to assist you with your housing search
Richard Dsida, MD
Housestaff Research Portal
Feinberg has the infrastructure and resources to assist McGaw trainees interested in conducting scientific research. Visit our Housestaff Research Portal to learn more.