Fellowships
Fellowships
CA4 Year
Opportunity
exists for a limited number of residents to pursue a fellowship
year after three years of clinical anesthesia. Fellows may elect
to spend their time either in basic research or in one clinical
area to master the clinical subspecialty. The clinical fellowships
offered include pain management, and cardiovascular
and thoracic anesthesia. The fellows are expected to participate
or initiate clinical research during this year which should result
in more than one publication.
Pain
Management Fellowship Program
The Department
of Anesthesiology offers a twelve month fellowship for CA-4 (PGY-5)
trainees. This program is accredited by ACGME. Successful completion
of this fellowship,along with ABA certification and current state
licensure will make the candidate eligible to take the ABA Pain
Management examination.
The fellowship
aims to train an anesthesiologist in the art and science of pain
management. Included in the definition of pain syndromes are acute
(post-operative), chronic, and oncologic pain. Techniques which
the trainees will become familiar with include: nerve blocks,
fluoroscopic-assisted nerve blocks, epidural steroid injections,
spinal cord stimulators and implantable pumps, peri-spinal opioid
therapy, use of various medications such as opioids, anti-depressants,
anti-convulsants, and non-steroidal anti-inflammatory agents.
Other modalities, with which the fellow will become familiar, are
bio-feedback, physical and occupational therapy, exercise therapy,
psychotherapy and complementary medicine.
During the
training, diagnosis and management of pain syndromes are stressed.
As the trainees will quickly realize, nerve injections rarely,
if ever, cure chronic pain. "Curing" chronic pain is
not always possible, rather, helping the patient control the pain
to allow increase function by utilizing a multidisciplinary approach
is our common goal. The various modalities listed above allow
us to help manage chronic pain. Allied disciplines to which the
trainee is exposed include: psychology, radiation oncology, medical
oncology, radiology, physical and rehabilitation medicine, physical
therapy, and occupational therapy.
During the
year the fellow will spend most of his time in the Pain Management
Center, located in the Loyola Outpatient Center. The fellow also
has the opportunity to see patients at the Loyola Cancer Center,
and at the Oakbrook Terrace Outpatient Clinic.
He/she will
be expected to cover the Anesthesia Pain Service one to two weeks per
month, including two weekends per month on beeper call. Attendance
at one or two pain management/regional anesthesia review courses
is strongly encouraged during the year. Examples are the American
Society of Regional Anesthesia (ASRA) Annual Meeting and Review
Course (usually held in March), the ASRA Pain Management Review
course,The American Pain Society Annual Meeting (usually held
in November), and the International Society for the Study of Pain
(held bi-annually).
Participation
in on-going clinical or laboratory research in an area related
to pain management or regional anesthesia is a required part of
the fellowship. The fellow will be expected to submit at least
one scientific abstract for publication during the fellowship.
Cardiovascular
and Thoracic
Anesthesia Fellowship Program
Loyola University
offers the cardiothoracic anesthesia fellow a high-quality clinical
and didactic experience which provides excellent preparation for
future practice, whether in academics or in the private sector.
Our cardiothoracic anesthesia fellows are trained by a dedicated
staff of cardiothoracic anesthesiologists, and also receive the
benefit of the vast and varied experience of our cardiothoracic
surgeons, cardiologists and pulmonologists.
Our clinical
caseload is outstanding in diversity, number and acuity of care.
Loyola University is the most active heart
and lung transplant center in Illinois, and the
fellow will gain expertise in the management of patients with
end-stage heart failure and lung disease, performing anesthesia
for heart transplants, lung transplants and implantation of ventricular
assist devices. The fellow will obtain extensive experience in
the management of a variety of complex cardiac and thoracic surgical
cases, including reoperations, multiple valve operations,
thoracic aortic surgery, correction of
congenital anomalies, as well as newer Robotic mitral valve
repair and CABG and thoracoscopic surgery. Our department
provides anesthesia for well over 1000 cardiac and thoracic cases
per year.
Fellows obtain
extensive training in transesophageal echocardiography. While
this training occurs primarily in the operating room, the fellow
also spends time working directly with our cardiologists in a
one to two month rotation outside the operating room, improving
diagnostic and interpretive skills.
Experience
in the postoperative critical care of cardiac patients is obtained
during rotation in the post-cardiac surgical intensive care unit
with supervision and teaching by our own anesthesia faculty. This allows the
individual to gain a greater appreciation of the entire perioperative
course as an extension of our anesthesia care. Close contacts
with consultants from other specialties strengthen the educational
benefit of this rotation.
In addition
to intraoperative teaching, we have a didactic program
consisting of journal clubs and weekly lectures on advanced
cardiac and thoracic topics. The fellow will
also have access to a wide range of multimedia educational
materials in transesophageal echocardiography. Past fellows have elected to
be involved in clinical only or combined clinical/research programs.
Our facility
is state-of-the-art. We have three dedicated
cardiothoracic operating rooms,
each equipped with transesophageal echocardiography machines and
omniplane probes. Continuous cardiac output monitoring, mixed
venous oximetry, ECG ST segment analysis, electroencephalography,
nitric oxide and pressure control ventilation are readily available.
We thank
you for your interest and welcome your application. We believe
that the training received here at Loyola University will lay
the foundation of excellence, which will equip you throughout
your career.
