UCSD Anesthesiology Department

FELLOWSHIP IN CARDIAC ANESTHESIOLOGY

UC San Diego is offering one-year and two-year positions. The program offers excellent experience emphasizing TEE training. Unique clinical opportunities include transplant, pediatric, minimally invasive, and pulmonary thromboendarterectomy with circulatory arrest. A flexible curriculum offers substantial non-clinical time for clinical or laboratory research and study. Completion of an approved residency in anesthesiology and board certification or eligibility by the American Board of Anesthesiology is required. All applicants must obtain a California medical license. Interested candidates should submit a curriculum vitae and the names of three references to

Dalia Banks, MD
Director of Cardiac Anesthesiology
Department of Anesthesiology

UCSD Medical Center
200 W. Arbor Drive, # 8812
San Diego, CA 92103-8812

Office: (619) 543-5754
FAX: (619) 543-5425
E-mail : dabanks@ucsd.edu

• Edward R. Mariano, MD (Fellowship Director)
• Brian M. Ilfeld, MD, MS (Fellowship co-Director, Clinical Research)
• Tony L. Yaksh, PhD (Fellowship co-Director, Laboratory Research)

Additional Key Faculty: NavParkash Sandhu, MD; Benjamin Atwater, MD; Rick Bellars, MD; Vanessa Loland, MD; Michael Bishop, MD; and Mark Wallace, MD

Positions: 2 annually

One-Year Fellowship: Clinical and didactic training in regional anesthesia and analgesia.

Two-Year Fellowship: In addition to clinical and didactic training in regional anesthesia, fellows will participate in the NIH-sponsored K30 program and graduate with a Masters of Advanced Studies degree in Clinical Research. Fellows will also have an opportunity to perform clinical and laboratory research under the mentorship of Brian Ilfeld, MD, MS, and Tony Yaksh, PhD, as well as initiate pilot studies for an NIH grant via the K08 or K23 Career Development Award mechanism. The two-year fellowship will prepare graduates for an academic career practicing/teaching regional anesthesia as well as designing and implementing extramurally-funded, high-quality clinical and/or laboratory research related to regional anesthesia.

Fellowship Structure: Regional Anesthesia Fellows at UCSD evaluate patients, perform regional anesthesia procedures in a regional anesthesia induction area (aka “block room”) and follow patients postoperatively. Fellows spend one day per week in the OR either supervising residents or providing direct patient care as staff anesthesiologists (all involving regional techniques). All other clinical time is spent directly administering or supervising residents performing regional blocks or caring for patients as part of the Acute Pain Service. Nonclinical time depends on the level of research commitment and ranges from 1 to 3 days/week (>1 nonclinical day reserved for fellows with established research projects as the primary investigator and subject to approval by the fellowship director).

Clinical Experience: Fellows should expect to master basic single-injection and continuous peripheral nerve block techniques employing ultrasound-guidance and electrical stimulation as well as advanced ultrasound-guided regional anesthesia procedures and paravertebral blocks. In addition, fellows will gain experience managing continuous perineural infusions for inpatients and outpatients as well adjunct analgesic medications. Fellows will learn to apply regional anesthesia techniques in a variety of surgical settings including trauma, elective outpatient and more invasive orthopedics, vascular surgery, abdominal and pelvic procedures, head and neck surgery, and plastic/reconstructive surgery.

The fellowship structure is very flexible, with time allocated to the inpatient and ambulatory center block rooms, Acute Pain Service, OR, and nonclinical pursuits, depending upon the level of interest in each area. Up to one week is spent in the anatomy lab early in the fellowship year to gain a strong anatomical basis for regional anesthesia procedures. Fellows will also have the opportunity to participate on pediatric international medical missions to learn practical applications of regional anesthesia procedures for children under the direction of Dr. Mariano. Fellows also have the option of pursue training in related chronic pain diagnosis and treatment/procedures (e.g. fluoroscopic guidance techniques) from Dr. Mark Wallace, Director of the UCSD Pain Fellowship.

Salary, Year 1: approximately $ 50,000
Salary, Year 2: approximately $ 151,000 plus call and clinical incentives (~$40,000)

Applications (due: first week of September of the year preceding enrollment): Please submit an updated CV, 2 letters of recommendation (program director and preferably mentor), and a brief personal statement outlining interest in fellowship and the specialty of regional anesthesia (600-word maximum).

Contact person:

Edward R. Mariano, MD
Director, UCSD Regional Anesthesia Fellowship Program
200 West Arbor Drive
San Diego, CA 92103-8770
email: ermariano@ucsd.edu

This fellowship is supported, in part, by NIH grant 5T32NS007407-09 (P.I.: Tony Yaksh, PhD)

UC San Diego is offering a one-year position in a program that offers excellent experience emphasizing regional anesthesia, general anesthesia and anesthetic management of high risk obstetric patients. A flexible curriculum offers substantial non-clinical time for clinical or laboratory research and study. Completion of an approved residency in anesthesiology and board certification or eligibility by the American Board of Anesthesiology is required. All applicants must obtain a California medical license. Interested candidates should submit a curriculum vitae and the names of three references to

Krzysztof M. Kuczkowki, MD
Assistant Clinical Professor of Anesthesiology & Reproductive Medicine
Department of Anesthesiology

UCSD Medical Center
200 W. Arbor Drive
San Diego, CA 92103

Office: (619) 543-5742
FAX: (619) 543-5424
E-mail : kkuczkowski@ucsd.edu

UCSD currently offers two positions each year of 12 months duration in a fellowship of pain management. This includes experience in the pain clinic at Thornton hospital and San Diego Veteran's Affairs Medical Center Pain Clinic which exposes the fellow to approximately 280 chronic pain, 70 cancer pain, and 300 acute pain patients. The inpatient service allows the fellow to manage approximately 300 inpatients per year. Available services directly in the program include Psychology, Physical Therapy, Nursing, Psychiatry, Exercise Physiology, Occupational Therapy, Neurosurgical Technique, Acupuncture, and Chiropractics.

Clinical : 1) Phase II and III contract studies on pharmacologic interventions with intraspinal and systemic analgesic compounds. 2) Effect of pharmacological interventions on neurosensation in experimental pain models and pain patients with neuropathic pain. 3) Outcome model for chronic pain and operant cognitive therapies. 4) Multiple phase II/III drug trials.

Laboratory : Preclinic models including peripheral nerve models, toxicology models, spinal cord tissue prep, physiological and behavior models.

(1) Opportunities for patient care range from VA outpatient to tertiary care inpatient. (2) Didactic course materials are prepared from both preclinical and clinical science under the direction of Mark Wallace, M.D., and Tony Yaksh, Ph.D. (3) Opportunities for industrial medicine are expanding. (4) Multispecialty and interdisciplinary management is available.

Interested candidates should send curriculum vitae, personal statement indicating past experience and current interest in pain management, copies of current medical license(s) and 3 letters of reference to: Mark S. Wallace, M.D., ATTN: Debra Kerrigan, Pain Fellowship Coordinator, UCSD, Dept of Anesthesiology, 9500 Gilman Dr, #0924, La Jolla, CA 92093-8770, Email: painfellowship@ucsd.edu.

For further information, contact Debra Kerrigan, Pain Fellowship Coordinator (858)657-7072.

Mark S. Wallace, M.D.
Director of Pain Fellowship Program
Department of Anesthesiology
Thornton Hospital
9300 Campus Point Dr., MC 7651
La Jolla, CA 92037-7651