The Duke Anesthesiology fellowships offer a rich clinical exposure to high complexity cases with oversight from world-class faculty. Within these fellowships is a cohesive community that comes together each week for a professional seminar on topics designed to assist fellows in developing skills as “thinkers and leaders” in their future careers. Some of the topics covered include: ethics in the perioperative and critical care environment, abstract writing for a national meeting emerging science and improving clinical practice. There is also a structured Quality Assurance and Patient Safety initiative with fellows involved in group projects with final presentation to the department.
Duke Anesthesiology appreciates the significance of exposing fellows to research during their training period. Each fellow is assigned a faculty mentor and identifies a specific project to pursue during their fellowship. At the three-month mark of their fellowship, ideas are presented by the fellows to the entire department. Fellows are encouraged to present their final project at national/international/regional conferences and also at the department’s annual Academic Evening, where a guest faculty judges presentations.
Upon completion of a fellowship at Duke Anesthesiology, our impression is that graduates have enjoyed tremendous success in their professional lives. Our alumni are highly sought after in both private practice and academic medicine, and often assume leadership positions. Our department takes great pride in our fellows, seeing these individuals as a reflection of the quality of our programs and part of Duke University School of Medicine’s tradition of excellence.
Learn about each of the 10 fellowships offered by Duke Anesthesiology:
- Adult Cardiothoracic Anesthesiology Fellowship
- Anesthesia Global Health Fellowship
- Critical Care Anesthesiology Fellowship
- Neurosurgical Anesthesiology Fellowship
- Obstetric Anesthesia Fellowship
- Pain Medicine Fellowship
- Pediatric Anesthesiology Fellowship
- Perioperative Medicine Fellowship
- Regional Anesthesiology & Acute Pain Medicine Fellowship
- Undersea & Hyperbaric Medicine Fellowship
The Adult Cardiothoracic Anesthesiology Fellowship is highly recommended as formal training for sub-specialization in cardiac and/or thoracic anesthesiology. This ACGME-accredited fellowship is designed to develop clinical, consultant, and in-depth research expertise.
Twelve, one-year fellowship positions are available each year. Applications are typically considered beginning 18 months prior to the start date. Second-year research or clinical fellowship opportunities are available; programs are individualized to meet the goals of successful applicants. Generally, clinical experience is the focus of the first fellowship year, along with involvement in clinical research.
Fellows opting for a two-year fellowship continue in their second year with another clinical fellowship (e.g., pediatrics, ICU) or one clinical day/week in their second year, in addition to a structured plan involving laboratory and/or clinical research and teaching. Attendance at some or all of the seminars offered by the Duke Clinical Research Institute leading to a master’s degree of health sciences in clinical research can be arranged.
The Anesthesia Global Health Fellowship offers physicians engaged in post-graduate medical training the opportunity to broaden their existing training to address health disparities in resource-poor settings and acquire clinical and research skills relevant to careers in global health.
Duke candidates must contact their program director to verify eligibility. Application information will be distributed internally through the participating departments. External candidates are encouraged to check specialty-specific eligibility information on the curriculum per departmental page. Please note that external recruitment is limited to anesthesiology, obstetrics and gynecology, and emergency medicine tracks.
The goal of the Critical Care Anesthesiology Fellowship is to provide trainees with background knowledge necessary for the care of critically ill patients and an appreciation of management issues unique to this patient population, in the perioperative period and elsewhere.
Critical care medicine is a multidisciplinary field concerned with patients who have sustained, or are at risk of sustaining, life threatening, single or multiple organ system failure due to disease or injury. Critical care medicine seeks to provide for the needs of these patients through immediate and continuous observation and intervention so as to restore health and prevent complications. A fellow will become competent in all aspects of recognizing and managing acutely ill adult patients with single or multiple organ system failure requiring ongoing monitoring and support.
In addition, all fellows in this ACGME-accredited fellowship will receive training in TEE both in the OR and in the ICU. Fellows will attain proficiency in echocardiography through hands-on experience coupled with weekly didactic sessions, including lectures and case conferences.
The Neurosurgical Anesthesiology Fellowship aims to supply highly-trained physicians to care for a fragile and growing neurosurgical patient population.
The overall goal of this one-year, ACGME-accredited training program is to transform the general anesthesiologist into a subspecialist in neurosurgical anesthesiology. This is the beginning of a lifelong learning process and is accomplished through multidisciplinary training in all aspects of the perioperative care of the neurosurgical patient. These aspects of care include neurosurgical anesthesiology, neurocritical care (neuro-ICU), neuroradiology, neurosonology, and neurophysiologic monitoring.
A two-year program option will be offered for fellows interested in a dedicated research year to prepare for an academic career.
Fellows in the Obstetric Anesthesia Fellowship participate in the care of high-risk parturients. Due to the strengths of other departments at Duke, patients with maternal or fetal-cardiac, neurological or hematological disorders are frequently referred to Duke University Hospital for peripartum care.
Fellows in this ACGME-accredited fellowship are actively involved in the clinical decisions by taking part in weekly multidisciplinary meetings that include maternal fetal medicine, neonatologists and other consultants as needed, such as pulmonary, cardiology, surgical specialists or interventional radiology. Fellows actively participate in managing the labor ward anesthesia team which includes residents and CRNAs. Call is in-house and exclusively on Labor and Delivery.
Faculty in the Women’s Anesthesia Division also provide anesthesia for patients undergoing gynecologic and urologic procedures. During the fellowship year, there is an opportunity to learn other anesthesia skills, such as regional anesthesia, if desired. Occasionally, combined fellowships have been organized to obtain dual fellowships (e.g. cardiac and obstetric or regional and obstetric anesthesia fellowships) within one year.
Duke University Medical Center is one of the leading medical centers in the nation with a worldwide reputation for excellence in clinical care, teaching and research. The Pain Medicine Fellowship is ACGME- accredited; fellows who successfully complete the fellowship are eligible to sit for board certification.
The fellows spend time at three main clinical sites: Duke North Hospital, Durham VAMC Pain Clinic, and the Duke Outpatient Pain Clinic.
The fellows’ clinical schedule is designed to provide a broad exposure to pain management in a variety of health care systems which trains graduates to practice independently upon graduation in academic, government, or private practice fee-for service settings.
The Pediatric Anesthesiology Fellowship provides a training opportunity for an individual to acquire knowledge and skills in pediatric anesthesia.
Goals of this ACGME-accredited fellowship include:
- To acquire the specialized fund of knowledge, clinical judgment and technical skills required to independently provide safe, evidence-based anesthetic care for a wide variety of pediatric patients. This includes children of all ages with and without associated medical comorbidities, undergoing surgical or diagnostic procedures, both simple and complex.
- To develop as a clinical teacher and to learn how to supervise the anesthetic care of less experienced anesthesiology residents during their pediatric anesthesia rotation.
- To gain a familiarity with research methods and help carry out a research project.
- To create an environment that encourages and instructs the fellow to become a lifelong learner.
The newly established Perioperative Medicine Fellowship is an interdisciplinary, transatlantic fellowship in collaboration with University College London (UCL). It offers a unique opportunity for anesthesia trainees who have the ambition of reaching outside of the operating room to gain academic, clinical and research expertise in perioperative medicine.
Perioperative medicine (POM) is an emerging specialty that emphasizes the care of patients from the time surgery is contemplated to full recovery. Anesthesiologists are uniquely positioned to touch each phase of this new pathway of care.
Fellows will be enrolled in UCL’s master’s program in POM which provides distance learning to earn a postgraduate degree in one year. This innovative, online course is taught by faculty from UCL, Duke University and abroad. Fellows will also have the opportunity to work alongside mentors and peers from other countries during a 2-4 week exchange program with UCL.
The Regional Anesthesiology & Acute Pain Medicine Fellowship is designed to provide advanced training in anesthesia in the ambulatory surgery setting. This ACGME-accredited fellowship is an extension to previous training with an emphasis on a continued educational component to include research, clinical and teaching responsibilities.
The mission and objective of this fellowship is to teach specialized and advanced regional anesthesia techniques. Mastering of the various techniques will prepare fellows to successfully utilize these skills to provide anesthesia and analgesia options to the ambulatory surgery population.
Fellows are trained in various regional anesthesia techniques that are used to enhance the perioperative experience of one-day surgery patients. These anesthesia techniques are beneficial in their postoperative pain management and in the reduction of postoperative nausea and vomiting. Fellows will also gain invaluable experience with the use of continuous peripheral nerve catheters which control pain up to two to four days after surgery. They will also continue the use of general anesthesia during their fellowship.
Note: The ACGME recently approved the subspecialty, Acute Pain Medicine and Regional Anesthesiology. Our application for accreditation is currently being submitted with anticipated approval of a July 2017 start date.
The Undersea & Hyperbaric Medicine Fellowship is highly competitive. Training is designed to prepare fellows to become leaders in the field of undersea and hyperbaric medicine through the development of clinical competence and research expertise.
Fellows work in the Center for Hyperbaric Medicine and Environmental Physiology, an integral part of Duke University Medical Center. Four fellowship positions are available each year. Applicants must be eligible for licensure as a trainee in the state of North Carolina, completed an ACGME-certified residency program and be board eligible in their specialty.