Annual Rotation Schedule Includes:
- Main Operating Room (OR)
- Cardiac OR
- Ambulatory Surgery Center
- Cardiac Catheterization Lab
Inpatient and Outpatient
|Intensive Care Unit
Cardiac Intensive Care Unit (ICU) and/or multidisciplinary Pediatric Intensive Care Unit (PICU)
*One dedicated academic day per week for scholarly pursuits.
During the Pediatric Anesthesiology Rotation (10 months throughout the year), the fellow will be exposed to complex surgical procedures in both general pediatric and pediatric cardiac surgery. A feature unique to the Duke Pediatric Anesthesiology fellowship is that the fellow has direct input into her/his daily case assignment. This allows the fellow to help select “fellow-level” cases and to maintain an optimal balance in the mix of cases throughout the year. Based on case log data from the ACGME compiled for all 50+ approved fellowship programs in the country, our fellows have consistently acquired numbers of cases at greater than the 50th percentile in the following case categories:
- Cardiac (>80%)
- Newborn (90%)
- Infants (1-11 months) (>90%)
- Craniofacial Reconstruction (>70%)
- Solid Organ Transplant (90%)
- Airway Surgery (75%)
- Fiberoptic Intubation, arterial cannulation, and central venous cannulation (>90)
The operating room rotation is the main opportunity for the fellow to learn advanced pediatric airway, invasive monitoring and regional anesthesia skills (our fellows also acquire these procedures in numbers above the 50th percentile of the ACGME database). Training in pediatric cardiac anesthesia is not obtained in a block rotation, but is assigned one day per week throughout the year, allowing a progressive education throughout the year. One to two days per month are spent at the Duke Ambulatory Surgery Center learning regional anesthesia techniques and one to two days per month in the Pediatric Cardiac Catheterization Lab. Occasional assignments occur outside the operating room, preparing the fellow to provide anesthesia for a variety of radiologic imaging/interventional studies, minor invasive/diagnostic procedures and radiation therapy for infants and young children.
Pain Service and ICU
One-month rotations in Pediatric Critical Care (multidisciplinary and/or cardiac PICU) and Pediatric Acute Pain provide the fellow with extensive experience in the postoperative care of these complex patients (see descriptions and links below).