Fellowship Application | Duke Department of Anesthesiology

Please apply for the following programs through their respective matches, either NRMP, or SF Match unless you are an off-cycle applicant.

Adult Cardiothoracic Anesthesiology
Critical Care Medicine
Obstetric Anesthesiology

Pain Medicine
Pediatric Anesthesiology
Regional Anesthesiology & Acute Pain Medicine

Please check the appropriate box for the desired fellowship program.

Neurosurgical Anesthesiology

Pediatric Cardiothoracic Anesthesiology

Perioperative Medicine

Undersea & Hyperbaric Medicine

Desired Date of Fellowship:

From

I. PERSONAL BACKGROUND

Upload Document

Please upload a copy of your CV.

One file only.
5 MB limit.
Allowed types: pdf, doc, docx.

Name

Phone

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Visa Status (if applicable):

Permanent

J-1

H1B

Other

USMLE Scores: (Submit OFFICIAL transcripts)

Part I

Part II

Part III

NOTE: To receive a North Carolina Medical license, each step of the USMLE or COMLEX must be passed within three attempts.

Upload Documents

Upload your transcripts.

Maximum 3 files.
5 MB limit.
Allowed types: pdf, doc, docx.

Submit In-Training Examination Reports:

CA1 ITE:

CA2 ITE:

CA3 ITE:

II. INTERNSHIP

Location:

Date:

III. RESIDENCY TRAINING

Specialty/Location:

Date:

Specialty/Location:

Date:

Specialty/Location:

Date:

IV. GRADUATE EDUCATION

Location:

Date:

Field of Study:

Degree:

Location:

Date:

Field of Study:

Degree:

Location:

Date:

Field of Study:

Degree:

V. UNDERGRADUATE EDUCATION

Location:

Date:

Field of Study:

Degree:

Location:

Date:

Field of Study:

Degree:

VI. HONORS AND/OR AWARDS

VII. PERSONAL STATEMENT

Upload Document

Submit a one-page statement.

One file only.
5 MB limit.
Allowed types: pdf, doc, docx.

VIII. REFERENCES

Upload Documents

In addition to a letter from your Chairperson/Program Director, include two letters from other faculty members who have worked with you closely.

Maximum 3 files.
5 MB limit.
Allowed types: pdf, doc, docx.

Reference 1:

Reference 2:

Reference 3:

Adult Cardiothoracic Anesthesiology
Michael Cutrone, DO
Critical Care Medicine
Nazish K. Hashmi, MD
Neurosurgical Anesthesiology
Michael “Luke” James, MD, FAHA
Obstetric Anesthesiology
Mary Yurashevich, MD, MPH
Pain Medicine
Peter Yi, MD, MSEd

Pediatric Anesthesiology
John B. Eck, MD
Pediatric Cardiothoracic Anesthesiology
Warwick A. Ames, MBBS
Perioperative Medicine
Basma Mohamed, MB, ChB
Regional Anesthesiology & Acute Pain Medicine
Amanda H. Kumar, MD
Undersea & Hyperbaric Medicine
Bruce J. Derrick, MD

Duke University Medical Center
Department of Anesthesiology, Box 3094 DUMC
Durham, NC 27710 USA

Duke is an equal opportunity employer. All applicants are considered without regard to race, color, religion, gender, or national origin.