Mount Sinai St. Luke's Roosevelt Anesthesiology Fellowships

The Department of Anesthesiology provides fellowship opportunities at the CA-4 level in obstetric anesthesiology, cardiothoracic anesthesiology, and pain management. These programs provide trainees with advanced training and research skills in these clinical subspecialties.

Obstetric Anesthesiology
Our program offers two, one-year fellowship positions in obstetric anesthesiology under the direction of David J. Birnbach, MD, and a staff of three fellowship-trained obstetric anesthesiologists. The members of the division of obstetric anesthesia provide labor analgesia for approximately 75 percent of our nearly 5,000 deliveries each year. This active service provides ample opportunity for fellows to supervise and personally administer numerous neuraxial blocks.

A labor and delivery ICU at the Roosevelt Division has recently been opened. This allows the anesthesiologists and obstetricians to provide optimum care for the highest-risk group of pregnant patients, including those whose diseases necessitate the use of invasive monitoring.

A close relationship with the obstetricians and neonatologists provides an excellent environment for patient care and joint research endeavors. Weekly interdepartmental conferences allow the obstetric anesthesiology fellow to better understand and communicate the problems of the high-risk parturient. While on the labor floor, obstetric anesthesia fellows have the opportunity to teach residents, medical students, and rotating OB/Gyn residents. There are presently 11 obstetric anesthesia research projects ongoing. These studies are funded by grant support from the Anesthesia Patient Safety Foundation, Society for Education in Anesthesia, B. Braun Co., 3M Co., Roche Co., and Glaxo Wellcome Co. Each fellow is expected to participate in ongoing research as well as to design, attain IRB approval for, and implement a research project. A weekly obstetric anesthesiology conference with a statistician exposes the fellows to the statistical analyses necessary to conduct clinical research.

Cardiothoracic Anesthesiology
The Department offers two fellowships in cardiothoracic anesthesiology, one clinical and one research fellowship, under the direction of Zak Hillel, MD. During the clinical fellowship, the fellow will participate in the care of more than 800 adult patients undergoing cardiothoracic surgery at Mount Sinai St. Luke's Roosevelt. The clinical fellowship emphasizes excellence in clinical cardiothoracic anesthesia, including the possibility to acquire advanced training in perioperative transesophageal echocardiography. The anesthesia team uses TEE in every cardiac surgical patient. Educational opportunities in TEE include rotations in the echocardiography laboratory and weekly combined anesthesia-cardiology case conferences. The cardiothoracic anesthesia division is also very actively involved in large multi-center drug studies that provide the fellow with an opportunity to participate in clinical research.

The research fellowship is focused on the development of successful research skills related to the implementation of new cardiac monitoring techniques. The research fellow participates in research on the most advanced new applications of echocardiography for the evaluation of ventricular function. The cardiothoracic anesthesia division is developing software and hardware that provide novel insights in ventricular function using echocardiographic and other physiologic data. A strong background in computers or engineering are a definite plus.

Pain Management
The Department of Anesthesiology is fully committed to the care of patients in acute and chronic pain. A multi-disciplinary pain service, headed by Ronny Hertz, MD, DDS, offers two CA-4 pain management fellowship positions.

Resources include a full-time pain management center with a staff of four board-certified pain management specialists, a pain library, and research facilities. There is a multidisciplinary support staff, including a neurologist, psychologist, psychiatrist, otolaryngologist, neurosurgeon, orthopedist, dentist, and physiatrist. PCA, regional blocks, epidural narcotics, cryotherapy, and conventional pharmacology are all utilized for the treatment of pain.

Fellows experience the whole spectrum of pain management through chronic pain clinic, biofeedback lessons, X-ray rounds, acute pain rounds, and invasive intraoperative pain interventions. Numerous nerve blocks, often utilizing fluoroscopic guidance, are performed by fellows under the direct supervision of a pain management attending. Weekly lectures and cadaver dissections are part of the didactic program.

Our Mailing Address:

Department of Anesthesiology

Mount Sinai St. Luke's Roosevelt
1111 Amsterdam Avenue
New York, N.Y. 10025
Phone: (212) 523-2500
Fax: (212) 523-3930