Background: The Pediatric Anesthesia Fellowship program at Boston Children’s Hospital is the largest fellowship in the United States, training 16 – 18 pediatric anesthesia fellows annually. The fellowship draws on the expertise and vast opportunities provided by the department of anesthesia, the hospital and Harvard Medical School. This simulation training program was established in 2011 to add to the quality of the fellowship training and to improve their clinical pediatric anesthesia practice and has trained over 50 fellows to date. The simulation program offers the fellows a safe place to practice the management of difficult and rare pediatric surgical cases that can be associated with high morbidity and mortality.
Format: 3 – Full day training sessions spaced out through the duration of the fellowship program
Venue: OR Procedural Simulation Suite (ORSIM) and Hospital PACU Room (In-situ)
Frequency: Each module 4 times per year (12 sessions per academic year)
Participants: 4 Pediatric Anesthesia Fellows (2 MOR, 1 ICU rotation, 1 Pain rotation)
Expertise Level: Novice – Intermediate
Course Leaders: Bistra Vlassakova, MD, Carlos Munoz, MD, Linda Bulich, MD, Julianne Basik, MD, Elizabeth Eastburn, MD, Charles Nargozian, MD, Andres Navedo, MD
- Provide pediatric anesthesia fellows with clinical experience on complex and rare high acuity clinical scenarios as well as more frequent anesthesia and surgical emergencies where clinical judgment and expertise are required for optimal patient management.
- This course maximizes the training experience with the use of many training tools including simulated clinical scenarios in actual operating room utilizing pediatric anesthesia simulators, high quality debriefing by experience pediatric anesthesia staff, didactic presentations, training videos and performance enriching games. This allows the fellows to share their clinical experiences with other trainees and the pediatric anesthesia faculty to enhance their learning, as well as identify strengths and areas in need of improvement in their clinical practice.
- In addition to the clinical skills training the course introduces the principles of Anesthesia Crisis Resource Management (ACRM) to increase awareness of the importance of behavioral skills to optimal patient management as well as building a culture of better communicator and teamwork.