Pediatric Anesthesia Top Programs

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halogenated

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Looking for opinions on what the top pediatric anesthesia fellowship programs are. Not sure about cardiac or not yet, so I figured I'll go somewhere that has a good deal of ped hearts.
 
Looking for opinions on what the top pediatric anesthesia fellowship programs are. Not sure about cardiac or not yet, so I figured I'll go somewhere that has a good deal of ped hearts.

CHOP and Boston Childrens
 
Speaking to a previous SPA president who does frequent audits of peds programs, he told he in no particular order his top programs included:

CHOP, Boston, Hopkins, Children's hospital Denver, Cincinnati, Seattle, George Washington (DC), Baylor, Northwestern, Pitt, Emory
 
Speaking to a previous SPA president who does frequent audits of peds programs, he told he in no particular order his top programs included:

CHOP, Boston, Hopkins, Children's hospital Denver, Cincinnati, Seattle, George Washington (DC), Baylor, Northwestern, Pitt, Emory

How about Floating? Opinions on their program?
 
Most peds fellowships will give you good training. In addition to the ones named above, people have said good things about Texas children's hospital, Mayo-jax, Loma Linda, Columbia, Penn state, etc. Some that are underrated but actually quite good include Arkansas Children's Hospital and Children's Hospital of Oklahoma. I guess people tend to overlook certain programs because of location, but honestly you should go where you will get the best training in an atmosphere conducive to learning. I knew one fellow who went to a very big, well known program who said her experience was diluted because there were so many fellows, residents and crnas(!) fighting for a limited number of cases.
 
Looking for opinions on LA vs. Stanford. Also, thoughts on Yale, Michigan, Pitt?

If you are even remotely thinking of doing peds hearts I would look into the University of Michigan. In terms of volume and breadth of cases it is arguably one of the top five in the country. When looking at numbers, you also have to consider the number of fellows that those cases are distributed around to. At Michigan there are more than enough cases for each fellow. The teaching is great and the surgeons are pleasant to work with. When looking at programs try to find out who puts the lines in the patients for cardiac cases. That is a major skill to have and one that you acquire by taking care of sick patients, even for non-cardiac surgery. My understanding is that at CHOP, for example, the surgeons usually perform a-line cut-downs and place intracardiac lines coming off bypass rather than the anesthesiologist placing percutaneous central lines. That does nothing for you clinical skills as a peds anesthesia fellow. Something to keep in mind.
 
UNC pediatric fellows generally have their choice of the next day's cases (literally, the pediatric scheduler shows them the schedule and asks them what they want to do) when on general OR rotations and spend 1-2 days a week in a cardiac room. If you don't mind a small, close-knit department, it's an extraordinary fellowship.

I had a lot of pediatric exposure during residency and wanted to get the take of a different institution for fellowship but good gracious, there's not a lot that would scare you coming out of that place with fellowship training. The problem with big name programs is the dilutional effect that the larger number of fellows has but if the academic milieu is your bag, maybe you prefer the CV buffering to clinical exposure...
 
CHOW/MCW needs to be in this discussion. Constantly ranked as a top 5 pediatric hospital, great pediatric heart program, great pediatric pain program, great pediatric neuro cases, essentially every case in large volumes. As a resident I had >30 cases of <3months, >100 cases of <3yo, and close to 300 <12yo including over 20 open craniotomies (tumor resections, moya-moya, primary craniosynotosis repair), sat in on a couple hearts (not enough fellows to cover all the hearts so staff will sit their own hearts), trauma etc, etc. Multiple staff that very involved in critical care. MCW has a pediatric/anesthesiology combined residency program. Again CHOW/MCW needs to be in the discussion.
 
CHW (MCW) is often overlooked in this discussion. It is an outstanding program which lacks the "big name reputation" of some of the other programs, because of its location.
 
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