Pediatric Fellowship Overview

Pediatric Fellowship Overview

Annually we receive approximately 275,000 patients, with around 50,000 of them coming by way of the emergency department. St. Louis Children’s Hospital is a 12 floor building situated in the heart of the Washington University School of Medicine (WUSM) and BJC medical campus. The medical campus is located in the historic Central West End community of Saint Louis. We are across the street from Forest Park, one of the largest urban parks in the nation.   Forest Park is home to the St. Louis Zoo, St. Louis Science Center, the History Museum and the Art Museum. We are also a short distance away from the Missouri Botanical Garden, St. Louis Arch, and Laclede’s Landing.

Founded in 1879, St. Louis Children's Hospital’s 264 bed facility make it one of the premier children's hospitals in the United States. Some of the major SLCH facilities include 15 operating suites, a 30‐bed PICU with 31-bed Heart Center and a 70-bed newborn intensive care unit.

The 25 faculty members in the Division of Pediatric Anesthesiology are all members of the Department of Anesthesiology at Washington University in St. Louis School of Medicine. We provide all of the clinical services for anesthesia at St. Louis Children’s Hospital.  The anesthesia and pain services include the provision of inpatient and ambulatory anesthesia for infants and children in the general operating rooms, at locations within SLCH including diagnostic radiology, interventional radiology, and the cardiac catheterization laboratory. In addition, we service satellite locations on our BJC medical campus (radiation and proton therapy, intraoperative MRI, robotic surgery). We recently opened an outpatient surgical center in a free-standing ambulatory center to serve the surrounding community, Children’s Specialty Care Center

Approximately 16,000 anesthetics are administered each year to children of all ages, surgical conditions, and severity of illness. All surgical subspecialties are represented, including cardiac surgery, transplantation, and major craniofacial surgery.  We also provide a full range of diagnostic and therapeutic acute and chronic pain services, including both postoperative pain management and outpatient clinics.

St. Louis Children’s Hospital serves as the primary site for pediatric anesthesia training for anesthesia residents.  The fellowship is directed by Dr. Anshuman Sharma.  The faculty members in our division have diverse training backgrounds with the majority of faculty having board certification in pediatric anesthesiology and many with certification in   pediatrics, emergency medicine, and medicine.  Our research interests are primarily clinical and educational research. A number of our faculty have education responsibilities in the Anesthesiology Department, at SLCH and at Washington University School of Medicine. Thomas Cox, MD is the Vice Chairman for Education.  James Fehr, MD, a pediatric intensivist and anesthesiologist, is the director of the Saigh Pediatric Simulation Center. Our division director, David Murray, the Carol B. Loeb and Jerome T. Loeb Professor of Medicine, leads the simulation initiative at WUSM and directs the Howard & Joyce Wood Simulation Center.

The Fellowship Experience

Clinical Experience

During the program fellows rotate through assignments including pediatric cardiac anesthesia, pain management, pediatric and intensive care, and general pediatric anesthesia. Fellows have 1-2 months of elective time.

Research

Fellows are given opportunities to pursue research activity, collaborate with faculty, and present at division conferences. Fellows are strongly encouraged to submit their work to national conferences, particularly the annual Society for Pediatric Anesthesiology meeting. 

Mentoring

Faculty are highly involved in all aspects of the program. Our division faculty includes recognized experts in pediatric cardiac anesthesiology, pain management, and human patient simulation education. Fellows are paired with a faculty mentor within the first two months to assist with career guidance and matriculation through the program.

Pre-requisites

Qualified candidates will successfully complete residency training in anesthesiology at an accredited training program and will be/eligible in board certified in anesthesiology. We participate in the National Residency Match Program.  

Conferences

  • Grand Rounds, every Wednesday
  • Morbidity and Mortality Conferences, monthly
  • Journal Club, monthly
  • Skills Days, monthly
  • Pediatric Anesthesia Conferences, bi-weekly

Core Rotations

Each Block is 4 weeks; 13 blocks total.

  • 6 Blocks General Pediatric OR
  • 2 Blocks Pediatric Cardiac Anesthesia
  • 2 Blocks Pediatric Pain Management
  • 1 Block Pediatric and Neonatal Intensive Care
  • 1-2 Blocks-Elective