Chair's Welcome

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The Department of Anesthesiology at Yale University School of Medicine is recognized as a leader in anesthesiology education and research. Since achieving departmental status in 1968, our clinical practice has grown in both volume and scope. Our clinical services are providers in patient and ambulatory operating rooms at both campuses of YNHH as well as Temple Surgery Center. At Yale New Haven Hospital, we provide care to the entire spectrum of patients, from ASAI to ASA V. Additional sites include: Yale-New Haven Children's Hospital, The Smilow Cancer Center, labor and birth, the Surgical Intensive Care and Cardiothoracic Intensive Care units, YNHH’s preadmission testing center (with adult and pediatric), the preoperative pain service and in numerous procedural areas including: interventional radiology, diagnostic imaging, radiation oncology and GI suite. We are also responsible for anesthetic services at the West Haven VA. 

The Department

Currently the department is comprised of 105 faculty members, 57 residents, 80 CRNAs and 12 clinical fellows. As we practice in a care team model, we also employ CRNAs, APRNs, PAs, RNs and technicians who assist us in the care of our patients. This year, we will deliver over 52,000 anesthetics in more than 80 clinical locations. There have been dramatic and sustained increase in clinical volume in the operating room setting as well as in OB, pain and out of OR anesthesia care. Our clinical practice is divided into clinical divisions focusing on specialty specific care/areas. These divisions include: Ambulatory, Cardiac, Adult Perioperative, OB/Gyn, Pediatrics, Pain Medicine, Non OR anesthesia (NORA) and VA. The section of perioperative adult anesthesia is the largest division and as a result is further divided into the following sections: bariatric, regional, thoracic and vascular, neuro, ENT, preadmission testing and intensive care medicine. In all divisions/sections, faculty has fellowship training to assure that our clinical and education programs are contemporary and that our patients receive “state of the art” care. 

Residency

Our residency program is comprised of 57 PGY II – PGY IV spots with an additional 9 PGY I spots. Our residents are exposed to a diverse patient population. We strongly encourage the pursuit of academic activities during the residency and offer protected time for pursuing these endeavors. Residents with a known interest in research may select the Resident Scholars Program (please see link for future details). During the CA-III year residents may receive up to 6 months of protected time for research related activities. Our educational program incorporates innovative and novel educational offering including: pod casting of lectures, simulation based seminars, on line curriculum for all clinical rotations as well as board review course (for both the written and oral exam). We also offer workshops for vascular access, regional anesthesia and the latest airway techniques/devices. The didactic educational program is focused on providing the most relevant material based on resident year/experience. Our grand rounds programs highlights faculty for the department, the large Yale community as well as numerous visiting professors (national and international). Fellowship opportunities are offered in ambulatory, cardiac (ACGME), pediatrics (ACGME), regional, OB (ACGM) and our newest fellowship in quality and safety. Over the next year, there are plans to develop ACGME approved fellows in pain medicine and critical care. 

Research

Our Research Program is under the directorship of Laura Niklason, Vice Chair for Research. Laura’s lab is focused on cutting edge research in the areas of vascular biology, tissue engineering and regeneration medicine. Dr. Robert LaMotte’s lab is renowned for its work in the area of identifying the neural mechanisms of pain and itch. Most recently his lab began a investigation into the use of nano-technology for drug delivery. In this clinical research area, Dr. Robert Schonberger (Associate Director of Research) is looking at the impact of interventions in the perioperative period and these impacts on anesthetic outcomes. Other examples of areas of ongoing clinical investigations include: noninvasive method for blood volume determination, novel technique for temperature monitoring, the impact of cardiac assist decides on neural humoral factors, the impact of regional anesthetic techniques on ovarian cancer recurrence and evaluation of pharmacological agents to reduce emergent delirium in pediatric patients. The department is fortunate to be one of among only 11 department of anesthesiology that has been awarded the T-32 training grant by the NIH. This provides an opportunity for us to train the next generation of physician scientists. T-32 trainees can chose from a variety of research venues/opportunities. Please visit this link on the site to learn about this exciting program. 

Conclusion

It is clear that we are all in the midst of a rapidly evolving health care environment. To ensure that the department continues to lead our specialty; we are embarking upon this creation of a perioperative surgical home model. It has been an honor and privilege to serve as the chair of the Department since 1995. I am delighted that I have been able to share a brief overview of the many innovative and exciting programs that we offer. I encourage you to explore the many links provided on this site to learn more about specific areas of interest.