Clinical Care Education Research

Clinical Care Education Research 2016-2017 DEPARTMENT PROFILE We are We are We are We are Compassionate: Creative: Committed: Collaborative: Offering exceptional perioperative care and Advancing the frontiers of science, Equipping future global leaders with the Working across Vanderbilt University pain management to a complex population. healthcare and technology. latest knowledge and skills. Medical Center and beyond to achieve measurably improved outcomes. Department of Anesthesiology Compassionate | Creative | Committed | Collaborative 3 Message from the Chair Thank you for your interest in the We are creative, advancing the frontiers of Our dedicated faculty is committed to Vanderbilt University Medical Center science, healthcare and technology. Our equipping graduates for a promising Department of Anesthesiology. Our growth informatics infrastructure continues to future in anesthesiology. We offer training and success stem from the foundation of increase patient safety and clinician using cutting edge technology along with Vanderbilt University Medical Center’s effectiveness through innovative methods opportunities to improve systems of care. five-pillar commitment to excellence, which and novel use of both live and We provide a closely guided mentorship consists of people, service, quality, growth archived data. program, balancing subspecialty training, & finance, and innovation. Our department clinical experience and a broad range follows the Vanderbilt credo, driving us to Our investigators brought in more than of academics. achieve excellence in healthcare, research $8.0 million in total extramural research and education; we treat others as we wish funding in 2015-16. This included more Much of our success can be attributed to be treated; and we continuously evaluate than $4.5 million in awarded NIH grants, to the collaboration that occurs across and improve our performance. As the role which placed Vanderbilt Anesthesiology Vanderbilt University Medical Center and Warren S. Sandberg, MD, PhD of the anesthesiologist evolves into that 9th among U.S. academic anesthesiology beyond. Our clinical teams assisted patients Chair, Department of Anesthesiology of a perioperative consultant, our diverse departments in NIH funding. Within the in more than 80,000 encounters last year, Vanderbilt University Medical Center team of experts remains at the forefront of department, faculty published 241 papers spanning the entire spectrum of anesthesi- knowledge and technology in patient care, in fiscal year 2016, up from 197 papers ology; for every age group, subspecialty and research and education. in fiscal year 2015, within peer-reviewed procedure, caring for patients along their literature. Twenty-seven members of the journey to wellness. And we are moving Our values - compassion, creativity, com- department have been elected into the beyond Vanderbilt’s traditional walls. The mitment and collaboration - emerge as the Association of University Vanderbilt Health Affiliated Network is the keystones of our structure and systems, Anesthesiologists (AUA). largest of its kind and growing rapidly, and as seen throughout this guide. We are our department is leading telemedicine and compassionate, based not only on our own At the 2015 Annual Meeting of the remote presence projects to bring our skills assessment but also on what we are being American Society of Anesthesiologists, and values to more patients. told. Our patients are recovering faster and department members contributed more with greater comfort through implementa- than 100 entries, including oral presenta- As you read through the following pages, tion of Enhanced Recovery After Surgery tions, medically challenging cases, poster we invite you to contact us or visit our web- (ERAS) protocols, a collaborative effort led presentations, problem-based learning site at www.vandydreamteam.com to learn by our faculty, our trainees and our discussions, workshops, panel discussions more about our progams. surgical colleagues. and refresher courses. 4 Department Leadership Executive Committee Division Chiefs Brian J. Gelfand, MD Matthew McEvoy, MD Mark Rice, MD David H. Chestnut, MD Suanne Daves, MD Eric Delpire, PhD Associate Vice Chair, Vice Chair, Educational Associate Vice Chair, Chief, Obstetric Chief, Pediatric Cardiac Chief, Basic Science Research Educational Affairs Affairs Clinical Affairs Anesthesiology Anesthesiology Chief, Multispecialty Adult Anesthesiology Andrew Shaw, MB, FRCA, Edward Sherwood, MD, PhD Matthew Weinger, MD Kurt Dittrich, MD Katherine Dobie, MD Brent Dunworth, CRNA, MBA FFICM, FCCM Vice Chair, Research Vice Chair, Faculty Affairs Interim Chief, Pain Medicine Chief, Ambulatory Chief CRNA Executive Vice Chair, Cornelius Vanderbilt Chair in Anesthesiology Associate Director for Anesthesia Anesthesiology Anesthesiology Advanced Practice Nursing Stephen Doherty, MMHC Mias Pretorius, MBChB, MSCI Pratik Pandharipande, MD, MSCI Ann Walia, MBBS Department Administrator Chief, Cardiothoracic Chief, Anesthesiology Chief, Veterans Affairs Anesthesiology Critical Care Medicine Anesthesiology Service 5 Previous Department Chairs Dr. Benjamin H. Robbins Dr. Charles B. Pittinger Dr. Bradley E. Smith Dr. Charles Beattie Dr. Jeffrey R. Balser Dr. Michael S. Higgins 1946-1961 1962-1969 1969-1993 1994-2001 2001-2004 2004-2010 History Ƥ of anesthesiology in the United States, established on December 12, 1945. After observing that the battlefield-wounded of World War II were more likely to survive if they received immediate, skilled anesthesia care, Vanderbilt physicians advocated that anesthesiology be established as an autonomous department. At that time, few medical schools pos- sessed an academic anesthesiology service of any type. This tradition of pioneering in our specialty continues today. Our exemplary faculty provide top-quality clinical services for a full spectrum of medical specialties. Vanderbilt Anesthesiology is recognized as an innovator in perioperative management, healthcare information technology, clincial outcomes research, education and international capacity building. We also have high-caliber basic science and clinical research teams pursuing fundamental and translational knowledge to directly improve patient safety and care. About Vanderbilt University Medical Center Vanderbilt University Medical Center Vanderbilt University Medical Center ȋȌǯƤ named one of healthcare’s “Most Wired” by providers of specialty care by U.S. News the American Hospital Association in Hospi- and World Report and named the No. 1 tals and Health Networks magazine (2016). hospital in Tennessee and the Metro Nashville area. Monroe Carell Jr. Children’s Hospital at Van- derbilt named as one of the elite children’s Vanderbilt University Medical Center hospitals in the nation, with 10 out of a named among the “100 great hospitals in possible 10 specialties nationally ranked America” (Becker’s Hospital Review, 2016). (U.S. News & World Report, 2016). About Nashville Nashville’s history of country inexpensive, since the Nash- economic growth, Nashville music earned the city its fame ville International Airport is a was ranked the #1 city in the as Music City, USA - but this Southwest Airlines hub. With U.S. by Forbes in terms of metropolis is about much more a growing population of more business sector growth, with than tunes and twang. Visi- than 650,000 people, Nashville employment growth of 47.7% tors and residents enjoy great has been nicknamed “Nowville” since 2010, as well as the #1 dining, entertainment and by GQ magazine and called the metro housing market in the cultural life. Travel to and from “It City” by The New York Times. nation. Nashville is convenient and A hub for massive and rapid Clinical Care We are compassionate, offering exceptional perioperative care and pain management to a complex population. Serving in one of the largest clinical anesthetics per year in the labor and calendar year results, compared with programs in the nation, the Vanderbilt delivery suite. similar centers nationwide. Department of Anesthesiology’s clini- cians provide procedural, critical care, Our trauma service, which includes the Perioperative medicine is built on full pain management and all periopera- orthopedic trauma program, is among engagement in patient care, from diag- tive anesthesia services for more than the busiest in the nation and ranked nosis to operative recovery. It includes 100,000 adult and pediatric patient as a Level One trauma facility, with a full-time teaching service with 24/7 encounters annually at more than 100 more than 1,700 LifeFlight helicopter consultative availability and exten- anesthetizing locations. Of these, more transports this year. sive use of system-wide information than 8,000 patients are seen annually technology and mobile applications to in the Vanderbilt Interventional Pain The Vanderbilt Preoperative Evaluation support clinical decision-making, cap- Clinic, and approximately 23,000 Center (VPEC) offers preoperative ture data and measure outcomes, such Vanderbilt adult and pediatric patients evaluation before patients undergo as the quality of recovery after surgery. receive anesthetic care during a radio- procedures at Vanderbilt University Vanderbilt is one of the few medical logic, gastrointestinal or other diagnos- Medical Center. In 2015 – for the training centers with a 3D transesoph- tic or therapeutic procedure. seventh year in a row – VPEC received ageal echocardiography (TEE) simula- a Professional Research Consultants, tor,

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