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The Department of Anesthesiology and Pain Management at UT Southwestern Medical Center welcomes you to our website! As one of the six largest residency programs in the country, this department consistently attracts superior quality residents and has a long history of excellence in educating anesthesiologists and promoting the field of anesthesiology.
It is the vision of this department to advance our superior academic training status and research capabilities, while continuing to provide excellent perioperative clinical care. Please use this website to learn more about us, our city, and our programs. We look forward to interacting with you more in the near future.
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The Department of Anesthesiology and Pain Management is dedicated to improving the quality of care across all of the UT Southwestern Hospitals. On May 16, five members of the department (Dr. Pam Fox, Dr. Tiffany Moon, Dr. Philip Greilich, Dr. Amy Woods, and Dr. Marco Aguirre) attended Dr. Brent James' lecture entitled Quality Improvement: An Imperative for Organizational Survival. Dr. James is the Chief Quality Officer and Executive Director of the Institute for Health Care Delivery Research at Intermountain Healthcare in Salt Lake City, UT. Participants learned about clinical quality improvement, patient safety, and the infrastructure that underlies successful improvement efforts. |
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On March 15, 2013, the results of the Resident Match were announced. The Department of Anesthesiology and Pain Management matched a group of  exceptional medical students. We are extremely pleased with the quality of the incoming medical students who matched in our categorical internship for a July 2013 start. These fifteen soon to be medical school graduates had an average score of 223 on the USMLE Step 1 and 240 on the USMLE Step 2. In addition, we matched into our four available advanced (CA-1) positions, a quality group of residents who are looking to become anesthesiologists. Again, these match results could not have been possible without the extraordinary efforts of the Residency Recruitment Committee: Dr. Catherine Barden, Director; Dr. Owen Davenport, Co-Director; and our Education Coordinator, Ms. Aretha Caesar. The Chief Residents, Drs. Adams, Romito and Sugeir, were also instrumental in organizing the recruitment dinners and tours for the interviewees. Thanks also go out to everyone who participated as an interviewer or reviewer for the process. Without the team working together, such exemplary results would not be possible. |
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Patient Safety through Simulation |
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 The UTSW Anesthesia Simulation Team is a cohesive group of dynamic anesthesiologists, who's mission is to increase Patient Safety and Hospital quality through the use of High Fidelity Simulation. We utilize a state-of-the-art High Fidelity Simulation lab, trained confederates (actors), simulation specialist support staff, and seasoned simulation instructors to create a safe, interactive, and positive learning environment. Using a video-assisted debriefing model, our certified instructors enable the participant to self-reflect on their ability to navigate an emergent situation. Our curriculum is robust, including over 200 independent simulations, that includes special courses in the areas of TEAM Training Steps/CRM Principles and Practice, Cardiac anesthesia, High Risk OB anesthesia, Critical Care, Neuro-Critical Care, Pediatric anesthesia , and Management of the Difficult Airway.
Our instructors have recently received special training in Brain Based Learning paradigms, with application in the teaching of Crisis Resource Management and TEAM Training to hospital systems.This unique skill set enables our instructors to empower our clients, of different disciplines and varied experiential learning, to encode in a lasting way, principals learned in the simulation lab to practice through self-reflection. We aspire to be the premier MOCA center in the Dallas Metroplex by years end. |
Sumeet S. Teotia, MD, Assistant Professor of Plastic Surgery, and Bardia Amirlak, MD, Assistant Professor of Plastic Surgery, are debuting the introduction of their documentary "Smiles at 10,000 Feet" filmed during a medical mission trip in July 2012 in Peru that three residents (Anna Allred, MD, Kristina Goff, MD and Meghan Michael, MD) and two faculty (Carl Adkins, MD and Irina Gasanova, MD PhD) from the department of anesthesiology were a part of. The video will feature Dr. Adkins and the team.
The presentation "The Art & Culture of Cinema and Movie making through a Medical Humanitarianism Perspective-The Making of SMILES AT 10,000 FEET" will take place as part of cultural week at UTSW Medical School on the UTSW South Campus on Feb 14, 2013 at 12 noon in D1.600A. |
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Circles of Life Recognition |
 | The Department of Anesthesiology and Pain Management is extremely proud to share that two of our own have been selected with special honor at Parkland Memorial Hospital. Resident Megan Maxwell, M.D. and Dr. John Pennant, M.D. have been selected by their peers because they felt they best represented what the Circles of Life program is all about. The Circles of Life Recognition is a Bi-Annual program at Parkland Memorial Hospital. Congratulations to Drs. Maxwell and Pennant! | |
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December 2012 Clinicians of the Month |
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Congratulations to the 2013 - 2014 Anesthesiology and Pain Management Chief Residents |
 | Thanks to all of you for participating in the Chief Resident election this year. We are very thrilled to announce the Anesthesiology Chiefs for academic year July 1, 2013 through June 30, 2014.
Please join us in welcoming and congratulating:
Kristina Goff
Megan Maxwell
Meghan Michael
I would also like to take this opportunity to thank Brian Adams, Bryan Romito and Shihab Sugeir for the fantastic job they have done as 2012-2013 Chiefs. |
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Residency Training Program and Fellowship Programs Recieve Accreditation from ACGME |
 | The Department of Anesthesiology and Pain Management is proud to announce that the Core Residency Training Program received a five year accreditation cycle from the Accreditation Council for Graduate Medical Education (ACGME). The Pediatric Anesthesiology Fellowship received a four year accreditation cycle. Also, the Obstetric Anesthesiology Fellowship program was accredited by the ACGME. We thank all the faculty, fellows, residents and staff for their support and assistance with the application processes and site visits. |
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Residency Recruitment 2012-13 has Begun |
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The 2012 - 13 Anesthesology and Pain Management Recruitment Season was kicked off at the home of Dr. & Mrs. Whitten with the UT Southwestern Medical Students interested in applying to our residency program in attendance. It was a chance for the medical students to meet the program directors, chiefs and some of the faculty of our department. You can see pictures from the event on our facebook page here |
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Pediatric Team Presents and Chosen Best Oral Presentation at the ECMO conference |
| Title: Successful Management of Extubated Pediatric Patients During ECMO Support
Authors: Pilar Anton-Martin, MD*, James Thomas, MD*, Paul Sheeran, MD*, Donna Taylor, RRT^, and Marita Thompson, MD*
Institution: University of Texas Southwestern Medical Center*, Dallas, Texas and Children’s Medical Center Dallas^, Dallas, TX.
Background: The traditional approach to pediatric ECMO management has been to maintain patients intubated and heavily sedated. Known complications regarding this strategy, however, include ventilator–induced lung injury, ventilator-associated pneumonia, prolonged patient immobilization, and delirium due to excessive sedation. Several adult ECMO centers have reported favorable outcomes with patients that are not intubated during ECMO support.
Methods: Retrospective review of eight children who were successfully managed extubated during ECMO support.
Results: ECMO was initiated due to respiratory failure in seven of the eight patients in the series. The causes of the respiratory failure included airway compression due to a mediastinal mass (N=2), aspiration pneumonitis (N=1), interstitial lung disease (N=1), massive air leak due to RSV bronchiolitis (N=1), pertussis pneumonia (N=1), and meconium aspiration (N=1). ECMO support was initiated in the one remaining patient in the series due to cardiac failure, secondary to dilated cardiomyopathy. Six patients were extubated after the initiation of ECMO. The two patients with a mediastinal mass were cannulated without intubation and remained extubated during their ECMO course.
Respiratory distress, as judged by tachypnea and the presence of retractions, decreased in all patients that were extubated. The chest radiographs improved in five of six children after they had been extubated. Sedative use decreased in extubated patients compared to the amount of sedatives that had been required during intubation.
The mean duration of ECMO in this series of patients was 25.2 days (range 4 – 71 days). The mean time spent extubated was 9.2 days (range 4-22 days). Six of the eight children (75%) survived. The mean survival at our institution of all ECMO patients during this time period was 49.7%. Cannula dislodgement due to patient movement did not occur in any patient. No other complications related to this strategy were noted.
Conclusion: The use of ECMO in extubated pediatric patients in this series of patients was feasible and safe. The deleterious effects of intubation and positive pressure ventilation were avoided by allowing patients to be extubated. Extubation allowed patients to cough more effectively. While extubation may have led to improved survival in this small series of patients, this difference may have been due to these patients not being as sick as other ECMO patients. | 
Click on picture above to enlarge | |
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Cardiac Division Presents Award Winning Abstract |
 | Philip E. Greilich MD, Eleanor Phelps, RN and Dan Meyer, MD were awarded 1st Place for an abstract (“Reducing Deep Sternal Wound Infections”) they presented at the 4th Annual Clinical Safety and Effectiveness Conference last week in San Antonio, Tx. The award was presented by the University of Texas System Executive Vice Chancellor, Kenneth I. Shine, M.D. and was accepted on behalf of all the effort put forth by the DSWI Best Practice workgroup, CUSP teams and caregivers within the CVT service line. The award included a check for $3000.00 to support presenting this work at a national or international quality improvement conference. Dr. Greilich said, “this award should be considered a personal victory for all those who provide care for cardiac surgery patients at University Hospital St. Paul.” | | Click read more below to see their award winning poster |
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17th Annual Pepper Jenkins Society Alumni Reception |
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Click on the Read more below to some pictures from the event | Thank you to all who attended the 17th Annual Jenkin's Alumni Reception at the 2012 ASA annual meeting in Washington DC. The conference was educational and an incredible time to catch up with collegues. All who attended The Jenkins Alumni Reception had a great time. The Reception was held on Capitol Hill at the Longworth House Office Building.
Save the date!
2013 ASA Annual Meeting. Sunday, October 13th, 2013
18th Annual Jenkin's Alumni Reception - San Francisco, CA. |
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