Perioperative Medicine Fellowship Curriculum

The fellowship is 12 months in length, but may be modified at the discretion of the Program Director with the fellow's agreement. The fellowship is flexibly tailored to each candidate, based on individual goals and upon the current needs of the department. Fellows will complete and submit an approved capstone project in an area of interest, which will be progressively reviewed by the faculty, presented to the department at a grand rounds and national meeting prior to graduation from the program.

We anticipate our fellows will graduate with the skills required to design and lead a perioperative optimization program at an academic center or in the community setting. Fellows will gain experience with the management of preoperative cardiovascular and pulmonary disease, anemia, diabetes, frailty and minimize risks to the aging patient. There will be opportunities to improve skills in point-of-care ultrasound (POCUS) exams, telehealth, quality improvement initiatives and provision of cognitive interventions to optimize patient outcomes. 

In addition to clinical rotations, PM fellows will participate in quality improvement, leadership and research training.  Unique to this program are the additional opportunities to pursue certificate training in leadership, point of care ultrasound, quality improvement initiatives (IHA and masters level), and digital health through related programs.  Active research and mentoring through the department of anesthesiology should be anticipated.

Rotations and additional education opportunities will include but not be limited to the following:

  • Preoperative evaluation and perioperative risk management 
    • Inpatient and outpatient medical optimization
      • Preoperative comorbidity review, risk evaluation and management
      • Review and participate in didactic experiences as outlined 
      • Rotation with internal medicine shared service in preoperative evaluation 
      • Participate in postoperative co-management services 
    • Understand financial remuneration in perioperative evaluation and management
    • Administration
  • Perioperative surgical home enhanced recovery after surgery  
  • Geriatric Co-management: Care of the Aging patient + ACS GCV program
    • Aging, Frailty, Cognition, Prehabilitation
  • Certificate Point of Care Ultrasound Education 
  • Telehealth and telemedicine (certification opportunities) 
  • Business Leadership Development, Operations, and Finance 
  • Certificate in Leadership - executive leadership Wake Forest School of Business
  • Quality Improvement CPEC: Peer review 
  • Research training Clinical and Translational Science Institute Translational Workforce Development Program (CTSI Research 101 program)
    • Mentored Research through Department of Anesthesiology Section on Research
    • Research 101 Training Translational research - education through CTSI via recorded/asynchronous weekly didactics
  • Administration: Leadership in surgical Navigation Center steering and co-management meetings, surgical home co management meetings, advanced practice provider meetings.