Your
Name: (required)
Your
Daytime Phone Number: (required)
Your
Email Address: (required)
Program
Name
Affiliated
Medical School:
Primary
Hospital Name:
City
, State
Affiliated
Hospitals
(where neurosurgical anesthesia training occurs):
City
, State
Type
of training:
Months
Spent at Affiliated Hospitals:
PROCEDURES
Number of
anesthetics: Adults:
Children:
Annual Outpatient Anesthetics:
Procedures
Performed in Day Surgery
FACULTY
Number (total):
Total
Number of Anesthesia Sites:
Specialized
Training or Research During Fellowship
Specialized Training or Research During Fellowship:
Is There
Non-Clinical Time Available to do Research:
Research
Time:
Teaching
Program
Hours per
week of neurosurgical anesthesia lectures offered:
Are fellows
in ambulatory neurosurgical required to give lectures:
Provisions
for Continuing Medical Education:
How many
days:
Is financial
support provided:
Do fellows
function independently as junior staff:
How many
fellows in neurosurgical anesthesia program at your institution during
2007-2008:
;
2008-2009:
;
2009-2010:
Application
Process
Total number
of Neurosurgical Fellowship positions available annually:
Duration
of available fellowship training:
Minimum
requirements for admission into fellowship program:
How far
in advance are applications accepted:
Potential
starting date(s):
Contact
People
|
