Perioperative & Specialized Care APP Fellowship

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Mission

The mission of Memorial Sloan Kettering Cancer Center’s Perioperative & Specialized Care APP Fellowship is to offer extensive clinical practice experience, combined with academic program  through comprehensive training with the goal of forming Advanced Practice Providers prepared to deliver efficient, safe, patient-centered postoperative and specialized care to a diverse oncology patient population.

Fellowship Overview

At Memorial Sloan Kettering, our Advanced Practice Provider-driven model in the Anesthesia Pain Service (APS), Post-Anesthesia Care Unit (PACU), and Specialized Advance Care Unit (SACU), Advanced Practice Providers ;(APP) allows APPs to autonomously manage patient care in collaboration with attending physicians for those services. The goal of the fellowship is to provide comprehensive training, which will be the key to forming well-prepared APPs in the specialty area. APPs will, in turn, be prepared to provide efficient, safe, and patient-centered postoperative and specialized care management to a diverse patient population.

The program consists of three, equal length rotations with APS, PACU and SACU. The fellows will be guided by experienced preceptors, managers, and the fellowship director.

Post-Anesthesia Care Unit (PACU)

The fellow will work collaboratively with Anesthesiologists, Certified Registered Nurse Anesthetists, Primary Surgical Teams, and Registered Nurses to efficiently recover patients who have undergone anesthesia. In this rotation, the fellow will focus on improving assessment skills to react to the patients quickly changing status. This clinical area treats the possible side effects of anesthesia including but not limited to respiratory insufficiency, agitation, and delayed emergence as well as postoperative surgical complications, and pain, so that the patient can be safely transferred to floor or discharged to home when deemed appropriate by the PACU APP staff.

Specialized Advanced Care Unit

In this rotation, the fellow will obtain patient health histories, do comprehensive assessments, and give presentations during multidisciplinary rounds. There is an emphasis on formulating and implementing treatment plans for acute and chronic illness management in collaboration with Critical Care Medicine, Surgical and General Medicine Attending Physicians. The fellow provides direct clinical services and coordination of care for Critical Care Center patients including mechanical ventilator management and interpretation of diagnostic/laboratory tests.

The Pain Service in The Department of Anesthesiology and Critical Care Medicine (APS)

Will offer APP fellows knowledge and experience in acute and chronic pain management. The fellows will acquire pain management understanding and clinical skills, by rotating with the postoperative pain management APP group, inpatient chronic pain management group, and the outpatient chronic pain management clinic. This rotation focuses on interventional and medical pain management modalities including patient-controlled analgesia, epidural and intrathecal catheter management, ketamine infusions and spotlight evaluations for various peripheral nerve blocks.

Length of Program

12 months

Number of Positions

2 per year, starting November 2019

Eligibility

Acute Care Nurse Practitioners
Family Nurse Practitioners
Adult/Geriatric Nurse Practitioners
Physician Assistants

Current New York State RN and NP licenses, or PA license and appropriate board certification. All applicants must be graduates of Accredited United States University Programs

How to Apply

Please send filled application, CV and three letters of recommendations to milcetia@mskcc.org

Application Deadline

July 30, 2019
Interviews will be conducted August 2019

Associate director

Tara Buchholz, MSN, RN, ACNP-BC

Elizabeth Mcavoy, MSN, RN, FNP-BC

Aida Milcetic, DNP, RN, FNP-BC