SAMBA Fellowship Taskforce

A Taskforce was established by then SAMBA president, Dr. W. Maurer in 2006, chaired by Dr. Shireen Ahmad, with Dr. Lydia Conlay as Vice-Chair, to coordinate the efforts of SAMBA to obtain accreditation of fellowship training in ambulatory anesthesiology from the Accreditation Council on Graduate Medical Education (ACGME). Taskforce members included:

BobbieJean Sweitzer, MD Peter S. Glass, M.D.
Leopoldo V. Rodriguez, MD, MBA, FAAP, FASA Barbara S. Gold, M.D.
Jeffrey L. Apfelbaum, M.D. Raafat S. Hannallah, M.D.
Kumar G. Belani, M.D. Girish P. Joshi, M.D.
Jeffry B. Brand, M.D. Patricia A. Kapur, M.D.
Frances Chung, M.D. Walter G. Maurer, M.D.
Thomas W. Cutter, M.D. Kathryn E. McGoldrick, M.D.
Meena S. Desai, M.D. Douglas G. Merrill, M.D.
John A. Dilger, M.D. Burton S. Epstein, M.D.D.

Dr. W. Maurer convened a meeting of the Taskforce members in San Diego in May 2007, to discuss the implications of accreditation of the ambulatory anesthesia fellowship program and determine whether there was a consensus support to warrant proceeding with the application for accreditation of the ambulatory fellowship.

It was agreed that the educational goal of the fellowship would be to increase the depth of knowledge in ambulatory anesthesia and facilitate successful careers for ambulatory anesthesiologists in either academic or private practice situations. There was universal agreement that anesthesiologists involved in the practice of ambulatory anesthesia are the true “perioperative physicians” involved in the total medical encounter, from preoperative screening and preparation, to intra-operative anesthetic care and postoperative management to facilitate the recovery process.

Many ambulatory facilities are administered by anesthesiologists who have little or no formal training in the management and organizational skills necessary for the role. Fellowship training would include provision for this type of training. Fellowship training would also result in increased research in ambulatory anesthesia since it would be a requirement of the program. Special emphasis on outcomes research and patient safety issues was considered desirable.

There are unique features of the various off –site anesthetizing locations involved in the practice of ambulatory anesthesia and trainees do not get sufficient exposure to the aspects of ambulatory anesthesia practice in these locations during residency. This knowledge deficit could be addressed during the fellowship and would result in improved care of the patients managed in these locations.

At the conclusion of the meeting the decision was made to postpone the application for an ACGME fellowship, but for SAMBA to undertake the establishment of program requirements  and curriculum guidelines  for fellowship in ambulatory and office –based anesthesia based on the existing ACGME template.These guidelines were approved by the SAMBA Board of Directors in May 2008 and a competency based curriculum for education in ambulatory and office –based anesthesia that was approved in October 2009. The taskforce also developed a resident curriculum for office based anesthesia that was approved by the Board in May 2010.The intent of the guidelines is to improve the quality and consistency of resident and fellow training in ambulatory and office-based anesthesia and may be altered to conform to the needs and resources of the individual institution.

Basem B. Abdelmalak, MD, FASA

Basem B. Abdelmalak, MD, FASA is a professor of anesthesiology at Cleveland Clinic Lerner College of Medicine. He has served in the Department of General Anesthesiology as a Staff Anesthesiologist since 2001. Currently he leads Anesthesia Services for Bronchoscopic Surgery as a NORA service and is the Director of the Center for Sedation implementing the anesthesiology oversight for procedural sedation. He frequently performs the Therapeutic Whole Lung Lavage procedure to treat pulmonary alveolar proteinosis patients.

Dr. Abdelmalak is board-certified in Anesthesiology and fellowship trained in Critical Care medicine. His many clinical interests include anesthesia for ENT and bronchoscopic surgery, difficult airway management.

He served the Ohio Society of Anesthesiologists as its president in 2015 and currently serves the American Society of Anesthesiologists (ASA) as the Vice-chair of the educational track subcommittee on Ambulatory Anesthesia, the Society for Head and Neck Anesthesia (SHANA), as a founding member, and its president

At the Society for Ambulatory Anesthesia (SAMBA) he served in many roles and capacities; as a member of the committees on the Annual meeting, NORA, and Finance, and chair of the Development committee for the past 7 years leading SAMBA’s relationships with corporate sponsors, and pharmaceutical and industrial supporters. He then served on the Board of Directors, as a director, Vice President, President –elect, and now as its President.

He is also a part of the Anesthesiology Outcomes Research Department. His research interest is focused on the study of perioperative glycemic management, and he has been the primary investigator of many research projects investigating this and other topics.

He has received numerous honors and awards, including being named one of America’s Top Anesthesiologists according to the Consumers’ Research Council of America and Safety Champion by the Cleveland Clinic Quality Institute. A frequently invited lecturer at national and international conferences, Dr. Abdelmalak authored many scientific articles and book chapters in his field, and recently co-edited two textbooks titled Anesthesia for Otolaryngologic Surgery and Clinical Airway Management; An Illustrated Case Based Approach by Cambridge University Press.  He continues to be heavily involved with the education and training of medical students and residents and recently received the Scholarship in Teaching Award from Case Western Reserve University.