Union Memorial (Regional)

2025-10-24T12:23:37Z

Songeran: additional attending phone numbers

=== About ===
Union Memorial (MedStar Health) is a regional anesthesia elective available to CA-3s who have completed their initial regional rotation downtown. You will work directly with attendings (some remote Hopkins grads) and interact with experienced CRNAs.

=== Getting Started ===

==== Site coordinators ====

* Joshua Dishon (Chair of Anesthesiology Department at Union Memorial)
* Nicole Allen (Administrator)

==== The Experience ====

* 2 week call-free rotation at major orthopedic surgery center
* Expect to get significant experience with both upper and lower extremity blocks. Arguably, the rotation rounds out blocks we do not perform as often at other sites. Most commonly:
** Total Shoulders: Interscalene (single-shot)
** General Hand: Infraclavicular, often with catheter placement (preferred over supraclavicular per general institutional preference)
** Total Knees: Post-op adductor catheters
** Miscellaneous Knee Procedures: Adductor/IPACK
** AKA/BKA: Fem/Sciatic catheters
**Other (less frequent): PECS catheters, TAP catheters

==== First Day ====

* Union Memorial Hospital is located at the Hopkins Homewood campus (201 E University Parkway)
* You'll park in Garage A first day and park in Garage B once you have your parking associated with your employee badge.
** If there is a parking attendant outside the garage that asks if you are a patient, just say yes otherwise they won't let you into the garage
* You'll confirm your Powerchart access, get scrubs/meal card, and meet with Dr. Dishon (Josh) who will take you around, expect to jump into a block as soon as opportunity arises
*There are three floors of ORs: Ground floor (hand +/- shoulders), 3rd floor (newer, knee/hip +/- shoulders), 4th floor (cardiothoracic and vascular [AKA's, BKA's, AVF's])
*Codes: Block cart (0531), 3rd floor staff lounge (2019)[[File:UMH Campus Map.png|thumb|Union Memorial Hospital Campus - Parking located off Calvert Street (turn onto 34th street).]]

==== Contact Info (please do not distribute) ====

* Nicole Mitchell (Admin Assistant) 410-554-6559
* Josh Dishon MD 443-904-2026
* Mark Jensen MD 585-953-9797
* Kerry Blaha MD 410-258-5758
* Tandi Mohammed MD 443-4447-5946
* Jane Radov MD 443-691-3000
* Rahul Guha MD 734-223-3061
* Marcelo Quezado MD 443-801-8889
* Sumanth Kuppalli MD 443-224-3500
*Bob Andrews MD 410-375-5442
*Nadya Averbach MD 703-728-8346
*Rani Emad MD 410-258-8198
*Denisa Pavlickova MD 917-530-5354
*Alyssa Salisbury MD 713-419-2621
*Jane Anh MD 718-962-5774
*Ming Fang MD 443-928-1604
*Kathryn Simms MD 607-280-2081<br />

==== Block Recipes ====

* By and large, you will be using 0.5% ropivicaine for everything
** General volumes (more than you'll be used to):
*** Interscalene: 20 cc
*** Supraclavicular: 20-40 cc (I'm serious)
*** Infraclavicular: 30 cc
*** Adductor/Saphenous: 20 cc
*** Popliteal/Sciatic: 20 cc
**21G 100 mm block needle (exception: shorter needle for interscalene)
**Fent/Versed sedation universally
* For catheters, supplies include:
** PNC kit
** Vial(s) of 0.5% Ropivicaine
** Chloraprep, large/poptart Tegaderm, CHG Tegaderm dressing, sterile ultrasound probe cover (standard for all blocks, whether sterile or not), ultrasound gel, sterile gloves
*If two catheter sites, each pump is run with '''0.2%''' ropivicaine at 10 cc/hour intermittent bolus (PIB) without demand. Otherwise patients with single PNC (e.g. single adductor PNC) have PIB pumps programmed as 8/4/20/3 --> cc per hr / cc demand bolus / lockout interval in minutes / number of demands per hr.

==== Subsequent Days ====

* Arrive by 7:00 AM to catch attendings for any first start blocks (in room by 7:30 AM)
*Anticipate bouncing between floors for 1st case starts -> PACU catheters -> preop blocks
*'''Expect to feel like a medical student''' until you get to know attendings better
*Josh will often help connect you with attendings doing regional cases in the morning, but you will need to hover frequently
*Some attendings will get better about texting you when there is a block
* APS is a good opportunity for blocks/catheters on the floor. Dr. Jensen (Mark) runs APS service and is very good about keeping you in the loop, and proactive with creating block opportunities
*Fridays start with administrative meeting, thus case starts are at 8:30 AM
*Before going home, peek at the list of cases for the following day to figure out the best OR to show up to and when
**The anesthesia schedule is published separately and around 3 pm, so you'll likely have to ask someone if you want to know where specific attendings will be

=== Miscellaneous ===

* There is a full gym (free weights, machines, cardio) adjacent to the anesthesia offices in the 33rd Street Professional Building
* Nearby cafes for studying if preparing for ITE/Advanced:
** Bird in Hand (free wifi, outlets for laptop/phone, good food/beverage selection)

Union Memorial (Regional)

2025-10-21T12:34:05Z

Songeran: additional attending phone numbers

=== About ===
Union Memorial (MedStar Health) is a regional anesthesia elective available to CA-3s who have completed their initial regional rotation downtown. You will work directly with attendings (some remote Hopkins grads) and interact with experienced CRNAs.

=== Getting Started ===

==== Site coordinators ====

* Joshua Dishon (Chair of Anesthesiology Department at Union Memorial)
* Nicole Allen (Administrator)

==== The Experience ====

* 2 week call-free rotation at major orthopedic surgery center
* Expect to get significant experience with both upper and lower extremity blocks. Arguably, the rotation rounds out blocks we do not perform as often at other sites. Most commonly:
** Total Shoulders: Interscalene (single-shot)
** General Hand: Infraclavicular, often with catheter placement (preferred over supraclavicular per general institutional preference)
** Total Knees: Post-op adductor catheters
** Miscellaneous Knee Procedures: Adductor/IPACK
** AKA/BKA: Fem/Sciatic catheters
**Other (less frequent): PECS catheters, TAP catheters

==== First Day ====

* Union Memorial Hospital is located at the Hopkins Homewood campus (201 E University Parkway)
* You'll park in Garage A first day and park in Garage B once you have your parking associated with your employee badge.
** If there is a parking attendant outside the garage that asks if you are a patient, just say yes otherwise they won't let you into the garage
* You'll confirm your Powerchart access, get scrubs/meal card, and meet with Dr. Dishon (Josh) who will take you around, expect to jump into a block as soon as opportunity arises
*There are three floors of ORs: Ground floor (hand +/- shoulders), 3rd floor (newer, knee/hip +/- shoulders), 4th floor (cardiothoracic and vascular [AKA's, BKA's, AVF's])
*Codes: Block cart (0531), 3rd floor staff lounge (2019)[[File:UMH Campus Map.png|thumb|Union Memorial Hospital Campus - Parking located off Calvert Street (turn onto 34th street).]]

==== Contact Info (please do not distribute) ====

* Nicole Mitchell (Admin Assistant) 410-554-6559
* Josh Dishon MD 443-904-2026
* Mark Jensen MD 585-953-9797
* Kerry Blaha MD 410-258-5758
* Tandi Mohammed MD 443-4447-5946
* Jane Radov MD 443-691-3000
* Rahul Guha MD 734-223-3061
* Marcelo Quezado MD 443-801-8889
* Sumanth Kuppalli MD 443-224-3500
*Bob Andrews MD 410-375-5442
*Nadya Averbach MD 703-728-8346
*Rani Emad MD 410-258-8198
*Denisa Pavlickova MD 917-530-5354<br />

==== Block Recipes ====

* By and large, you will be using 0.5% ropivicaine for everything
** General volumes (more than you'll be used to):
*** Interscalene: 20 cc
*** Supraclavicular: 20-40 cc (I'm serious)
*** Infraclavicular: 30 cc
*** Adductor/Saphenous: 20 cc
*** Popliteal/Sciatic: 20 cc
**21G 100 mm block needle (exception: shorter needle for interscalene)
**Fent/Versed sedation universally
* For catheters, supplies include:
** PNC kit
** Vial(s) of 0.5% Ropivicaine
** Chloraprep, large/poptart Tegaderm, CHG Tegaderm dressing, sterile ultrasound probe cover (standard for all blocks, whether sterile or not), ultrasound gel, sterile gloves
*If two catheter sites, each pump is run with '''0.2%''' ropivicaine at 10 cc/hour intermittent bolus (PIB) without demand. Otherwise patients with single PNC (e.g. single adductor PNC) have PIB pumps programmed as 8/4/20/3 --> cc per hr / cc demand bolus / lockout interval in minutes / number of demands per hr.

==== Subsequent Days ====

* Arrive by 7:00 AM to catch attendings for any first start blocks (in room by 7:30 AM)
*Anticipate bouncing between floors for 1st case starts -> PACU catheters -> preop blocks
*'''Expect to feel like a medical student''' until you get to know attendings better
*Josh will often help connect you with attendings doing regional cases in the morning, but you will need to hover frequently
*Some attendings will get better about texting you when there is a block
* APS is a good opportunity for blocks/catheters on the floor. Dr. Jensen (Mark) runs APS service and is very good about keeping you in the loop, and proactive with creating block opportunities
*Fridays start with administrative meeting, thus case starts are at 8:30 AM
*Before going home, peek at the list of cases for the following day to figure out the best OR to show up to and when
**The anesthesia schedule is published separately and around 3 pm, so you'll likely have to ask someone if you want to know where specific attendings will be

=== Miscellaneous ===

* There is a full gym (free weights, machines, cardio) adjacent to the anesthesia offices in the 33rd Street Professional Building
* Nearby cafes for studying if preparing for ITE/Advanced:
** Bird in Hand (free wifi, outlets for laptop/phone, good food/beverage selection)

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Union Memorial (Regional)

Union Memorial (Regional)