Fred E. Shapiro, DO, Past President
Academically and clinically, he enjoys a strong national reputation in the field of office-based anesthesia (OBA), and has developed an innovative total intravenous anesthestic technique for aesthetic facial surgery.
The Boston Center for Ambulatory Surgery was his first exposure to cosmetic surgery in the office setting. When he joined the department of anesthesia at Beth Israel Deaconess Medical Center, resident interest and his experience provided motivation and inspiration to write a curriculum for teaching office safety. This included lectures, problem-based learning, an interdisciplinary simulation program, and The Manual of Office Based Anesthesia Procedures. The curriculum, presented to the Academy at Harvard Medical School November 2005, led to the inception of a one month OBA senior resident rotation Nov 2008, and was subsequently encorporated into the Society for Ambulatory Anesthesia (SAMBA) OBA Curriculum to be used nationally.
His interest in educating practitioners about office safety led to his organizing and moderating a panel discussion at the American Society of Anesthesiologists (ASA) Annual Meeting (2006) and development of the first Harvard Medical School OBA CME Course in 2007. Highlights of the OBA course, curriculum, panel, and ASA publications became an educational exhibit presented at national meetings from 2005-2009. In Sept 2010, he will be the course director for the Harvard Medical School CME Course entitled, "Office Based Anesthesia: Keeping it Safe, Simple, and Pain Free". In additional to the clinical and business aspects of the course, an additional day has been added to introduce simulation to satisfy The ABA Part IV Maintenance of Certification in Anesthesia (MOCA).
He was a team leader in the ASA-SAMBA Task Force that produced the second edition of "Office Based Anesthesia: Considerations for Setting Up and Maintaining a Safe Office Anesthesia Environment," a comprehensive 'nuts and bolts' manual published by the ASA Nov 2008. He is currently leading the revision of the Office Based Surgery Guidelines for the Mass Medical Society. Upon completion, these will be submitted to the MA Board of Registration in Medicine.
Dr. Shapiro's experiences at MGH enabled him to learn the safety benefits alpha 2 agonists offer in pain management. He created a total intravenous anesthetic technique utilizing dexmedetomidine in aesthetic facial surgery, he has given over sixty local, regionaln national and international lectures and presented numerous posters.
In 2006, he was a Priniple Investigator of a multicenter, prospective trial assessing safety and efficacy of dexmedetomidine in Monitored Anesthesia Care (MAC), which led to the FDA approval for its use for perioperative procedural sedation in non-intubated patients.
He has written review articles on Safe anesthesia for ambulatory cosmetic surgery in Current Opinion in Anesthesiology, Anesthesia for Outpatient Aesthetic Facial Surgery, and Safety in the Office-Based Anesthesia Setting in Current Reviews in Clinical Anesthesia. He has been invited to present these topics nationally and internationally.
He has been Chairman of the MSA Public Education Committee since 2001 and has organized and moderated open forum discussions to educate the public about the perioperative role of the anesthesiologist both inside and outside of the OR.
In 2009, he founded The Institute for Safety in Office Based Surgery (www.ISOBS.org) an independent, non-profit organization. The Institute mission is to promote patient safety in office based surgery and to encourage collaboration, scholarship, and patient and physician education. The goal is to generate uniform legislation throughout the United States, thereby improving patient safety, and ultimately saving lives.
In Oct 2010, he will be Chair of the SAMBA Mid-Year Meeting in San Diego, CA. Currently, he is both Delegate (Suffolk District) to the Mass Medical Society and to the ASA House of Delegates. In May 2010, he will become President of the MSA.
When outside the hospital he enjoys art, music, and theatre. In the winter he enjoys skiing, during the spring and summer bicycling and jogging on the Charles River, and 'all year round' he plays as much squash as possible. Most agree that he is a 'people person'; he enjoys entertaining at home and sharing quality time with family and friends.
His appointment to ASA Committees of Governmental Affairs, and Ambulatory Surgical Services support his recognition as an expert and leader in the field of office-based anesthesia. This, combined with his clinical expertise, innovation, educational and administrative experiences will enable him to advance his ultimate goal of improving safety in the practice of anesthesia. |

Fred E. Shapiro D.O. is a staff anesthesiologist in the Department of Anesthesia, Critical Care and Pain Medicine at Beth Israel Deaconess Medical Center and Assistant Professor of Anaesthesia at Harvard Medical School. He received his undergraduate degree from Temple University completed his medical degree at The University of Health Sciences College of Osteopathic Medicine Kansas City, MO, and anesthesia residency at Boston University. He completed Fellowships in Pediatric anesthesia at Boston Children's Hospital and Pain Management at The Massachusetts General Hospital.