A regular day in the operating rooms at Main Hospital, where most of CA-1 year is spent, involves:
- Reviewing the cases the night before with your attending.
- 6:00 AM: Arrive and set up your operating room.
- 6:30-7:00 AM: Morning teaching conference.
- 7:00 AM: Meet your patient and complete your history and physical.
- 7:30 AM: First case start.
- 5:00 PM: Finish the day or get relieved (typically around 3:00 PM if pre-call).
At the Main Hospital, CA-1s generally take call two to three overnight calls per month that includes one Saturday or Sunday call. An example week could be a 6:00 AM to 3:00 PM pre-call Monday, then a call 11:00 AM Tuesday to 7:00 AM Wednesday call shift, followed by a post-call Thursday off, and then a 6:00 AM to 3:00 PM procedural day on Friday doing arterial lines and awake fiberoptic intubations. Beyond the Main Hospital ORs, CA-1s have cardiac anesthesia, neuroanesthesia, pediatric anesthesia, obstetric anesthesia, ICU, and acute pain rotations to maximize subspecialty exposure.
CA-2 year is largely comprised of subspecialty rotations. Cardiac anesthesia, obstetric anesthesia, and the ICUs have independent rotating call schedules. Other rotations, such as vascular and thoracic anesthesia, share a call schedule with the Main Hospital with protected regular OR days to ensure excellent exposure to those subspecialties. These OR days are similar to those at the Main Hospital. CA-2s at the Main Hospital take a week each of regular OR days, night shifts, “Noon-to-Never” shifts to help end the work day, and procedural days.
CA-3s step into a more supervisory role. When on call at the Main Hospital, CA-3s arrive at 2:00 PM, lead emergency airway codes, supervise CA-1s in the ORs, oversee the PACU, and manage the organization of the ORs at the end of the day. If you are on call Saturday, you have the preceding Friday off.