Our residency is a four year categorical program inclusive of the PGY-1 year. Training is divided into 13 four-week blocks in the PGY-1 through PGY-4 years.
Our intern year is comprised of a comprehensive, robust curriculum focusing on critical care medicine, surgical and medical specialties, emergency medicine, pain medicine, and research. The year concludes with an Anesthesiology orientation rotation where interns are paired 1:1 with an anesthesia resident in the operating rooms under direct faculty supervision. Our innovative rotation called CLIME Towards Better Patient Care precedes and complements the orientation rotation. CLIME focuses on principles of professional identity formation by integrating sessions for leadership development, communication skills, cultural humility, simulation, basic anesthesia didactics, and interprofessional experiences. Throughout the PGY-1 year, we have monthly simulation and wellness sessions (Project Grow) that keep us connected to our interns. Our goal is for our interns to form close collegial relationships with our surgical and medical colleagues that will be paramount when transitioning to the operating room setting and provide an in-depth, well-rounded, educational experience that encompasses important patient care principles and skills that are essential to becoming a more confident, well-rounded anesthesiology resident and, eventually, an outstanding anesthesiologist.
The PGY-2 through PGY-4 years includes didactic instruction utilizing tutorials, simulation and case based discussion; keywords, journal clubs and workshops. Each resident is assigned a faculty mentor, who provides advice, suggestions, consultation, and tracks their progress as the resident progresses through the program. Faculty members evaluate residents on a daily basis and are expected to provide verbal feedback in order to inform the residents as to how they are progressing. Every three months, a written evaluation by the clinical competency committee is provided to each resident from the chair to encourage progress and, if necessary, suggest methods for improvement. Residents are also enrolled in the anesthesia knowledge examination series, the annual American Board of Anesthesiology in-training examination, and participate in mock oral examinations provided five times per year, and observed structured clinical examinations in preparation for the American Board of Anesthesiology applied examination.
Each resident receives a training program schedule that includes all of the specialty rotations unique to the clinical year. No two schedules are alike and the resident is able to track their progress as they proceed through these experiences. Anesthesiology is a case log specialty and case-specific experiences are required by the American Board of Anesthesiology. Residents track their experiences by entering cases into the ACGME Case Log System. There is also a specific syllabus for every rotation describing goals and expectations for that specialty. Beginning with our comprehensive Clinical Base Year (CBY) program, our curriculum facilitates a balance between clinical hands-on training and didactic instruction.
The department provides excellent didactic programming consisting of several components. Tutorials are scheduled weekly for each clinical year. Additional didactics include multiple simulation sessions, hands-on workshops including difficult airway management, and sub-specialty conferences. We also provide five mock oral examinations and a robust visiting professor program throughout the academic year.
CA-1 YEAR (PGY-2)
CA-1 residents are assigned mostly to the adult hospital where you will spend six or seven months learning the anesthetics for general surgery, plastics, head & neck, oncology and orthopedics. CA-1 residents also perform rotations in the surgical intensive care unit (SICU), pediatric anesthesia, neuroanesthesia, ambulatory surgery at a free-standing facility, and two-week rotations in the preop clinic, PACU, cardiac anesthesia, electroconvulsive therapy anesthesia, acute pain service and regional anesthesia, and obstetrics.
CA-2 YEAR (PGY-3)
CA-2 residents are primarily performing subspeciality rotations, including pediatrics, obstetrics, neuroanesthesia, cardiac, thoracic, vascular, acute pain management and regional anesthesia and pain clinic. Additional rotations include interventional radiology as a non-operating room anesthesia (NORA) experience, SICU and cardiovascular intensive care unit (CVC-ICU), and transesophagealechocardiography (TEE). Experience with liver transplantation is included in a CA-2 call allocation.
CA-3 YEAR (PGY-4)
CA-3 residents are primarily performing advanced subspeciality rotations, including pediatrics, obstetrics, neuroanesthesia, cardiac, thoracic, and vascular. Additional rotations include non-operating room anesthesia (NORA) experience in the GI suite, SICU and CVC-ICU, transesophagealechocardiography (TEE), and elective.
In accordance with the department's commitment to education and dedication to remain at the forefront of medicine, anesthesiology interns and residents attend simulation-based educational sessions throughout their four years of training. We are continually adding new courses and uses of simulation in medical education. Click here for a full list of simulation courses available to anesthesiology trainees.