Clinical Rotations

Possible PGY-1 Electives include:

• Nephrology
• Endrocrine
• General Medicine
• Family Medicine
• Cardiac Surgery
• Radiology
• Critical Care Medicine

The intensive care requirement for anesthesiology residents is minimum of 4 one month rotations in critical care medicine. The rotations will provide progressive patient care responsibility in advanced rotations.

At most, 2 months of this experience should occur before the CA-1 year.

Durations:

• CA-1: 4 weeks
• CA-2: 4 weeks
• CA-3: 4 weeks

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Residents work under faculty direct supervision, they will closely interact with NPs, RNs, LVNs, MAs, and clinic staff. Residents leaven about the management of the preoperative patients and engage in optimization  and preoperative planning.

Durations:

• CA-1: 2 weeks
• CA-2: possible elective 
• CA-3: 2 weeks

{Chandrasoma to provide language}

During the post-anesthesia care unit (PACU) rotation, residents provide direct care for patients immediately after surgery and will manage pain, hemodynamic changes, communication with surgical teams, disposition and discharge, and emergencies during their rotation in the PACU.

Durations:

• CA-1: 2 weeks
• CA-3: 2 weeks

Residents must achieve competence in administering anesthetic care to patients undergoing labor and delivery. Specifically:

• Vaginal Delivery: Residents must have experience in providing care for minimum 40 patients undergoing vaginal delivery.
• Cesarean Sections: Residents must have experience providing care for minimum 20 patients undergoing cesarean sections.

Durations:

• CA-1: 4 weeks
• CA-2: 4 weeks
• CA-3: possible elective

Residents must achieve competence in the delivery of anesthetic care to pediatric patients. Specifically:

• Residents must have experience in providing care for minimum 100 patients younger than 12 years of age undergoing surgery or other procedures requiring anesthetics.
• Within this patient group, minimum 20 children must be younger than three years, including five younger than three months.

Duration:

• CA-2: 8 weeks
• CA-3: possible elective

Residents must have experience in providing care for patients undergoing intracerebral procedures, including those undergoing intracerebral endovascular procedures; This experience must involve care for minimum 20 patients, the majority of which must involve an open cranium. 

Duration:

• CA-2: 4 weeks
• CA-3: 4 weeks

Residents must achieve competence in administering anesthetic care to patients undergoing cardiac surgery. Specifically:

• Residents must have experience caring for minimum 20 patients undergoing cardiac surgery.
• Additionally, out of these 20 cases, minimum 10 must involve the use of cardiopulmonary bypass.
• Residents must achieve competence in administering anesthetic care to patients undergoing non-cardiac intrathoracic surgery. Specifically, residents must have experience providing care for minimum 20 patients undergoing such procedures. This includes surgeries involving the lungs, great vessels, esophagus, and mediastinum and its structures.
• The residents are also required to provide care for minimum 20 patients undergoing major vascular surgery ( carotid , intrathoracic or intrabdominal or peripheral vascular cases).

Duration:

• CA-2: 4 weeks
• CA-3: 4 weeks

Duration:

• CA-1: 4 weeks
• CA-2: possible elective
• CA-3: possible elective

Duration:

• CA-1: 4 weeks
• CA-2: possible elective
• CA-3: possible elective

Residents must achieve competence in administering anesthetic care involving regional anesthesia techniques. Specifically:

•  Anesthetics: Residents must have experience in providing care for minimum 40 patients for whom epidural anesthetics are used as part of the anesthetic technique or for peri-operative analgesia.
• Peripheral Nerve Blocks: Residents must have experience providing care for minimum 40 patients with peripheral nerve blocks as part of the anesthetic technique or peri-operative analgesic management.

Duration:

• CA-2:4 weeks
• CA-3: 4 weeks

Possible Electives include:

CA-2 Year:

• Advanced Pain
• Pre-operative Anesthesia Clinic
• Cardiac Anesthesia
• Community Anesthesia

CA-3 Year:

• Advanced Pain
• Advanced Cardiothoracic
• Advanced Regional
• Advanced Obstetrics
• Advanced Neuro
• Advanced Pediatrics
• Transesophageal Echocardiogram (TEE)
• Research
• Advanced Critical Care Medicine
• Point of Care Ultrasound (POCUS)
• Pre-operative Anesthesia Clinic
• Cardiac Anesthesia
• Global health
• Practice Management
• Advanced Clinical