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Curriculum

The curriculum for the anesthesiology resident is competency-based and structured to cover all the milestones and areas in anesthesia and its subspecialties. Our curriculum is designed to fulfill all the requirements of the Accreditation Council for Graduate Medical Education, or ACGME and the American Board of Anesthesiology.

We offer wide variety of clinical exposures that is divided into three years (13 four-week blocks each year). Residents participate in night float coverage, with an average of 3-4 weeks of night float per year. Night float shifts are 7 p.m. to 7 a.m., Saturday through Thursday nights.

View Rotations .pdf (Adobe PDF Document)

Clinical Anesthesia-1 (PGY-2)

The clinical anesthesia-1 (CA-1) curriculum provides the resident with the fundamentals and basic skills of anesthesiology through basic anesthesia cases. This foundation is the emphasis of our 8 week orientation program. Our orientation is designed to include daily close supervision in the OR with daily afternoon didactics covering most of a basic anesthesiology book. Residents are given careful feedback throughout so they can further build their knowledge and skills. Over the course of the CA-1 year, the resident works with direct one-to-one supervision initially and subsequently with more indirectly supervised care, allowing the resident to build up his/her own clinical judgment and independent practice.

Residents acquire skills in peri-operative assessment and management of surgical patients, formulating safe and effective anesthetic plans and implementation of patient safety practices. Residents become proficient in airway management, regional blocks/catheters and placing invasive hemodynamic monitors and central lines. Residents will also be introduced to subspecialty rotations during this year so they can be prepared to apply to fellowships of their choosing early during their CA-2 year. The smaller size of our program allows us the flexibility to schedule residents based upon their learning and ultimate career goals.

Clinical Anesthesia-2 & 3 (PGY-3 & PGY-4)

During the clinical anesthesia-2 (CA-2) year, the resident curriculum is guided to anesthesia subspecialties based on more advanced and complex cases, with supervised care to assure safe practices, while at the same time strengthening independent practice. The CA-2 residents become more involved in the plan and management of their patients and have a teaching role with junior residents. Residents dedicate more time to subspecialty rotations and improve their clinical skills with procedures, blocks and invasive monitoring.

The anesthesia curriculum for clinical anesthesia-3 (CA-3) residents provides the environment for senior residents to become anesthesiology consultants with more responsibilities and academic obligations. The residents are able to transition toward independent practice and solidify their clinical judgment. Cases are more complex and they act as leaders in the medical management of their patients in the perioperative period. During elective months, residents can dedicate time to advanced subspecialty rotations, as well as research. During this year the residents have more responsibilities, including during the night, learning to run the operating room and manage surgical emergencies. Senior residents are expected to lead the anesthesia team, learning to interact with other anesthesia providers and operating room teams.

Conferences and Didactics

Every Wednesday we have our didactic lecture program given by our core faculty. We excuse our residents from all clinical duties on Wednesdays, so they can attend all didactics and to have time to work on academic projects. A typical Wednesday schedule would include:

  • Our anesthesia grand rounds/visiting professor series occurs every week on Wednesdays from 7-8 a.m. Once a month this time is used for our departmental quality improvement and patient safety conference (led by our residents under the direction of our Director for Quality Improvement).
  • Quality improvement/research series – Curriculum series that covers LEAN and Six-Sigma concepts as well as research methodologies.
  • Keyword reviews of exam topic areas. We utilize an interactive app, Dialed In, to allow residents to ask questions of presenters and to quiz learners later on the topics, thus reinforcing the knowledge.
  • Basic didactic series - A dedicated curriculum for CA-1s based on the American Board of Anesthesiology (ABA) part 1 basic examination content.
  • Advanced didactic series - a dedicated curriculum for CA-2 and CA-3 aimed at the ABA content of the advanced examination.
  • Some rotations have their own specific didactics and lectures, such as surgical intensive care unit and obstetrical anesthesia.
  • Journal club is done every other month and is a review of at least two relevant articles, presented by one or two residents with a faculty mentor, followed by a group discussion.
  • Floating academic days(8 per year) can be used for studying/reading/research projects/fellowship interviews.

We provide board study preparation that includes:

  • Keyword review with Dial-In system
  • TrueLearn-practice questions for ITE, BASIC and ADVANCED exam study
  • Multiple opportunities for practice tests-AKT exams, In-training exams, ACE/SEE exams.

Our residents are integral part of new anesthesia paradigm — Quality Improvement and Regional Anesthesia emphasis.

Simulation

  • Monthly we have a 2-hour, Wednesday afternoon simulation session in conjunction with Mayo Clinic anesthesia residents. This series teaches acute crisis resource management (ACRM) with our residents in the “hot-seat” managing a crisis as well as preparation for ABA OSCE Board exams. Each year we conduct a full-mock OSCE exam for our CA-2 and CA-3 residents that includes individual video feedback and coaching.
  • In addition we conduct multiple workshops in regional anesthesia, vascular access, difficult airway management, one-lung ventilation and ultrasonography.
  • We also have computer software to self-study and practice of ultrasound-guided regional anesthesia.

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