Clinical Continuum
in Anesthesia
Six
positions are offered in each of the 4 years of anesthesia
training (PGY-1, CA-1, CA-2, and CA-3). For the 2007
Match we will be offering six categorical positions (4-year).
The
Department of Anesthesia at the University of Cincinnati
provides anesthesia services at the University Hospital
in 23 operating rooms, 10 labor rooms, 3 birthing rooms,
4 birthing centers, and the Post Anesthesia Care Unit. Residents
complete their pediatric anesthesia training at the Children's
Hospital Medical Center in its 18 operating rooms. Annually,
16,000+ anesthetics are delivered at the University Hospital
and 25,000+ anesthetics are delivered at the Children's
Hospital Medical Center.
The program is
structured in a manner which ensures that residents acquire
the levels of knowledge, clinical/technical skills and judgment
which will allow them to become certified as consultants
in anesthesiology.
PGY-1
The
preliminary year consists of 6 months of Internal Medicine
(3 months of floor medicine, 1 month of MICU, 1 month of
CCU, 1 month of subspecialty elective), 3 months of General
Surgery (2 months of floor surgery, 1 month of SICU), 1
month of ER, 2 months of Anesthesia, and 1 month of vacation.
The preliminary year focuses on Internal medicine (50%),
Critical Care (25%), and General surgery (25%), while providing
an opportunity to do some anesthesia. All rotations
during this preliminary year of training are done at University
Hospital or the Cincinnati VA hospital.
CA-1 Year
The
first year of anesthesia training introduces the resident
to the fundamentals of general and regional anesthesia.
Supervision and teaching by faculty is frequently 1:1, especially
in the first few months of training, and never exceeds 1:2.
This allows close personal attention to operating room teaching.
The CA-1 year encompasses eight months in basic adult anesthesia
at the University Hospital, one month of surgical intensive
care training, one month of obstetric anesthesia and one
month of pediatric anesthesia. Residents are assigned progressively
more challenging cases commensurate with their developing
skills and experience. Each resident will anesthetize approximately
400-500 patients per year.
CA-2
Year
The
CA-2 year provides the resident with subspecialty rotations
that include an additional months of training in pediatric
and obstetric anesthesia. There will be two months in the
surgical intensive care unit, as well as training in cardiothoracic,
regional, ambulatory, neuroanesthesia, vascular and pain
management. During this year patients requiring more complex
anesthesia comprise an increasing proportion of the resident's
clinical caseload.
CA-3
Year
The
CA-3 year is tailored, in consultation with the program
director, to the resident's subspecialty interests. The
resident may choose subspecialty rotations in pain management,
cardiothoracic anesthesia, neuroanesthesia, pediatric anesthesia
and obstetric anesthesia, as well as rotations in the SICU. A
"difficult case rotation" is also available, which
includes selected orthopedic, neurosurgery, cardiac, and
multi-trauma cases, anesthesia for patients with complex
medical conditions and anesthesia for solid organ transplantation.
Residents with an interest in research may choose to do
six months of research and six months of "difficult
cases" in their last year of training.
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