Clinical Base Year-Internship or Fundamental Clinical Skills of Medicine Year (current ACGME terminology)
Practicing anesthesiologists must depend on a broad base of medical knowledge, skills and judgment. To prepare residents for the clinical management of anesthesiology practice, residents spend their first year of training (Clinical Base Year) in our program rotating through some of the subspecialties of medicine, as well as familiarizing themselves with some of the foundational aspects of anesthetic care. This first year is co-managed by the Departments of Anesthesiology and Internal Medicine and is part of the 48-month teaching experience. This year is composed of thirteen (13) four week rotations, of which seven will be performed with the Department of Internal Medicine and six (6) within the sphere of the Department of Anesthesiology. The Internal Medicine In-Patient rotations are requirements from the ACGME and include:
- Cardiology (two rotations)
- Nephrology (one rotation)
- Pulmonary/Critical Care (one rotation)
- General Medicine (three rotations)
The six Anesthesiology centric rotations include the following:
- General OR Anesthesiology
- Cardiovascular ICU
- Introduction to Pain Management
- Introduction to Preoperative Assessment and Enhancement Center
- Emergency Medicine (ACGME requirement)
- Clinical Skills (Introduction to Echocardiography and Introduction to Ultrasound-guided Vascular Access)
All rotations are coordinated and supervised by the Department’s Program Director, who delegates the Internal Medicine PD to provide supervision for the Medicine specific months.
CA-1 and CA-2
The second and third years (CA-1 and CA-2) consist of training in clinical anesthesiology. Rotations include:
- Cardiothoracic Anesthesia
- Critical Care (Cardiovascular ICU and Neuroscience ICU)
- General Anesthesia
- ENT/ Plastics
- Neuro Anesthesia
- Vascular/Thoracic (part of the Cardiothoracic Anesthesia continuum)
- Obstetrical Anesthesia
- Orthopedic Anesthesia
- Acute Pain Management
- Chronic Pain Management
- Pre Op Assessment and Enhancement
- Postoperative Anesthesia Care Unit
- Urological/Cysto Anesthesia
- Pediatric Anesthesia
- Regional Anesthesia
- Ambulatory Anesthesia/Out of OR Anesthesia
- Introduction to Research
CA-3
The CA-3 year is designed to focus on preparing residents to enter fellowship training or private practice. Besides the required rotations, the resident will have the opportunity to choose at least three electives based on her or his career goals. A required one month rotation in TEE will allow all residents to fulfill the necessary requirements to be eligible to sit for the basic perioperative TEE examination (PTEeXAM) at the conclusion of their residency.