Today is Wednesday, Nov. 22, 2017

Department of

Anesthesiology

Curriculum/Schedule

The Department of Anesthesiology provides the four-year curriculum required by the American Board of Anesthesiology for certification as a consultant anesthesiologist.

The program is structured in a manner, which ensures residents acquire sufficient levels of knowledge, clinical/technical skills and judgment to allow them to be competent in all areas of the specialty, meeting the criteria to become certified as consultants in anesthesiology.
 

Rotation Schedule Structure:

PGY-1 Year

The preliminary year consists of:

Rotations (in months):

5          Internal Medicine (Renal, University of Cincinnati Medical Center Wards, Cardiology, VA Wards)

1          ENT

1          CCCS – Multispecialty Critical Care Unit

.25       CPC – Center for Perioperative Care

.25       Blood Bank

.50       Patient Safety

1          NSICU

1          Emergency Medicine

1          Anesthesia

1          Vacation

Rotations during this preliminary year of training are done at University of Cincinnati Medical Center and the VA Medical Center.

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 often 1:1in the first month of training, and never exceeds 1:2 throughout the anesthesia portion of the residency.  This allows close personal attention to operating room teaching. 

Rotations (in Months):

6.5                   General Adult Anesthesia

1                      OB Anesthesia

.5                     PACU

.5                     CPC (Pre-op clinic)

.5                     Inpatient Pain Service

.5                     Chronic Pain

.5                     NORA

1                      Neurosurgical Anesthesia

1                      Cardiac 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 anesthesia subspecialty rotations in the following areas:

 

Rotations (in Months):

1                      Cardiac Anesthesia

1                      Neurosurgical Anesthesia

2                      Pediatric Anesthesia (consecutive months)

1                      Surgical Intensive Care Unit

1                      Inpatient Pain Service

1                      Regional Anesthesia

.5                     Chronic Pain

.5                     CPC

1                      OB Anesthesia

1                      Vascular Anesthesia

2                      General Adult Anesthesia (including one month of night float)

During this year, patients requiring more complex anesthetic management comprise an increasing proportion of the resident’s clinical caseload.

CA-3 Year

The CA-3 year is constructed, in consultation with the program directors, to meet the needs of the resident.   The residents participate in subspecialty rotations in pain management, cardiovascular/ thoracic/vascular anesthesia, neuroanesthesia, pediatric anesthesia, obstetric anesthesia, regional anesthesia, ambulatory anesthesia, blood bank, TEE, CPC, as well as a rotation on the Critical Care Consult Service. A one-month rotation at West Chester Hospital provides private practice ambulatory experience.  A difficult case rotation is also available which includes anesthesia for select orthopedic, neurosurgery, cardiac, and multi-trauma patients coming to the operating room with surgical problems and severe coexisting medical problems. Each resident will spend at least 6 months on General and/or Pediatric Anesthesia rotations to fulfill the ABA requirement.

Didactics

CA-1 Orientation Series
The Basics of Anesthesia Lecture Series is designed for residents beginning their training in anesthesiology to give them a strong knowledge base on the fundamentals of anesthesia. A course of lectures covering the salient points in anesthesia is given daily for the first two weeks of training.

Tuesday Lecture Series
This series occurs every Tuesday from 4 to  6 p.m.  Lectures include:

  • Business of Medicine
    Coordinated by the Department Business Administrator, this series covers topics related to the business aspects of running a practice. Lectures are given by local professionals.

  • Journal Clubs
    Recent publications are critically discussed at regularly scheduled Journal Clubs in conjunction with Visiting Professor Lectures. 

  • Keywords
    An individual curriculum is designed by the Program Director for each resident based on keywords missed on the annual in-training examination. Each resident is assigned to write up keywords each month, along with one question on the topic, and post them on Blackboard. The submissions are reviewed by assigned faculty and discussed in an online format. At the end of the year, the keyword assignments are compiled and distributed to all of the residents. 

  • Reading Club
    A series lead by the chief residents and proctored by a faculty member reviews a book chapter each week, in detail, highlighting the topics that are either clinically important or frequently tested on board exams. This is the “hard-core” preparation series for all in-training and board exams with special emphasis on ABA Step 1a.

  • Quality Improvement/The MATRIX presentations
    Annually there are six one-hour sessions dedicated to quality improvement case studies utilizing The MATRIX methodology. During this activity, the residents learn to systematically analyze their clinical practice and set learning improvement goals.

  • Grand Rounds\Case Presentations
    Departmental Grand Rounds are held on Wednesday mornings from 7 to 8.  Grand Rounds consists of presentations on various anesthesia topics given by residents, fellows and faculty. Visiting professors are also a regular part of our Grand Rounds. A Quality Assurance Case Presentation Session occurs once a month as well.

  • Subspecialty Lectures
    Various subspecialty groups, including pediatric anesthesia, OB anesthesia, pain management and critical care, have their own didactic programs.

  • Mock Oral Exams
    CA-2 and CA-3 residents participate in Mock Oral Exams patterned after those of the American Board of Anesthesiology. Both the Program Director and Chairman are Associate American Board of Anesthesiology Oral Board Examiners. 

  • Visiting Professors
    During the academic year, prominent lecturers from around the country are invited to the department as visiting professors. Resident participate in journal clubs, attend grand rounds presented by the expert and have the opportunity to interact with faculty from around the country.


Call Schedule

1st Call
One resident from either the CA-3 or CA-2 class will be assigned to night float each month.  This resident works the night shift Monday through Friday 7 p.m. to 7 a.m. On weekends, second- and third-year residents take 1st call. 1st call begins at 7 a.m. and lasts until 7 a.m. the next day. Residents taking 1st call are off call the following day. 

2nd Call
One resident will be assigned to 2nd call each day. All residents take 2nd  call. CA-1 residents begin taking 2nd call in August of the CA-1 year. 2nd CALL is 24-hour in house call, 7 p.m. to 7 a.m. The resident is off call the following day.

OB Call
Residents on the OB service work 12-hour shifts from 6:45 a.m. to 6:45 p.m. or 6:45 p.m. to 6:45 a.m.

Pediatric Anesthesia Call
Residents are assigned to take one week of night shift per month 3 p.m.to 11 p.m. There are one or two weekend shifts per month from 7 a.m. to 7 p.m.

SICU

Residents on this service are assigned to take 24-hour in-house call every third or fourth night.

Inpatient Pain Service
The resident on their pain rotation will round on the inpatients on the pain service with the pain faculty on Saturday and Sunday mornings one to two days per month.

 

On Call Facilities

Residents are provided with private sleeping and bath facilities, vending and food, a lounge and 24-hour access to computer, library and study facilities.

 

Training Facilities

Residents train at the University of Cincinnati Medical Center, Cincinnati Children's Hospital Medical Center and the UC Health Pain Medicine Center