Anesthesiology Residency

YOU ARE HERE : / ClinICAL TRAINING

Clinical Program in

Anesthesiology

The Intern Year
The PGY1 (Intern) year is centered at our affiliated hospital, the Integris Baptist Medical Center, about five miles northwest of the University of Oklahoma Health Sciences Center. Dr. Shirley Dearborn, a Pediatrician, who is also Director of Medical Education, oversees the educational program at Baptist. Also, Dr. Pramod Chetty, a faculty member at OU Medical Center, has been assigned as the designated Departmental liaison for the PGY1 Year.

All residents work under the supervision of a member of the Attending Staff, and have direct responsibility for patient care. Residents are actively involved with “hands on” care, and are never in the role of “spectator”. Call is approximately every fourth night. At Baptist the number of rotations available significantly exceeds the number of residents.

Typical rotations chosen by our residents include two months each of Cardiology, Emergency Medicine, Pulmonary & ICU, and six one month rotations assigned from: Burns, Endocrinology, General Medicine, General Surgery, Infectious Diseases, Neonatal ICU, Nephrology, Neurology, and Transplant. All PGY-1 residents rotate in anesthesiology for one month. At this time the Anesthesiology rotation month is based at the Adult Services at OU Medical Center.

Evaluations of the PGY-1 residents are done monthly and transmitted to Dr. Dearborn, who functions as the primary conduit for feedback to the residents. Evaluations are also shared with the Program Director, and progress is discussed regularly. On completion of a satisfactory Intern Year, a certificate is awarded to our residents, who then enter the first clinical year of anesthesiology.

Clinical Anesthesiology
The American Board of Anesthesiology requires a three year curriculum which consists of experience in Basic Anesthesiology, Subspecialty Anesthesia Training, and Advanced Anesthesia Training. It is a graded curriculum of increasing difficulty and learning that is progressively more challenging of the resident’s intellect and technical skills. The Board recommends that approximately twelve months be spent in Basic Anesthesia Training, with the majority of this occurring during the CA-1 year.

Basic Anesthesiology and Subspecialty Training
Typically anesthesiology residents at the University of Oklahoma spend the first twenty-four months of their training as follows:

Adult Services (Everett & Presbyterian Towers)

9 months

VAMC

2 months

Pediatric Anesthesiology

4 months

Obstetrical Anesthesiology

2 months

Cardiothoracic Anesthesiology

2 months

Intensive Care

2 months

Neuroanesthesia

1 month

Pain Management

1 month

PACU

1 month

During the first six months almost all of a resident’s time is spent on rotation between Adult Services (Everett and Presbyterian Towers). Subspecialty rotations are introduced in the latter part of the CA-1 year. Most of the time in the CA-2 year is spent completing the subspecialty rotations. Some opportunity is provided for further experience at Adult Services (Everett and Presbyterian Towers) in the middle of the CA-2 year, to aid the resident in integrating his/her subspecialty knowledge into more routine practice.

Advanced Anesthesia Training
Residents have the opportunity to choose their advanced anesthesia training modules, in conjunction with the Program Director. The ACGME recommends minimum numbers of specialty cases, and procedures that should be completed during the three clinical years. Choice of rotations in the CA-3 year will be influenced by deficiencies in specialty cases, or clinical experience. Over the past ten years our residents have had no difficulty meeting these minimal numbers, and have usually been able to have most of their CA-3 clinical requests honored.

Three tracks are offered in the CA-3 year. Residents in the Advanced Clinical Track are required to complete a minimum of six months of experience in advanced and complex clinical anesthesia assignments. The remaining six months may be spent in one to three selected subspecialty rotations, or alternatively, additional complex clinical anesthesia assignments may be selected. Residents in the Subspecialty Clinical Track may complete nine to twelve months experience in one subspecialty along with up to three months of advanced experience in complex anesthesia assignments. Alternatively six months experience in each of two subspecialty rotations may be selected. Such rotations may include some time assigned to medical or surgical activities directly related to the anesthesia subspecialty.

Residents in the Clinical Scientist Track must complete six months of advanced experience in complex clinical anesthesia assignments or, alternatively in one selected anesthesia subspecialty rotation. The remaining time will be composed of six months devoted to laboratory or clinical investigation. We are able to offer a number of subspecialty and advanced tracks to our residents.

Over the past ten years most of our residents have elected the Advanced Clinical Track. The policy of the Department has been to allow the most residents the opportunity to experience the training of their choice, rather than to disproportionately allocate that time to one or two individuals. However, Dr. Fitch and Dr. Walford do their best to honor most requests.

On Call Responsibilities
For most of the time spent in the program residents will take “in house” call every fourth/fifth night. The day following call has no clinical responsibilities after all the preoperative and postoperative assessments are completed. Usually residents are finished by 8.00 a.m.

If scheduling permits, residents may be allowed to come in at 3 p.m. for an in-house call. Some calls are 12 hours ( 7a.m. to 7p.m.).Three Residents are in house for call at Everett Tower, two for trauma and emergencies and one for OB. Faculty is also in house at Everett Tower. At Presbyterian Tower there is one resident and one faculty in house for call. Both the Pediatric call Resident and Faculty currently take home call.

Return to Anesthesiology Residency Page

Return to Anesthesiology Home Page

TOP ^

	OUHSC HOME / SEARCH / FEEDBACK

The University of Oklahoma Health Sciences Center Deparment of Anesthesiology
College of Medicine 750 NE 13th, Suite 200, Oklahoma City, OK 73104
(405) 271-4351
e-mail: Anesthesiology@ouhsc.edu

This web site is designed by the Department of Anesthesiology of the University of Oklahoma Health Sciences Center.

Every effort will be made to update the information contained on these pages as necessary. However, it is the responsibility of the user to determine that he or she is relying on the most current version of any particular information. Any questions about the material should be directed to the referenced office or department.