CA-1 Orientation

It is well known to the members of the Department of Anesthesiology that starting anesthesiology residency is incredibly exciting as well as tremendously stressful. It is during this critical time when our residents acquire the fundamental skills and knowledge necessary to make the successful transition from intern to anesthesiology resident. Our residents are considered students of anesthesiology and participate in a unique and intensive three month-long educational program combining didactic, interactive, and clinical experiences created to provide an introduction to clinical anesthesia.

To assure a broad exposure to the clinical practice of anesthesiology during the orientation period, residents are assigned to care for a variety of patients undergoing a myriad of surgical procedures. During the first two months of training each resident is assigned to two preceptor attendings with whom they will work with in the OR on a one-to-one basis.

During the first month of study residents will attend the "Introduction to Anesthesiology" lecture series, a detailed course of study in the fundamentals of anesthesiology, anesthesia equipment, gas laws, uptake and distribution of anesthetic volatile agents, intravenous anesthetics, muscle relaxants, fluids, and electrolytes.

In addition to the clinical and didactic experiences our residents participate in a unique interactive program. During the first week of study our residents learn how to check an anesthesia machine in a series of formal small group, hands-on workshops. The residents are also given the opportunity to explore the workings of an anesthesia machine and review the machine's safety features during a two-hour interactive anesthesia machine dissection. As part of the interactive portion of the orientation program our residents participate in an extraordinary seven-week simulator program in our state-of-the-art HELPS Center. Working in small groups of two to three residents each resident can expect to receive approximately forty hours of simulator training. The curriculum was developed to teach the fundamental principles of clinical anesthesia. During the first three weeks of the program the residents learn the principles of applied physiology to the practice of anesthesiology, the steps and theory of an anesthetic induction and the sequences of a safe emergence from anesthesia. The resident are then given the opportunity to manage patients who develop perioperative hypoxia, hypotension, dysrythmias, and the difficult airway without the worry of patient safety, or the intervention of anesthesiology attendings.