Curriculum – Anesthesiology Residency

Our clinical training program takes place over four years at Mount Sinai West and Mount Sinai St. Luke’s. We have a robust didactic and clinical teaching program, using multiple educational formats including high-fidelity simulation, workshop-based learning, and case-based learning. We host international leaders to our weekly grand rounds sessions and moderate journal clubs that enable you to interact with subspecialty experts in both a formal and informal setting. We also enlist our senior residents in helping improve the educational format and content on an annual basis to best meet and remain responsive to your needs.

Our entire faculty, especially department leadership, takes an active role in the lives and professional development of our trainees. As a resident in our program, you will enjoy personalized training and mentorship from world leaders in the field in a friendly and comfortable learning environment.  

Clinical Base Year

We currently offer 11 categorical positions, which take place at the Mount Sinai West and Mount Sinai St. Luke’s. We overhauled our training program in recent years to better provide a well-rounded experience that helps you grow as a perioperative physician and future anesthesiologist. We recently added a perioperative medicine rotation with an emphasis on acute pain management to round out our year-long program. We offer three months of inpatient internal medicine and general surgery, one month of emergency medicine, one month of critical care, and one month of clinical anesthesiology, where you work one-on-one with a clinical mentor. You maintain this mentoring relationship throughout your training.  

Our clinical year enables you to become familiar with the close knit surgical and medicine communities of Mount Sinai West and Mount Sinai St. Luke’s and to make a relatively seamless transition to anesthesia practice. You become a part of the department through your anesthesia and perioperative medicine rotations as well as regular meetings with the program leadership and an “intern year improvement committee” composed of Clinical Anesthesia (CA)-1 residents.

Clinical Anesthesia – Year 1

The first year of clinical anesthesia (CA) training focuses on the administration of general anesthetic care coupled with a robust didactic program with an eye toward The American Board of Anesthesiology (ABA) BASIC examination.

Our first year residents receive an intensive, one-month-long introduction to anesthesiology curriculum, which includes one-on-one clinical mentoring, twice daily didactics, and simulation-based training.  You continue to work with your clinical mentor from the internship year. Didactics include basic anesthesia knowledge along with sessions on well-being, study skills, and professionalism. Simulation training is small-group based and covers general topics including anesthesia induction, emergence, hypoxia, hypotension, and Advanced Cardiovascular Life Support (ACLS).

For the remainder of the year, our CA-1’s primarily focus on general anesthesia, though most will also rotate through our pre-admission testing clinic, non-operating room anesthesia, the post-operative care unit, and the medical intensive care unit. Furthermore, you will begin subspecialty exposure with rotations in obstetric anesthesia, chronic pain, neuroanesthesia, among others.

Our first year residents participate in an ABA BASIC exam review course near the end of the year. To help you get ready, we provide a study guide prepared by the program director as well as a course series that reviews the ABA content outline.

Clinical Anesthesia – Year 2

As a CA-2 resident, you will find yourself immersed in subspecialty just as you have hit your stride in the general practice of anesthesia. With exposure across many hospital locations, this year will prove to be one of dynamic growth and challenge.  Residents rotate through cardiac, pediatric, obstetric, regional, thoracic, and neuroanesthesia, chronic pain management, the surgical intensive care unit, and the Columbia-Presbyterian Morgan Stanley Children’s Hospital.

During this year, you will participate in our ABA ADVANCED didactic curriculum. We encourage our senior residents to present medically challenging cases or original research nationally as part of their professional development (every year multiple CA-2 residents present at the American Society of Anesthesiologists, New York State Society of Anesthesiologists, Post Graduate Assembly in Anesthesiology, or subspecialty conferences).  Over the last few years, CA-2 residents have joined our faculty on a number of international service trips to locations including Bolivia, China, Burma, and the Dominican Republic.

Here’s an example of the CA-2 year schedule:

  • Advanced Airway Management – four weeks (CA-3)
  • Cardiac – eight  weeks (CA-2, CA-3)
  • Critical Care (Surgery) – eight weeks (CA-2, CA-3)
  • Liver transplant – four weeks (CA-3)
  • Neuro anesthesia – four weeks (CA-2, CA-3)
  • Obstetrics anesthesia – four weeks (CA-2, CA-3)
  • Pain Management – four weeks
  • Pediatrics – 12 weeks (CA-2, CA-3)
  • Regional Anesthesia – four weeks (CA-2)
  • Thoracic – four weeks (CA-2)

Clinical Anesthesia – Year 3

While our CA-3 resident continue with subspecialty rotations, our program emphasizes a qualitative shift toward the higher level practice of incorporating principles such as oversight, leadership, resource management, and junior resident mentorship.  

During this year, you spend two months at The Mount Sinai Hospital with rotations in cardiothoracic anesthesia and transplant anesthesia. You devote an additional month practicing thoracic anesthesia at Memorial Sloan Kettering Cancer Center. Unlike in earlier years, this year you will assume leadership roles at both of our main hospitals as “team captain,” coordinating alongside the on-call attending, and you will take on more of a supervisory role with junior residents.

Here’s an example of the CA-3 year schedule:

  • Advanced Airway Management – four weeks (CA-3)
  • Cardiac – eight weeks (CA-2, CA-3)
  • Critical Care (Surgery) – eight weeks (CA-2, CA-3)
  • Liver transplant – four weeks (CA-3)
  • Neuro anesthesia – four weeks (CA-2, CA-3)
  • Obstetrics anesthesia – four weeks (CA-2, CA-3)
  • Pain Management – four weeks
  • Pediatrics – 12 weeks (CA-2, CA-3)
  • Regional Anesthesia – four weeks (CA-2)
  • Thoracic – four weeks (CA-2)

You rotate between The Mount Sinai Hospital, Morgan Stanley Children’s Hospital at Columbia Presbyterian, and Memorial Sloan Kettering.

The didactic education includes:

  • CA-1 orientation month
  • Basic series
  • Advanced series
  • Friday Funday series
  • Grand rounds
  • Journal Club 

Mount Sinai West is home to a state-of-the-art simulation lab. Beginning in the first month, we excuse our residents from clinical duties so that you can attend weekly simulation labs led by faculty with a particular interest and specialized training in the practice and integration of simulation in anesthesia training.

During the first month of your residency, you are excused from clinical duties so that you can attend weekly simulation labs. After this intensive introduction, we offer ongoing training every week with rotating small groups of students. 

The full-scale simulation center provides real world scenarios, to learn techniques in both crisis management and anesthesia management. Simulation centers are becoming increasingly important in health care education and our facility enables us to enhance our multimodal teaching. New components of the sessions include labor and delivery, pediatric, and intensive care unit management.

The simulation faculty has received training in simulation education from centers such as the Center for Medical Simulation at Harvard Medical School and the Human Emulation, Education, and Evaluation Lab for Patient Safety and Professional Study at the Icahn School of Medicine at Mount Sinai.