Clinical Base (PGY1)

The American Board of Anesthesiology requires that 12 months of the training period be spent outside the operating room in order to better equip the anesthesiologist to perform in the specialty as a perioperative physician. These 12 months are termed the Clinical Base year. Rotations are selected to achieve the goals noted above. Hospitals participating in our PGY-1 year are the University Hospital of Arkansas, the John L. McClellan VA Hospital, Arkansas Children’s Hospital, St. Vincent Infirmary Medical Center, and Baptist Medical Center.

The program is designed to meet the educational needs of the resident as well as the requirements of the American Board of Anesthesiology. It is integrated into the anesthesiology residency by means of joint curricular planning between the Program Directors in Anesthesiology and outside services. For the the PGY-1 year, the resident will follow a rotation that includes four months of surgery and one month each of the following: pulmonary medicine, internal medicine, pediatrics, ambulatory care, emergency medicine, cardiology, medical intensive care and anesthesia.

Picture from Regional Workshop

Regional Workshop 2017

Clinical Anesthesia I, II, III

The Clinical Anesthesia training years provide comprehensive experience in all aspects of clinical

anesthesiology. Emphasis is placed on the development of clinical skills. This is achieved through didactic teaching, diversity of case assignments and extensive experience in the use of modern anesthetic agents and techniques. Many special techniques in monitoring and administration of anesthesia and acute and chronic pain control are taught in the operating and delivery room as well as in the intensive care units and the Ambulatory Care Center.

Basic Anesthesia Training (CA-1)

The CA-1 year is spent emphasizing basic and fundamental aspects of the management of anesthesia. A CA-1 Introductory Lecture Series is held twice daily during July to introduce the various aspects of the specialty. Faculty members meet with beginning residents to discuss topics that follow the textbook, Basics of Anesthesia, 3rd Edition.

The clinical exposure of beginning CA-1 residents mostly consists of the care of patients without complex diseases. These are patients having relatively uncomplicated procedures in general surgery, orthopedic surgery, neurosurgery, urology, otorhinolaryngology, ophthalmology, and gynecology. Case assignments are made to prepare residents for after-hours call duties. Call duties for CA-1 residents are determined individually after evaluations by staff.

As the year progresses, residents learn to plan and administer anesthesia care for patients with more severe and complicated diseases and having more complex procedures. They are assigned to rotations in obstetrical, outpatient, and regional anesthesia, pain management, and possibly other subspecialties.

Subspecialty Anesthesia Training (CA-2)

Picture from Regional Workshop 2017

Regional Workshop 2017

Residents progress to subspecialty rotations as their next stage in training. This is taught in the CA-1 and CA-2 years, but primarily in the latter. Subspecialty training objectives are to achieve the proficiency to provide anesthesia care for a broad range of surgical procedures by in-depth exposure to the specialized areas. Proficiency is best achieved by scheduled rotations of one to three months, depending on the subspecialty. Teaching is done by faculty members with particular interest and expertise in the various areas. Subspecialty rotations are cardiothoracic, obstetrical, outpatient, pain, pediatric, orthopedic, and critical care medicine.

Advanced Anesthesia Training (CA-3)

The goals of advanced anesthesia in the CA-3 year are to provide extensive and in-depth training in subspecialty areas, advanced and complex clinical anesthesia and clinical or laboratory research related to anesthesiology.

Fellowship

Currently, 6 fellowship positions are available in pediatric anesthesiology.

Teaching

Tuesday mornings are reserved for a two-hour didactic conference composed of a Grand Rounds topic and a Morbidity/Mortality case discussion. To provide opportunity for a more in-depth didactic conference, level specific reading groups are held once a week that cover a wide array of anesthesia topics. These reading groups are moderated by faculty members.

Poster presentations at Residents Day 2017

Residents Day 2017

CA-2 level residents make individual presentations on anesthesia topics of their choice at the Annual Anesthesia Residents’ Day that is held in the spring each year. These are formal presentations given to the entire Department of Anesthesiology, as well as local visiting Anesthesiologists. The department sponsors a trip to the Gulf Atlantic Residents Research Conference for the top three presenters.

Mock oral examinations are held twice each year to help prepare residents for Oral Board Examinations and to help direct their studies.

Residents are paired with attending faculty advisers. Each adviser discusses the quarterly faculty evaluations of the resident with him or her. They plan effective study habits and discuss ways in which the resident can improve his or her performance.

Research

Numerous opportunities exist for research participation. Residents can participate in the development of case reports/series, industry-sponsored drug and device studies, and NIH-funded basic and clinical research.

Areas of research expertise in the department include educational and quality assurance research, pain management studies, and experimental therapeutics. In addition, the department has collaborations with numerous colleges and departments on campus, which can provide other opportunities.

Laboratory research is carried out by faculty members of the Department of Anesthesiology in collaboration with the Department of Pharmacology and Toxicology.