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Anesthesiology Residency Curriculum
The residency in anesthesiology offers a graded increase in responsibility coupled with close supervision by our faculty.
After initial rotations in basic surgical anesthesiology, our residents are challenged early on with an array of subspecialty rotations.
By the end of the first year of clinical anesthesia, this experience leads to significant proficiency and a strong foundation.
During the second year, we begin to foster resident’s leadership skills as they begin taking "senior" call. Senior call provides residents the opportunity to help coordinate the care of anesthesia under the supervision of faculty.
During the third and last year of clinical anesthesia, the senior resident is further maturing in his/her leadership skills.
Senior residents manage complex cases, engage in research, teach junior residents, and take electives of their choosing.
Senior residents have more time to pursue fellowships, job opportunities, study for boards, and prepare for the next phase of their career. Our senior residents leave poised to contribute to the field of anesthesiology.
Breakdown of Clinical Anesthesia Years
CA-1: The CA-1 year begins with an intensive orientation in July whereby CA-1’s are paired with a senior resident for the entire month. This provides a safe and comfortable transition to clinical anesthesiology. In addition, each day that month a lecture on the basic principles of delivering anesthetic care is given to spark further reading and understanding. Rotations during CA-1 include:
- Pediatric Anesthesia
- Obstetrical Anesthesia
- Neuroanesthesia
- Pre-surgical Evaluation Clinic
- Critical Care
- Post-Anesthesia Care Unit
- Echocardiography
- Cardiothoracic Anesthesia
By the end of CA-1 year, our residents have a very strong foundation and are extremely capable in providing anesthetic care.
CA-2: The CA-2 year continues to develop resident skills in the areas of obstetrical anesthesia, neuroanesthesia, cardiothoracic anesthesia, ambulatory anesthesia, and critical care.
During this year, residents will begin training in acute and chronic pain management. During the acute pain service, residents perform a variety of peripheral nerve blocks with the use of ultrasound.
Residents also perform consultations and follow hospital patients requiring pain consultations. The chronic pain service provides a wide array of clinical material. Residents learn the clinical and interventional management of chronic pain during their time in our chronic pain clinic.
Blocks with aid of fluoroscopy as well as insertion of spinal cord stimulators are handled in the procedure rooms.
CA-3: By the beginning of the CA-3 year, MetroHealth residents have largely completed all cases required by the ACGME. Half of the year is devoted to the care of complicated surgical anesthesia cases. The other half is given to electives the resident chooses. The electives are composed of subspecialty areas. In addition, dedicated time to research and scholarly activity may be chosen.
Optional Informatics Track Curriculum
The Clinical Informatics Track is an optional learning experience intended for residents with a special interest in the evolving world of clinical informatics. Participants will serve as a conduit of information from frontline residents to the informatics department and vice versa, voicing concerns from practicing residents to the informatics team and raising awareness about new Epic features, changes in practice, downtime and other relevant developments.
Clinical Informatics Track residents will be go-to sources for their fellow residents for any Epic or informatics related questions. This track will serve as an initial exposure to the field of informatics for those who think they may be interested in eventual fellowship or simply adding clinical informatics experience to their resume.
Goals
| Develop an understanding of the health system, including an understanding of population health and clinical research |
| Understand what technological tools are available at MetroHealth for the effective sharing and collaboration of confidential patient data for direct patient care and research purposes |
| Understand the workflow that is required for changes to be made at the EHR level |
| Use tools available to help protect the confidentiality that is expected with sensitive patient data |
| Use informatics tools to assess quality of care currently being given as well as determine areas for growth and improvment |
| Understand the strengths and limitations of the available databases (SlicerDicer, Cosmos, TriNetX) and what each database offers |
| To understand how healthcare disparities can be both exacerbated and alleviated with the use of new technology in the clinical informatics space, and to be conscious of these factors when implementing new technology |
| Begin to understand medical billing and become conscientious of the effect that different payers may have on the care a patient receives |
Requirements
| 4 week informatics elective with Dr. Kaelber, preferably in year 1 (possibly can make up the additional 2 weeks in second or third year) |
| TriNetX self-training courses – 101, 102, 401 |
| Complete virtual Epic PowerUser courses and certification |
| Regular meetings with appropriate Associate Director of Informatics in Anesthesiology |
| Attend at least 8 out of 12 per year Associate and Assistant Directors of Clinical Informatics monthly meetings and Biomedical Informatics Committee monthly meetings (typically 2nd and 3rd Thursdays of the month respectively from 7-8am), asynchronous accommodations may be made in special circumstances |
In person vs virtual Epic Userweb training for certificates and badges
|
Possible Deliverables
| Mini project during informatics elective |
| Take a lead role in evaluation/informatics component of QI project |
| Any other projects residents may become involved with an informatics fellow/attending on |
| QI mentor meeting quarterly |
Timeline for Anesthesiology Residents
YEAR 1
Informatics elective with Dr. Kaelber, Clinical Director of Informatics for the MetroHealth System
YEAR 2
Quality Improvement Project (with an informatics component)
YEAR 3
Informatics Research Project
YEAR 4
Grand rounds (Informatics related)
