CA-1: The CA1 year begins with an intensive orientation in July whereby CA1’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. After some months of general surgical anesthesia, the CA1 is exposed to subspecialty care through rotations in pediatric anesthesia, obstetrical anesthesia, neuroanesthesia, pre-surgical evaluation clinic, critical care, post-anesthesia-care unit, echocardiography, and cardiothoracic anesthesia. By the end of CA1 year, our residents have a very strong foundation and are extremely capable in providing anesthetic care.
CA-2: The CA2 year continues to develop resident skills in the areas of obstetrical anesthesia, neuroanesthesia, cardiothoracic anesthesia, ambulatory anesthesia, and critical care. Training in acute and chronic pain management begins. On 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 the two months that Residents spend 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 CA3 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.