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PROGRAM DESIGN 

This program has been orchestrated with intense, comprehensive, and diverse training in anesthesiology, including preoperative/postoperative assessments and managements in airway, invasive procedures, critical care, acute and chronic analgesia. Our mission is to prepare residents with state-of-the-art annual simulation training, research/conference opportunities, and manifold subspecialties at well-equipped affiliated hospitals. The completion of this program will provide diverse and challenging clinical experience along with educational requirements to support residents to pass board exams established by the American Board of Anesthesiology (ABA).

Clinical Base Year (PGY-1)

This is also known as ‘preliminary intern year’ which is designed via internal medicine-based curriculum that is organized into monthly blocks in the categories of:

  1. Internal Medicine inpatient service (3 months)
  2. Pulmonary and Critical Care service (2 months)
  3. Anesthesiology Electives (2 months)
  4. General Surgery service (2 months)
  5. Emergency Medicine service (1 month)
  6. Cardiology service (1 month)
  7. Neurology service (1 month)

The goal is to solidify residents’ fundamental clinical skills in the initial evaluation of patient admission with diagnoses and managements, continuity of care, preventive care, and referral care. During the 2 month anesthesiology elective, residents will be mentored by anesthesiology faculties on one-to-one basis, including weekly didactic lectures, Journal Club discussions, and routine simulation training sessions. Residents also start to plan for research case reports and quality improvement projects.

Clinical Anesthesia (CA-1/PGY-2)
anesthesiology

This year will be the starting point to integrate basic clinical medicine into basic and fundamental aspects of the anesthesia in the operating room. The curriculum includes, but not limited to, pre/intra/post operative assessments, analgesia, neuraxial anesthesia, mechanical ventilation and pulmonary physiology, differential diagnoses/managements in cardiac arrest, neuroanesthesia, ultrasound guided arterial/central line placements, and ambulatory anesthesia. Importantly, residents will continue to be involved in routine on-call shifts, weekly didactic lectures, Journal Club discussions, and annual simulation training sessions. Ultimately, residents would be proficient in passing the Basic Board Exam established by the ABA. By the end of this academic year, residents shall be progressively independent with one-on-one supervision from attendings.

Clinical Anesthesia (CA-2/PGY-3)

By the starting time of this academic year, residents should have completed at least one research case report and one quality improvement project. Multi-subspecialties in anesthesiology training will be initiated from this academic year and onto the CA-3/PGY-4 in affiliated institutions as the following illustrations. These ‘away’ rotations will provide residents with the best volume of diverse cases to be proactive and proficient in the diagnoses and managements of surgical critical care, pediatric, cardiothoracic, obstetric, and acute vs chronic pain management. When rotating at the Larkin, home-based OR, residents will continue to be involved in routine on-call shifts, weekly didactic lectures, Transesophageal/transthoracic echocardiography (TEE/TTE) practice, the Advanced Board exam preparation, and Journal Club discussions.

Cleveland Clinic in Weston, Florida (2 months)-Surgical ICU

Cleveland Clinic in Weston, Florida

Nicklaus Miami Children’s Hospital (4 months)-Pediatric Anesthesia

Delray Medical Center (2 months)-Cardiothoracic Anesthesia

Piedmont Columbus Regional Midtown(2 months)-Obstetric Anesthesia

Clinical Anesthesia (CA-3/PGY-4)

The multi-subspecialties training in ‘away’ rotations should be concluded sometime in this academic year. Residents shall be in collaboration with the program director to design plans throughout this year; for instance, to perform complex anesthetic procedures of the most critically ill patients with multiple system’s diseases. During the remaining time, CA3 residents are to practice supervision over interns and CA1/CA2 residents, to design advanced research case studies and quality improvement projects, to prepare for the Advanced Board exam, and to simulate mock Oral/Applied board exams with the program staff.

Rotations By Year

PGY-1
3 months of Internal Medicine
2 months of Surgery/Urology
2 months of Medical ICU Critical Care
2 months of Elective
1 month of Neurology
1 month of Cardiology/EPSx
1 month of Emergency Medicine
PGY-2
9 months of Surgery/Urology
1 month of Regional Anesthesia
1 month of Chronic Pain
1 month of Neuro Anesthesia
PGY-3
4 months of Pediatric Anesthesia
2 months of Obstetric Anesthesiology
2 months of Medical ICU Critical Care
2 months of Cardiothoracic Anesthesiology 
1 month of Chronic Pain
1 month of General Anesthesia
PGY-4
7 months of General Anesthesia
1 month of Neuro Anesthesia
1 month of Ambulatory Anesthesia
1 month of Chronic Pain
1 month of Regional Anesthesia
1 month of Pre-op Anesthesia
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