Anesthesiology
The department of anesthesiology offers a complete range
of training opportunities including 18 first-year post-doctoral positions
(anesthesia internship positions) and an additional 13 advanced residency
positions (PGY-2).
Base Year This constitutes the first year of training in
a four-year continuum of education. The American Board of Anesthesiology
suggests that the first 12 months be devoted to clinical experience and training
in a program other than clinical anesthesia.
Acceptable training in this clinical base year includes internal medicine,
general surgery or any of the surgical specialties, pediatrics, obstetrics and
gynecology, neurology, family practice or an approved combination of these
specialties.
The department’s anesthesia internship includes rotations on medical and
surgical wards and ICUs, as well as relevant medical subspecialty rotations in
pulmonology and cardiology. Transitioning to the operating rooms is facilitated
by an intense anesthesia elective during the last month of internship.
Residency The next three years of the clinical anesthesia
curriculum (CA1 -3) consist of experience in basic anesthesia training,
subspecialty anesthesia training and advanced anesthesia training.
The curriculum is one of increasing complexity and difficulty with the CA1
year devoted largely to the basic and fundamental aspects of anesthesia.
Subspecialty anesthesia training provides experience in various sub disciplines
of anesthesiology including obstetric anesthesia, pediatric anesthesia,
cardiothoracic anesthesia, neuro-anesthesia, ambulatory anesthesia,
post-anesthesia care, regional anesthesia, chronic and acute pain management and
critical care.
In the third year, intensification of exposure to the subspecialty areas and
the management of other complex and difficult cases occur. Residents may opt to
pursue further training in a subspecialty track, the clinical scientist tract or
various combinations of both. Further, a six month elective in research is
available.
One-year fellowships in pain management, critical care, cardiac, pediatric,
obstetric, regional, and solid-organ transplant anesthesia and patient safety
are available.
Each resident administers approximately 500 anesthetics per year under the
direct supervision of a full-time academic staff. Resident experience includes
the anesthetic management of thoracic surgical (including cardiopulmonary
by-pass), neurologic, pediatric, genitourinary, orthopedic, ENT, gynecologic,
ontological, organ transplantation and general surgery patients. In addition to
Jackson Memorial hospital, residents rotate for varying periods of time to the
Veterans Administration Hospital, Mount Sinai Medical Center, Jackson South
Hospital, Miami Children's Hospital, Bascom Palmer Eye Institute, Sylvester
Cancer Center and University of Miami Hospital.
In addition, residents rotate through the Ryder Trauma Center. The Ryder
Trauma Center is the only adult and pediatric level I trauma center in South
Florida. Residents gain outstanding experience in the management of
traumatically injured patients and difficult airway management.
The
department directs the UM/JMH Center for Patient Safety, a state-of-the-art
research facility that houses high-fidelity patient simulators. Patient
simulation has been fully integrated into the standing resident curriculum, and
residents visit the Center for Patient Safety at regularly intervals.
Daily conferences are held throughout the department, as well as weekly Grand
Rounds and monthly journal clubs. The department enjoys a very active Visiting
Professor Lecture Program, with many prominent speakers featured throughout the
year.
Residents are also an integral part of providing education. This is
accomplished in teaching medical students and interns who rotate through the
department.
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