About the Program
The Temple anesthesiology residency is an advanced entry program, beginning at the Clinical Anesthesia-1 (PGY-2) year. The program has 24 residents, 8 in each year. As residents progress from the CA-1 through the CA-3 year, they receive progressive levels of responsibility. Our goal is for each resident to develop sound clinical judgment and technical skills. In the pages that follow there will be a general description of the three clinical anesthesia years, a table outlining the distribution of rotations among the three years, and a description of the various subspecialty rotations and divisions.
Clinical Base Training
Prior to entering the program, residents are required to successfully complete a year of clinical base training (PGY-1) in a specialty area acceptable to the American Board of Anesthesiology. Most residents complete a transitional year or a preliminary year in internal medicine or surgery.
Clinical Anesthesia - 1 Year
The CA-1 year begins with a nine-week orientation period during which residents are assigned faculty preceptors with whom they work one-on-one. The preceptors provide basic instruction in preanesthetic evaluation, preparation of the operating room for an anesthetic, and the conduct of and recovery from anesthesia. Residents are initially assigned to simple cases so that the fundamental principles of safe anesthetic practice can be learned.
During the CA-1 year, residents will primarily be assigned to non-subspecialty anesthesia cases (e.g., orthopedics, general surgery, gynecology, plastic surgery, ENT, oral surgery). As residents progress, they will be assigned more complex patients having more complex surgical procedures. The subspecialty areas that will be introduced in the CA-1 year are obstetric anesthesia, preanesthetic assessment clinic, and cardiac anesthesia (for approximately 75% of the CA-1 class), and post-anesthesia care unit. An outline of the distribution of rotations among the three clinical years is provided here.
Clinical Anesthesia - 2 Year
The CA-2 year is primarily devoted to the subspecialties of anesthesia practice. Residents have rotations in cardiac anesthesia, critical care, neurosurgical anesthesia, pain management, pediatric anesthesia, regional anesthesia, and more advanced non-subspecialty anesthesia, including anesthesia for bariatric surgery and burn surgery.
Clinical Anesthesia - 3 Year
In the CA-3 year, residents choose either the advanced clinical anesthesia track or the clinical scientist track. The advanced clinical track is designed to provide residents with advanced anesthesia experience. Through a combination of required and elective rotations, residents have the opportunity to consolidate and expand their clinical skills. Each resident is required to complete rotations in cardiac and pediatric anesthesia and pre-anesthetic assessment. Additionally, residents may request specific subspecialty rotations. The program director makes every effort to design a CA-3 for each resident that includes the residents' requests.
The clinical scientist track allows the resident to pursue clinical or basic science research for up to 6 months. Residents can chose to work with a faculty member on an established project or can develop their own research project. A resident is expected to complete a project that can be submitted for publication. Our residents who have chosen the clinical scientist track have frequently been able to present the results of their work at regional and national meetings.