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Kaitlynn Delvalle,
Residency & Fellowship Coordinator

1901 West Harrison.
5th Floor
Chicago, IL 60612

Phone: 312-864-5044

ROLES AND RESPONSIBILITIES OF ANESTHESIA HOUSESTAFF

John H. Stroger Jr. Hospital of Cook County

Residents must complete the necessary requirements for graduation from the program. These are in part based on the Residency Review Committee for Anesthesia requirements for all Anesthesia residencies as well as American Board of Anesthesia (ABA) requirements for eligibility for the certification exam. Each rotation a resident will be assigned to a specific service.  Residents assigned to a service have responsibilities and expectations as outlined in the Curriculum Manual.  All residents completing the four year program will be Board eligible.

The anesthesiology residency is divided into four distinct years of training. Residency starts with the clinical base year, or PGY-1 year, which teaches residents the fundamentals of internal medicine and surgical principals applicable to anesthesiology practice. Residents rotate on varies internal medicine and surgical subspecialties, in addition they rotate in critical care units, emergency room, and operating room for one rotation. The PGY-2 year, or Clinical Anesthesia 1 year, residents rotate on introductory general anesthesia, orthopedics and gynecology anesthesia rotation. In addition, they are introduced to preoperative anesthesia, recovery post anesthesia care unit and acute pain services. The PGY-3 year, or Clinical Anesthesia 2 year introduces the resident to all subspecialties of anesthesiology practice. The resident will rotate on the following subspecialties; cardiothoracic, neuroanesthesia, pediatric, critical care, obstetric, vascular and chronic pain. The PGY-4 year, or Clinical Anesthesia 4 year, is devoted to acquiring advanced skills in subspecialty anesthesia. The year is designed in consultation with the resident regarding their future interest as well as need to fulfill ABA requirements. The senior resident also completes an advanced complex cardiac rotation, OR management rotation, and out of OR anesthesia. Senior residents are instructed on how to supervise and teach more junior residents and students.

Clinical Base Year

The Clinical Base Year (CBY) is divided into thirteen (13) rotations. All of the rotations are at John H. Stroger, Jr. Hospital of Cook County and take place during the first year of the Continuum of Education in Anesthesiology. The rotations are arranged through the Program Director of Anesthesia in conjunction with the program directors of the participating departments. The anesthesiology program director oversees the entire year. Rotations include Internal Medicine, Pulmonary Medicine, Cardiology, Emergency Medicine, General, Thoracic, and Vascular surgery rotations, Medical and Intensive Care, and Anesthesiology. Residents also rotate on medical consult service. The resident functions as an intern on these rotations and is expected to perform at the level of the sponsoring specialty intern.

Clinical Anesthesia Year (CA-1 CA-2, CA-3)

The Clinical Anesthesia Years are divided sequentially into Basic Anesthesia Training as described in the introductory section, Subspecialty Anesthesia Training, and Advanced Anesthesia Training. This represents a graded curriculum which increases in difficulty and progressively challenges the resident’s intellect and technical skills. The Basic Training occupies most of the CA-1 year, but obviously, from a logical point of view, it overflows into the beginning of the CA-2 year. Similarly, while the Subspecialty Training occupies most of the CA-2 year. Experience in the Advanced Anesthesia Training constitutes the CA-3 year. In keeping with the Continuum of Education outlined by the American Board of Anesthesiology, following satisfactory completion of the Clinical Base and the CA-1 and CA-2 years, the resident will in collaboration with the Program Director, proceed to Advanced Anesthesia Training, which constitutes the CA-3 year.

All residents participate in a curriculum specifically designed for them by level. As they progress, they continue to be immersed in a variety of rotations so that they can have all of the training necessary to become a well-rounded anesthesiologist upon completion of the 4 year Anesthesia residency program. Their needs and interest are all taken into account. Towards their PGY-4 year their individual interests become the concentration of their training, not only are they getting the education they need but are also able to explore specialties of their interest.

Research and Offsite Rotations

All residents are required to complete scholarly projects. All residents are required to present at least once at the Midwest Anesthesiology Resident Conference, this typically occurs during internship or PGY-2 year, although most residents often present every year. In addition, PYG-2 and PGY-3 residents often present at the annual meeting of the American Society of Anesthesiologists, American Society of Regional Anesthesia and other national subspecialty conferences. The PGY-4 resident is required to present a major grand round lecture to the entire department of anesthesia.

All PGY-3 residents will be required to complete advanced pediatrics anesthesia rotation at either Lurie Children Hospital of Northwestern University or Advocate Christ Medical Center. The PGY-4 residents will be required to complete an advanced complex cardiothoracic anesthesiology rotation at Advocate Christ medical Center.