Clinical Experience and Rotations

Each residency year is tailored to resident growth in all aspects of clinical care focused around the ACGME Anesthesiology Milestones in Patient Care, Medical Knowledge, Systems Based Practice, Practice Based Learning, Professionalism, and Interpersonal skills. The curriculum for each rotation is structured around milestones and helps to guide residents through each rotation. There are 13 block rotations for each year with 4 weeks on each rotation.

PGY-1 (Intern Year)

This year is focused on obtaining a wide breath of clinical experience with rotations in surgery, internal medicine, ICU, emergency medicine, labor and delivery, transfusion medicine and preoperative clinic and in our post anesthetic care unit (PACU).

During the last month of internship, residents are introduced into the operating room for clinical anesthesia "Bootcamp". During the Anesthesia Bootcamp rotation our interns are paired with a senior level resident or CRNA to learn the basics of the setup and flow in the OR prior to becoming the provider in the OR. The immersive clinical experience is paired with an in-depth daily didactic program lead by the senior residents.

PGY-2 (CA-1 Year)

For those who did not do intern year with us, the first month of CA-1 year is composed of the Anesthesia Bootcamp rotation.

This year is all about obtaining the basics and becoming more proficient in general Anesthesiology (3 Blocks in VCU Main OR and 2-3 Blocks at the VA Main OR), Obstetric Anesthesiology (1 Block), and Regional Anesthesiology. CA-1s also have an intensive care rotation in the Surgical Trauma ICU.

Subspecialties are slowly introduced during the latter half of CA-1 year with rotations in trauma and a week-long introduction to Cardiac Anesthesiology.

PGY-3 (CA-2 Year)

The CA-2 year is designed to build upon the solid foundation obtained in CA-1 year with exposure to more complex cases during subspecialty rotations. Residents rotate through Thoracic Anesthesia (1 Block), Pediatric Anesthesia (2 Blocks at Children's Hospital of Richmond), Cardiac Anesthesia (1 block at VCU and 1 block at the VA) and Chronic Pain (1 Block).

As the resident continues to grow as a clinician, more autonomy and leadership follows. The CA-2 resident begins mentorship and teaching in the ORs with the opportunity to teach CA-1s and medical students as well as becoming the upper-level resident on the trauma, OB, and acute pain service rotations.

Intensive care rotations include the Neuroscience ICU as well as the Cardiac Surgical ICU.

PGY-4 (CA-3 Year)

Our senior CA-3 residents spend their time honing their clinical and leadership skills. They are the team leads on their trauma, Acute Pain, OB, pre-operative clinic, and ICU rotations. Unique to our trauma rotation; during the day the CA-3s experience coordinating the operating room schedule and managing.