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VCU Medical Center, Richmond VA


We want to welcome you to Virginia Commonwealth University (VCU) Department of Anesthesiology Residency Program.

Welcome Chief Residents

Formerly known to many as the Medical College of Virginia (MCV), VCU Health has continued its predecessor’s traditions and dedication to training strong clinicians. Our program’s mission to train great clinicians and future experts in the field of Anesthesiology is evident through expanding departmental research, dedication to didactic teaching, and complex clinical experiences.

Under the leadership of our Chair, Dr. John Butterworth, our program is becoming a national leader in Anesthesia training. In the first month of the CA-1 (PGY-2) year, residents are paired with a senior resident or an experienced CRNA in the initial exposure to the OR anesthesia environment.

The beginning of this clinical year also includes a 6 week didactic “boot camp” to provide a good foundation in the basics of anesthesia. Clinical exposures in this year include PACU, obstetric anesthesia, Surgical Trauma ICU, Trauma, Neuroanesthesia, the regional-acute pain service, and general OR anesthesia assignments. CA-1s complete their year at our two clinical sites, MCV hospital and the McGuire VA medical center. In-house “moonlighting”  becomes available to CA-1s after six months of satisfactory performance in clinical rotations with approval from the program director.

The CA-2 (PGY-3) year focuses on subspecialty anesthesia.  Residents spend time at the McGuire VA medical center on general, Cardiac and Vascular anesthesia rotations. Our VA Cardiac service is unique in that it includes not only “bread and butter” cardiac cases but also it is the only VA currently performing Heart Transplants. The rest of the year is spent at MCV hospital on rotations in Acute pain service, and Cardiac Surgery, Obstetric, Thoracic, Vascular, Cardiac, Trauma and Pediatric anesthesia.  Residents rotate on our Neuroscience ICU for one month and Cardiac Surgery ICU for one month where they help to care for critically ill patients and supervise the rotating neurology resident and anesthesia intern. Chronic Pain rotation takes place at our NOW Center, a new state ofhte art clinical center. Clinical autonomy continues to expand and CA-2 residents on Trauma rotations respond to  all Code Blue alerts, emergent airway consultations and ED trauma alerts with back up from a senior resident and a faculty member.

Our CA-3 (PGY-4) year focuses on preparing residents to make the transition to being an attending physician, by improving practice efficiency and expanding supervisory roles. Senior residents rotate through Trauma, Neuroanesthesia, Cardiac Surgery ICU, regional anesthesia-acute pain, Ambulatory anesthesia, Transesophageal Echocardiography, and Pre-operative (PACE) clinic. The senior Trauma rotation is treated as a junior attending rotation, consisting of mostly supervisory roles during evening shifts and practice management. The Trauma resident makes daily OR assignments for faculty and residents. Senior trauma residents also “run the board” helping with staff, case and OR allocation.

The two months spent in our Ambulatory Surgery Center continue to increase our efficiency in performing regional anesthesia and  delivering OR anesthesia. The remaining five time blocks are electives that allow the residents to gain more exposure in areas of interest. Some recent electives include: Pediatrics, Research, Regional, Private Practice, Mission Medicine, Palliative Care and medical student education. We finish this year and program ready to practice whether it will be in a private or academic setting. For example, our graduates are comfortable with all common regional blocks, having performed between three and seven times the required minimum number specified by the ACGME.


Living in Richmond, VA

Richmond has many interesting sites and attractions. It is a family friendly city, with the Richmond Zoo, Maymont Park, Lewis Ginter Botanical Gardens, Children’s Museum and Richmond Squirrels Baseball. Richmond has been recognized as a food and craft beer “destination” location. “Foodies” can sample the many restaurants spread across Downtown, Carytown, and the Fan District. There are even a few nationally recognized restaurants out in the suburbs! Pubgoers have  numerous options, particularly in the Downtown area. Outdoor enthusiasts can raft the James River or hike nearby trails. Located only two hours from Virginia Beach and Washington, DC, and one hour from Historic Williamsburg, Richmond has many nearby destinations to further enrich the city experience.

Further information can be found at the following link:  Living in Richmond

We look forward to meeting you soon.

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Virginia Commonwealth University
| School of Medicine | Department of Anesthesiology HOME
West Hospital, 1200 E. Broad Street, 7th Floor
Phone: (804) 828-9160 | Fax: (804) 828-8300 | email:
updated: 9/19/17