Clinical Base Year. The first 12 months of the 4-year program are devoted to clinical primary patient care training other than clinical anesthesia and is referred to as clinical base. This year of training consists of 6 months in general internal medicine (including MICU and CCU) with the remainder in other areas (e.g., otolaryngology, obstetrics, surgical ICU, emergency medicine, radiology, and anesthesiology). Our residents spend 2 years in clinical anesthesia training (CA-2 and CA-3 years).
CA-1 Year. During the first month, which is an introduction to anesthesia, the resident is paired with a more senior resident or 1:1 with an attending. A daily afternoon lecture series and airway management simulations are scheduled during that first month. The remainder of the CA-1 year focuses on general anesthesia, with some residents being introduced to subspecialty rotations during the latter part of the year. At the beginning of our 2014-2015 school year, we introduced Boot Camp, which was well received, and which will continue to be a part of our curriculum.
CA-2 and CA-3 Years. For the most part, residents will work in subspecialty rotations including cardiothoracic, obstetric, and neuro anesthesia; acute and chronic pain; critical care (surgical and cardiothoracic ICU); preoperative clinic; and the postanesthesia care unit (PACU). Anesthesiologists direct the surgical and cardiac ICU units. CA-3 residents are expected to participate in the educational and scholarly activities of the program and begin to assume responsibility for the anesthesia plan for our patients, as well as for teaching and supervising students and other residents when appropriate.
Clinical training includes the anesthetic management of surgical and obstetric patients as well as preanesthetic evaluation, postanesthetic follow-up, recovery, and intensive care, management of shock, diagnostic and therapeutic regional blocks, pain management, and respiratory therapy. We have added a rotation at the Veterans Administration hospital.
Our residents have the opportunity to be exposed to specialized areas such as neurosurgical, pediatric, obstetric, cardiothoracic, and ambulatory anesthesia care. Current monitoring, fluid therapy, and operating room safety are stressed. There are presentations on selected anesthesiology topics, monthly morbidity and mortality conferences, and journal conferences.
Residency training is conducted at Augusta University Medical Center and Children's Hospital of Georgia. Residents are required to participate in the annual American Board of Anesthesiology In-Training Examination and Anesthesia Knowledge Test. Our faculty evaluate residents every 6 months or as indicated and assess residence on their performance.
Postgraduate teaching is limited to the residency program, but residents from other services may affiliate by appointment. Teaching of second-, third-, and fourth-year medical students is integrated with the Medical College of Georgia curriculum and is conducted by anesthesiology faculty. Residents are expected to participate in medical student education.
Requirements: Clinical rotations in the CA-3 year must follow the successful completion of the Clinical Base, CA-1, and CA-2 years.
Election of options for the CA-3 year will be in consultation with the chairman and course director or his/her designee. In cases of multiple requests, assignments will be decided by the Education Committee.
Advanced Clinical Track. Minimum of 6 months in advanced clinical anesthesia, 6 months in one to three selected subspecialty areas or additional complex anesthesia assignments.
Subspecialty Clinical Track. 9-12 months in one subspecialty rotation along with up to 3 months of advanced clinical anesthesia.
Clinical Scientist Track. 6 months of clinical and/or laboratory investigative research and 6 months of advanced clinical or subspecialty rotations.