Key Elements of the Program
There are over 70,000 cases conducted within the URMC system. Residents provide anesthesia for all types of surgical procedures. Beginning with close observation during orientation, the level of attending supervision is adjusted for each resident according to their skill and abilities allowing more senior residents much more responsibility, even with advanced anesthetics. This develops confidence and the highest level of performance. Being a large tertiary care center with a wide catchment area, most anesthetics are delivered under one roof, but encompass a variety of clinical areas including the MRI suite, the Electrophysiology and Cardiac Catheterization lab, the Gastroenterology Suite, and Electroconvulsive Therapy, to name a few.
Beyond daily OR experiences, URMC also provides a nearly unparalleled education in acute trauma care. Strong Memorial Hospital is the only Level I trauma center in the Finger Lakes region supplying the highest level of care to over 1.2 million people.
Lastly, the URMC faculty members have been trained in many different institutions: Thus, they can each teach the core curriculum while including unique methods and techniques in order to broaden the education.
In the Classroom
On a base level, residents are trained in the core anesthesiology education and will be trained to perform above average. We offer a variety of educational activities in a host of different modalities—didactic and interactive, in the simulator and in the classroom. Recognizing that our residents are adult learners and process information across different domains, we provide a something for everyone. Continuing from the basic education, there are extensive rotations in order to meet ACGME guidelines as well as provide opportunities beyond the basics. This curriculum has proven results: excellent performance by our graduates on the written and oral ABA board exams, and outstanding career placement.
The department is involved in cutting-edge research in basic and clinical sciences, as well as in outcomes, education, and simulation. Work is funded by the National Institutes of Health, by industry, and by internally supported studies. Many of our faculty members are engaged in active research projects, and they encourage resident participation. Residents frequently present their scholarly activity at local, regional, national and international conferences.
The mission of the URMC Anesthesiology Department is to foster a true learning environment, focusing on the needs of our residents in order to reach the highest caliber of education. The faculty views residents as colleagues and friends—members of one team. Our faculty liken themselves to coaches—empowering our residents to own their education and facilitating the best game plan for carrying that out. Routing for our resident success, we strive to treat each according to his/her own needs, with the expectation that each resident will perform at his/her highest level.
In 2012, we implemented a newly structured curriculum that we believe will provide unparalleled education for our residents. Our integrated CBY/PGY-1 year begins with the core rotations of SICU, MICU, medicine wards, medicine consults, emergency department, and surgery subspecialties. In January, we begin a 6 week orientation to the operating room, followed by alternating months between a surgical or medicine subspecialty, and its corresponding anesthesiology rotation (ie. Neurology/Neuro Anesthesia, Peds Surgery/Peds Anesthesia, OGBYN/OB Anesthesia, Cardiology/Cardiac Anesthesia). This year also includes 1 month of vacation taken in 4, 1-week blocks. With this new schedule, most residents will have completed a “first run” through all core rotations by the end of the PGY2 (CA-1) year. Subsequently, the program directors work with the residents individually to create ideal schedules to meet everyone’s needs.