Out-of-OR Anesthesia The demand for anesthesia services outside of the operating room has increased dramatically during the past decade. The Non-OR Anesthesia Service currently provides anesthesia care at 14 different off site locations including MRI, Interventional Radiology, and CT Imaging Rooms in the Imaging Science Suite, Cardiac Catheterization Lab, Radiation Oncology Unit, Pediatric Hematology/Oncology Clinic, Pediatric Endoscopy Clinic, Adult Gastrointestinal and Bronchoscopy Units, Extracorporeal and Shock Wave Lithotripsy Room, Ophthalmology Clinic, Electrophysiology Lab, and Infertility Clinic. The CA-3 residents are offered a two week elective, in which they gain more experience in the delivery of safe anesthesia for procedures in magnetic resonance and computed tomography imaging, interventional radiology, cardiac catheterization, electrophysiology, gastrointestinal endoscopy, and other procedures, to both children and adults in out-of-OR locations. Anesthesia in these locations is increasing as a proportion of anesthesia practice, and development of the skill set and knowledge base to practice safely in such environments is important in residency training. Furthermore, these are often the sickest unintubated patients in the hospital, and require a wide range of skills to manage.