Curriculum 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. PGY1, PGY 2 and PGY 3 residents provide anesthesia care for the general range of surgical, gynecologic, and obstetrical patients. Over time, residents are involved in progressively more difficult cases and will have rotations on subspecialty services. Plans PGY 4 residents are flexible within the guidelines of the ABA and RRC, and involve management of the most complex and difficult cases. Clinical subspecialty rotations are assigned Rotations After successful completion of orientation and the general OR rotation. Beginning with the class of 2017, the assignment of the rotation schedule has become more integrated with PGY 1 rotations. As such, the core subspecialty rotations will be assigned in complete or approximate juxtaposition to specific “ward” months to ensure continuity of education. Those rotations include 4 Cores (8 weeks for each Core – sometimes split into two 4 week blocks): ObGyn /OB Anesthesia; Pediatric Surgery/Peds Anesthesia; Neurology and EEG/Neuroanesthesia Cardiology/Cardiac Anesthesia The following subspecialties are assigned in addition to the Core Blocks (blocks are indicated for initial rotations): Thoracic (two 2 week blocks), Vascular (two 2 week blocks) Perioperative Pain Service (PPS) (4 weeks); Regional Anesthesia (two 2 weeks blocks), Chronic Pain (2-4 weeks), Post-Anesthesia Care Unit (2 weeks), Critical Care Medicine (includes SICU, BTICU, MICU & four 4 week rotations), Organ Transplantation (1 week block), Center for Perioperative Medicine (CPM, for elective cases, 2 week block) Non-OR Anesthesia (2 week block), Ambulatory (3-4 week block). Near the end of your third year, subspecialty rotation schedules are assigned by the Program Director in collaboration with each resident. This includes the following electives: Clinical Coordinator in Training, Center for Perioperative Medicine (OR location), Highland Hospital (Private Practice), TEE, ICU Fellow, Advanced OR (in each subspecialty), Pediatric Hearts, Health Care Policy in Washington, DC; Palliative Care, and “Pretending” (i.e. Junior Faculty Rotation).