Curriculum/Rotations 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.