About Our Residency Program

 Saint Louis University School of Medicine Department of Anesthesiology and Critical Care Medicine

 

Clinical Base Year

The residency begins with a Clinical Base year that is in compliance with the RRC requirements for the anesthesiology Clinical Base year. We also provide a comprehensive Practice Management rotation in the first year. In overview, the Clinical Base year must include at least six months of experience in caring for inpatients in specialties such as internal medicine, pediatrics, surgery, obstetrics and gynecology, neurology, and family medicine. Rotations in critical care and emergency medicine are required. These experiences in clinical medicine form the foundation upon which subsequent training in anesthesiology occurs.

Clinical Anesthesia Training

As residents progress through the Clinical Anesthesia Year 1 and Clinical Anesthesia Year 2, they are given increasing levels of responsibility appropriate to their knowledge, skills, and emerging clinical judgment. Clinical Anesthesia Year 1 residents concentrate on general anesthesia in the Saint Louis University Hospital setting. During the first half of the first year, residents are introduced to pediatric anesthesiology, and are introduced to rotations in critical care service, cardiothoracic heart, and neurology during the second half of their first year.

Clinical Anesthesia Year 2 residents receive exposure to the many subspecialty areas of anesthesia, and complete rotations in obstetric, pediatric, and cardiothoracic anesthesia, as well as pain management and regional anesthesia. Residents in their second year may also spend additional time in an intensive care unit staffed by Board-certified critical care trained anesthesiologists. Residents assume primary responsibility for patients who present with multiple organ failures, trauma-related injury, neurosurgical procedures, and organ transplantation.

Practice Management

Structured like a fast-tracked business course for physician executives, the Practice Management rotation provides residents with an introduction to the fiscal, organizational, and administrative aspects of healthcare. A series of introductory lectures on CD-ROM, sponsored by the American College of Physician Executives, is incorporated into the rotation. In addition, the rotation emphasizes the concepts embodied by quality improvement theory and the application of these concepts to the physician's practice in the daily healthcare environment.

Faculty from the Saint Louis University School of Public Health and the Department of Anesthesiology and Critical Care present lectures and serve as mentors to the residents. Residents are responsible for both individual and team projects. The rotation culminates in a Capstone Project, presented in teams of two residents each, identifying opportunity to apply sound practice management and quality improvement principles to institutional challenges and issues.

June Orientation and Training for Clinical Anesthesia Year One

Special training to orient incoming residents to the fundamentals of anesthesia practice begins with a comprehensive, month-long orientation in June of the Clinical Base Year. Lectures are combined with one-on-one clinical time in the operating room to encourage residents to read about cases, interact with faculty in the operating room and increase their knowledge base.

Manageable Call Schedule

Residents average four to five calls per month. While on call, the resident is required to be in-house for a 24-hour period. Residents are not required to work on their post-call days. When weekend call is required, only one weekend day is scheduled. The eighty hour work week is adhered to strictly.

 

Location Rotation Length
Saint Louis University Medical Center   11 months total
  Internal Medicine - Floors 1 month
  Internal Medicine - ICU 1 month
  Cardiac Consult 1 month
  Emergency Medicine 1 month
  Critical Care 2 months
  Otolaryngology 1 month
  Pratice Management 1 month
  Adult Anesthesiology 1 month
  Surgery - Trauma 1 month
  PAT Clinic 1 month
Jefferson Barracks VA Medical Center Primary Care Ambulatory Clinic 1 month
Location Rotation Length
Saint Louis University Medical Center   10 months total
  Adult Anesthesia 6-7 months
  Post Anesthesia Care Unit 2 weeks
  Pre-Admission Testing 1 month
  Acute Pain 1 month
  Neuro 1 or Critical Care 2 months
Cardinal Glennon Children's Medical Center Pediatric Anesthesia 2 month
Location Rotation Length
Saint Louis University Medical Center   8 months total
  Adult Anesthesia 3 month
  Neuro II 1 month
  Acute Pain 1 month
  Cardiac Anesthesia 1 month
  Vascular Anesthesia 1 month
  Critical Care 1 month
Cardinal Glennon Children's Medical Center Pediatric Anesthesia 2 months
Mercy Hospital Saint Louis Obstetric Anesthesia 2 months
Location Rotation Length
Saint Louis University Medical Center   8 months total
  Adult Anesthesia 6 months
  Thoracic Anesthesia 1 month
  Cardiac Anesthesia 1 month
Cardinal Glennon Children's Medical Center Pediatric Anesthesia 2 months
Saint Mary's Health Center Chronic Pain 2 months
John Cochran VA Medical Center Regional Anesthesia 1 month

 

 

 

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