Overview of Clinical Experiences

Clinical Base Year

The clinical base year (PGY-1) provides a mixture of internal medicine and surgical rotations. Clinical rotations include:

• Emergency Medicine
• General Surgery
• Medical ICU
• Surgical ICU
• Cardiology
• Internal Medicine
• Obstetrics
• Neurology
• Anesthesia
   

CA-1

In the first clinical anesthesia year (CA-1, PGY-2), residents learn basic anesthesia skills under close faculty supervision. Residents begin to take night at weekend calls with faculty supervision as soon as their level of training permits. Most of the year is spent doing general anesthesia in the operating rooms at South Pointe Hospital. Subspecialty experiences include Surgical ICU, Chronic Pain, Obstetrics, and Pre/Post Anesthesia at Cleveland Clinic Main Campus and other hospitals that are a part of the Cleveland Clinic Health System. A research/independent study rotation precedes BASIC exam, and provides residents with the time and opportunity to study and prepare submissions for various national and international conferences, including ASA, AOCA, and IARS.

Clinical Rotations include:

• General Anesthesia – 32 weeks
• Preanesthesia Evaluation – 2 weeks
• Postoperative Care Unit – 2 weeks
• Surgical ICU – 4 weeks
• Chronic Pain – 4 weeks
• Obstetric Anesthesia – 4 weeks
• Research/Independent Study – 4 weeks
   

CA-2

The CA-2 resident schedule provides subspecialty training. Subspecialties are spread throughout the year. The order is personalized to allow residents considering fellowship training in particular subspecialties to experience that subspecialty prior to applications being due in fall/winter.
 

Clinical Rotations include;

• General Anesthesia, including thoracic and vascular – 28 weeks
• Acute Pain and Regional Anesthesia – 4 weeks
• Surgical ICU – 4 weeks
• Obstetric Anesthesia – 4 weeks
• Cardiac Anesthesia – 4 weeks
• Pediatric Anesthesia – 4 weeks
• Neuroanesthesia – 4 weeks|
   

CA-3

The CA-3 year is designed to prepare a resident for fellowship or independent clinical practice, with a schedule designed to provide increasing levels of autonomy. CA-3 residents personalize most of their schedule with electives, and are urged to gain additional expertise in areas of interest.
 

Clinical Rotations include:

• General Anesthesia, including thoracic and vascular – 20 weeks
• Supervision in General Anesthesia – 4 weeks
• Acute Pain and Regional Anesthesia – 4 weeks
• Cardiac Anesthesia – 4 weeks
• Thoracic Anesthesia – 4 weeks
• Pediatric Anesthesia – 4 weeks
• Electives – 12 weeks
  • Advanced Surgical Subspecialties
  • Advanced Obstetric Anesthesia
  • Ambulatory Surgery
  • Pain Management & Acupuncture
  • Advanced Surgical ICU