The following descriptions will provide a general overview each training year. Please click this link to view the 2005-2006 Master Rotation Schedule.

CA-1 Year

The CA-1 year starts with a mix of intense didactic lectures and a daily exposure to the operating rooms for two hours in the morning lasting about two weeks. This is followed by one-on-one supervision with a faculty member until the end of July.

Starting in August, CA-1 residents rotate through multiple basic anesthesia areas including:

• General Surgery
• Surgical Oncology
• Gynecology
• Gynecology Oncology
• ENT
• ENT Oncology
• Plastic Surgery
• Urology
• Orthopedic Surgery

In addition, the resident gains experience providing anesthesia outside the operating rooms (e.g. interventional radiology, CT, MRI and ECT).

CA-1 residents also complete a rotation on the obstetric floor and a two week rotation in the PACU. An introduction to research is provided through a one week research rotation that provides a basic understanding of the process of scientific inquiry and provides an excellent foundation for those residents interesteted in the Clinical Scientist Track in the CA-3 year.

CA-2 Year

The CA-2 year is dedicated to various subspecialty rotations. These include OB, Neuro, Cardiovascular, Thoracic, Regional and Pediatric Anesthesia, Critical Care Medicine and Pain Management.

Cardiovascular Rotation

The CV rotation is completed at our new Ross Heart Hospital which is connected to the general operating rooms.

Clinical experience ranges from on and off pump CABG surgery, valvular surgery, ventricular assist devices to aortic surgery (including ascending, arch, descending and abdominal aortic surgery and stent placement).

Didactics expand from physiology and pathophysiology to advanced monitoring including transesophogeal echocardiography, cerebral oximetry and spinal drain monitoring. Teaching occurs pre- and intra-operatively as well as during additional weekly cardiovascular didactic sessions.

Neuro-anesthesia Rotation

The neuro rotation takes place at University Hospital. Cases include both vascular and non-vascular craniotomies as well as various spinal procedures. One training site is our newly built, MRI equipped operating room.

Residents learn neuro-anesthesia techniques and monitoring techniques such as evoked potential and ICP monitoring. During the rotation residents attend additional neuro didactic sessions.

Thoracic Rotation

The thoracic rotation takes place at the University Hospital or the James Cancer Hospital, which is connected to the main operating room suites.

Procedures include thoracotomies and thoracoscopies, mediastinoscopies, bronchoscopies and esophagoscopy with laser Rx as well as lung volume reductions and lung transplants.

Residents learn about physiology, pathophysiology and pharmacology as it applies to thoracic surgery. They will become proficient in methods of lung isolation CDL tubes and bronchial blockers as well as options for post-op pain management (thoracic epidural and paravertebral blocks).

OB Rotation

The OB rotation takes place in the new maternity suites at the main University Hospital. Residents learn about maternal and fetal physiology and pathophysiology as it applies to maternal pain control for labor pain and anesthetic management of the peritenium for multiple procedures including c-sections, post-partum tubal ligations or cerclages. Anesthetic techniques utilized include uetero neuroaxis blocks (spinal, epidural and combined spinal-epidural anesthesia), general anesthetics, as well as local anesthetics. Residents are involved in the care of high risk OB patients and attend weekly multidisciplinary conferences.

Regional Rotation

The initial rotation of regional anesthesia takes place away from the main campus at University Hospitals – East with a large percentage of upper and lower extremity orthopedic and podiatric surgery.

Residents will learn anatomy of the upper and lower extremity as it applies to performing upper and lower extremity blocks. The placement of blocks or in-dwelling catheters is facilitated using nerve stimulators or ultrasound.

Pain Management Rotation

Residents learn about acute and chronic pain in the hospital and office setting. There they will be exposed to patient evaluations, multi-modal measures of treating chronic and cancer pain, as well as managing acute pain using spinal epidural or systemic analgesic techniques. They will observe and perform numerous pain procedures.

Critical Care Rotation

Our residents rotate through our 42 bed Surgical Intensive Care Unit which is co-managed by Surgery and Anesthesiology.

During this rotation residents learn how to manage the critically ill post-surgical, burn and trauma patient. The teaching occurs at the bedside, during rounds and didactic sessions.

Pediatric Rotation

The pediatric anesthesia rotation takes place at the Columbus Children’s Hospital away from the main OSU campus.

The resident learns about pediatric physiology and pathophysiology as it applies to the anesthetic management of a child. Residents are exposed to a wide variety of surgical procedures in the in-patient as well as ambulatory surgery setting.

The teaching occurring in the operating room is supplemented with daily didactic teaching conferences.

CA-3 Year

The CA-3 year provides the resident a twelve month experience in advanced and complex anesthesia assignments. Clinical assignments in the CA-3 year include difficult or complex anesthesia procedures and the care of seriously ill patients.

Sub-specialty rotations are encouraged but none may be longer than six months.

The program offers resources to provide a research tract of up to six months devoted to a laboratory or clinical investigation. For the resident who elects this tract, it is expected that the result of the investigations will be suitable for presentation at a local, regional or national scientific meeting. The research tract generally occurs in the CA-3 year, but at the program director's discretion, may be taken earlier.

The resident is expected to do an academic project which may include special training assignments, grand round presentations, preparation and publication of a review article, book chapters, manuals for teaching or clinical practice or similar academic activities. A faculty spervisor is in charge of each project. At the discretion of the program director the project may occur prior to the CA-3 year.