Clinical Base (PGY1)
The American Board of Anesthesiology requires that 12
months of the training period be spent outside the operating room in
order to better equip the anesthesiologist to perform in the specialty as
a perioperative physician. These 12 months are termed the Clinical Base
year. Rotations are selected to achieve the goals noted above. Hospitals
participating in our PGY-1 year are the University Hospital of Arkansas,
the John L. McClellan VA Hospital, Arkansas Children's Hospital, St.
Vincent Infirmary Medical Center, and Baptist Medical Center.
The program is designed to meet the educational needs
of the resident as well as the requirements of the American Board of Anesthesiology. It is integrated into the anesthesiology residency by
means of joint curricular planning between the Program Directors in
Anesthesiology and outside services. For the the
PGY-1 year, the resident will follow a rotation that includes four months of surgery and one month each of the following: pulmonary medicine, internal medicine, pediatrics, ambulatory care, emergency medicine, cardiology, medical intensive care and anesthesia.
Clinical Anesthesia I, II, III
The Clinical Anesthesia training years provide
comprehensive experience in all aspects of clinical anesthesiology.
Emphasis is placed on the development of clinical skills. This is
achieved through didactic teaching, diversity of case assignments and
extensive experience in the use of modern anesthetic agents and
techniques. Many special techniques in monitoring and administration of
anesthesia and acute and chronic pain control are taught in the operating
and delivery room as well as in the intensive care units and the
Ambulatory Care Center.
Basic Anesthesia Training (CA-1)
The CA-1 year is spent emphasizing basic and
fundamental aspects of the management of anesthesia. A CA-1 Introductory
Lecture Series is held twice daily during July to introduce the
various aspects of the specialty. Faculty members meet with beginning
residents to discuss topics that follow the textbook, Basics of
Anesthesia, 3rd Edition.
The clinical exposure of beginning CA-1 residents mostly
consists of the care of patients without complex diseases. These are
patients having relatively uncomplicated procedures in general surgery,
orthopedic surgery, neurosurgery, urology, otorhinolaryngology,
ophthalmology, and gynecology. Case assignments are made to prepare
residents for after-hours call duties. Call duties for CA-1 residents are
determined individually after evaluations by staff.
As the year progresses, residents learn to plan and
administer anesthesia care for patients with more severe and complicated
diseases and having more complex procedures. They are assigned to
rotations in obstetrical, outpatient, and regional anesthesia, pain
management, and possibly other subspecialties.
Subspecialty Anesthesia Training (CA-2)
Residents progress to subspecialty rotations as their
next stage in training. This is taught in the CA-1 and CA-2 years, but
primarily in the latter. Subspecialty training objectives are to achieve
the proficiency to provide anesthesia care for a broad range of surgical
procedures by in-depth exposure to the specialized areas. Proficiency is
best achieved by scheduled rotations of one to three months, depending on
the subspecialty. Teaching is done by faculty members with particular
interest and expertise in the various areas. Subspecialty rotations are
cardiothoracic, obstetrical, outpatient, pain, pediatric, orthopedic, and
critical care medicine.
Advanced Anesthesia Training (CA-3)
The goals of advanced anesthesia in the CA-3 year are
to provide extensive and in-depth training in subspecialty areas, advanced
and complex clinical anesthesia and clinical or laboratory research
related to anesthesiology.
Three tracks are offered at the University of
Arkansas for Medical Sciences as required by the American Board of
Anesthesiology: Advanced Clinical Track, Subspecialty Clinical Track, and
Clinical Scientist Track.
Fellowship
Currently, 4 fellowship positions are available in pediatric anesthesiology. Cardiothoracic, pain management and critical care medicine are planned in future years.
Teaching
Morning teaching conferences are held at UAMS and
Arkansas Children's Hospital before scheduled surgeries. Tuesday mornings
are reserved for a two-hour didactic conference composed of a Grand Rounds
topic and a Morbidity/Mortality case discussion. To
provide opportunity for a more in-depth didactic conference, level
specific reading groups are held once a week that cover a wide array of
anesthesia topics. These reading groups are moderated by faculty members.
CA-2 level residents make individual presentations on
anesthesia topics of their choice each year at the Annual Anesthesia
Resident's Day that is held in the spring each year. These are formal
presentations given to the entire Department of Anesthesiology, as well as
local visiting Anesthesiologists.
Mock oral examinations are held twice each year to
help prepare residents for Oral Board Examinations and to help direct
their studies.
Residents are paired with attending faculty advisors.
Each advisor discusses the quarterly faculty evaluations of the resident
with him or her. They plan effective study habits and discuss ways in
which the resident can improve his or her performance.
The department maintains two Anesthesiology Libraries,
conveniently located near the operating rooms at the University Hospital
of Arkansas. It contains textbooks as well as journals and audiovisual
materials for self-education. Adequate staffing provides
copying and typing services that are available to the residents. Slides
and education material can be produced through Media Services. Our library
contains several personal computers which the residents are encouraged to
use. The VA Hospital library has computer literature search support
personnel that are available to all residents.
Research
Numerous opportunities exist for research participation. Residents can participate in the development of case reports/series, industry-sponsored drug and device studies, and NIH-funded basic and clinical research.
Areas of research expertise in the department include educational and quality assurance research, pain management studies, and experimental therapeutics. In addition, the department has collaborations with numerous colleges and departments on campus, which can provide other opportunities.
Laboratory research is carried out by faculty members
of the Department of Anesthesiology in collaboration with the Department
of Pharmacology and Toxicology.
Contact Information
If you need to communicate with our resident
coordinator in the Department, please use the main office address as
listed.
Telephone:
501-686-7565
501-603-1656
FAX:
501-686-7059
Postal address:
Department of Anesthesiology
4301 W. Markham,
Slot 515
Little Rock, AR 72205
U.S.A.
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