Rotational Schedule
A sample rotational schedule for each year in the Anesthesiology Residency Program is shown below:
CA-1 Year - Academic Year One
| Residents | July | Aug | Sep | Oct | Nov | Dec | Jan | Feb | Mar | Apr | May | Jun |
| A | GEN | GEN | GEN | GEN | GEN | PACU | Reg/Pain | Neuro | Pre-op | OB | GEN | SICU |
| B | GEN | GEN | GEN | GEN | GEN | SICU | PACU | Reg/Pain | Neuro | Pre-op | OB | GEN |
| C | GEN | GEN | GEN | GEN | GEN | GEN | SICU | PACU | Reg/Pain | Neuro | Pre-op | OB |
| D | GEN | GEN | GEN | GEN | GEN | OB | GEN | SICU | PACU | Reg/Pain | Neuro | Pre-op |
| E | GEN | GEN | GEN | GEN | GEN | Pre-op | OB | GEN | SICU | PACU | Reg/Pain | Neuro |
| F | GEN | GEN | GEN | GEN | GEN | Neuro | Pre-op | OB | GEN | SICU | PACU | Reg/Pain |
OB = Obstetrics; GEN = General Anesthesia; PACU = Post-Anesthesia Care Unit; Preop = Preoperative Care Unit; SICU=Surgical Intensive Care Medicine.
CA-2 Year - Academic Year Two
| Residents | July | Aug | Sep | Oct | Nov | Dec | Jan | Feb | Mar | Apr | May | Jun |
| A | Peds | Peds | Peds | CCM | Card | Card | Neuro | OB | CCM | Pain | Pain | Gen |
| B | Pain | Pain | Peds | Peds | Peds | CCM | Card | Card | Neuro | Gen | OB | CCM |
| C | CCM | Gen | Pain | Pain | Peds | Peds | Peds | CCM | Card | Card | Neuro | OB |
| D | Neuro | CCM | Gen | Pain | Pain | Peds | Peds | Peds | OB | CCM | Card | Card |
| E | Card | Card | Gen | Neuro | CCM | Pain | Pain | Peds | Peds | Peds | CCM | OB |
| F | CCM | Neuro | Card | Card | OB | Gen | CCM | Pain | Pain | Peds | Peds | Peds |
Peds = Pediatrics; CCM = Critical Care Medicine; Card = Cardiothoracic Anesthesia; Pain = Chronic Pain Medicine; Neuro = Neuroanesthesia; ADV = Advanced Clinical Anesthesia; REG = Regional Pain; OB = Obstetrics.
CA-3 Year - Academic Year Three
| Residents | July | Aug | Sep | Oct | Nov | Dec | Jan | Feb | Mar | Apr | May | Jun |
| A (Track 1) | OB | ADV | SICU | ADV | Card | OB | ECHO | ADV | ADV | Card | ADV | Pain |
| B (Track 1) | ECHO | OB | ADV | SICU | ADV | SICU | OB | ADV | ADV | ADV | OSS/Supv. | |
| C (Track 2) Cardiac Focus | ADV | ECHO | OB | ADV | SICU | ADV | SICU | OB | Card | ADV | Card | ADV |
| D (Track 2) Pediatric Focus | Peds | ADV | ECHO | OB | RS | PICU | ADV | Peds | OB | ADV | OB | ADV |
| E (Track 2) Regional/Pain Focus | RS | SICU | Pain | ECHO | OB | Reg/Pain | ADV | ADV | Reg/Pain | OB | ADV | Peds |
| F (Track 3) Research Track | RS | RS | RS | ADV | ECHO | OB | RS | SICU | RS | CCM | OB | RS |
All CA-3 Year rotations are comprised by variety of Electives: Advanced Experiences Rotations or Research. OB = Obstetric Anesthesia; Peds = Pediatric Anesthesia ; Pain = Pain Medicine; ADV = Advance Clinical ; SICU = Surgical Intensive Care; OSS/Supv. = Outpatient Surgery Center/Resident Supervisor; Reg/Pain = Regional Anesthesia & Acute Pain; PICU = Pediatric Intensive Care; ECHO - Cardiac Anesthesia with focus on Echocardiogram; RS = Research; ADV = Advanced Clinical Anesthesia; (will include complex Cardiothoracic (CT) and complex Neurosurgery (Neuro).
The third year of clinical anesthesia training (CA-3) may be completed in one of three tracks as defined by the American Board of Anesthesiology (ABA). These tracks are:
CA-3 Advanced Anesthesia Track: Residents choosing this track work in a variety of areas and are responsible for complex and difficult anesthetic procedures and perioperative assignments. The length of each rotation is flexible and can be scheduled based on individual interests and need. Residents may also elect to do a research month to finalize a project.
CA-3 Subspecialty Clinical Track: The subspecialty clinical track can be selected for the CA-3 year. This consists of six months of additional training in one of the following subspecialties:
- Cardiovascular Anesthesia
- Obstetrics Anesthesia
- Pain Medicine
- Pediatric Anesthesia
CA-3 Clinical Scientist Track: The clinical scientist track includes the conduct of an in-depth laboratory research project during the CA-3 year at the VA and/or WSU. The other rotations offered will include a Research Rotation of six months available in the CA-3 year to two residents in each cohort. Selection shall be competitive and will be made based on outstanding performance through the program by the candidate.
Rotation Sites
Site 1: St. Joseph Mercy Oakland Hospital-CA-1, 2, 3
OB Obstetrics; IA Introductory Anesthesia; PACU Post-Anesthesia Care Unit; Preop Preoperative Care Unit; CCM Critical Care Medicine; REG Regional Anesthesia/Acute Pain Medicine; CT Cardiothoracic; Pain Pain Medicine; Neuro Neuroanesthesia; CA Clinical Anesthesia, Rsch Research; ACS Advanced Clinical Anesthesia; Orth Orthopedics; Pain Pain Med
Site 2: Children's Hospital of Michigan-CA- 2,3
Peds Pediatrics (Basic and Advanced); PICU - Pediatric ICU (Elective)
Durations of Rotation:
| Rotation (Duration, in months (four weeks = one month) | CA-1 | CA-2 | CA-3 |
| Obstetric Anesthesia | 1 | 1 | 2-3 |
| Pediatric Anesthesia | 0 | 3 | 0-3 |
| Neuroanesthesia | 1 | 1 | 0-2 |
| Cardiothoracic Anesthesia | 0 | 2 | 0-3 |
| Critical Care Medicine (SICU or PICU) | 1 | 2 | 1-2 |
| Acute Pain Medicine / Regional Anesthesia (in-patient) | 1 | 0 | 1-2 |
| Chronic Pain (outpatient) | 0 | 2 | 1-2 |
| PACU | 1 | 0 | 0 |
| Preoperative Clinic | 1 | 0 | 0 |
| General Anesthesia | 6 | 1 | 0 |
| Advanced Clinical Anesthesia | 0 | 0 | 3-6 |
| Outpatient Surgery Center/Resident Supervisory Rotation | 0 | 0 | 1 |
During the CA3 year, residents have greater flexibility depending on subspecialty interest.
CA1 and CA2 years are filled with ACGME required rotations with very little flexibility.