Thomas Jefferson University offers a four-year ACGME accredited residency program in Anesthesiology. Residents may enter the program at the beginning of the PGY-1 year (Categorical) or the beginning of the PGY-2 year (Advanced) after completing a conventional internship elsewhere.
Clinical Base Year (CBY)
The CBY year is an internship year which has been specifically designed to provide prerequisite experience of keen value to the Anesthesiology resident while fulfilling the specialty-specific ACGME requirements. The year provides the foundation for the next three years of Anesthesiology residency. As a PGY-1, you will rotate through Emergency Medicine, Otorhinolaryngology, Internal Medicine, Surgery, Critical Care, and Pediatrics. The year concludes with an Anesthesiology rotation. This provides the benefit of uniting the class and allows you the opportunity to begin applying the skills you have acquired during internship into your developing Anesthesiology practice.
Clinical Anesthesia Year 1 (CA-1)
The CA-1 year begins with Categorical residents being joined by the incoming Advanced residents. Together, the new CA-1 residents begin an intensive didactic program which continues throughout the month of July. Each day is divided between classroom education and practical education in the operating room. The operating room experience begins part-time in July and transitions to a full-time experience in August. Throughout the remainder of the year, the CA-1 resident gains experience delivering anesthesia care in progressively more challenging and complicated cases. The intensive instructive program in July covering the essentials of Anesthesiology transitions into a comprehensive didactic program which continues throughout the academic year. Conferences are held four times to five times each week. The lecture format includes formal lectures, grand rounds, morbidity and mortality conferences, case conferences, resident journal club, problem-based learning discussion groups, question and answer sessions, resident presentations, independent study modules, mock oral examination sessions, workshops and simulation covering relevant basic science and clinical topics. Separate subspecialty lectures are also presented by the critical care, cardiac anesthesia, obstetric anesthesia and chronic pain services. Guest lecturers and specialty conferences are also interspersed throughout the year.
Clinical Anesthesia Year 2 (CA-2)
The clinical format allows the resident to gain exposure to anesthesia for all surgical subspecialties by spending a minimum of one month in each specialty operating room during the first two years of training. The CA-2 year includes rotations in obstetric, pediatric, orthopedic, thoracic, vascular, neurological and cardiovascular anesthesiology, and acute pain management. Professional growth is also facilitated by increased responsibility during night call commensurate with the experience of the resident.
Clinical Anesthesia Year 3 (CA-3)
In the CA-3 year, training is designed to fulfill the interests of the individual resident according to the requirements of the American Board of Anesthesiology. This includes extensive training in regional anesthesia techniques. This year may include research as well as emphasis in one or more anesthetic subspecialties. A transesophageal echocardiography elective is also offered. Opportunities for medical missionary work are available during the year. A Wednesday afternoon conference designed specifically for the CA-3 level resident covers subjects including advanced topics in Anesthesiology, preparation for the American Board of Anesthesiology oral examination with one of the many Board Examiners on staff, and job hunting/contract negotiation skills in preparation for transition into professional practice. CA-3 residents on-call provide anesthesia care for some of the most challenging of cases including liver or cardiac transplantation.
An extensive library and computerized learning center are available to all. During the second and third year, each resident receives funds to attend a national scientific meeting of interest. A stipend is also provided for purchase of books, and other educational material.
Most rotations occur at Thomas Jefferson University Hospital, but the Nemours/Alfred I. duPont Hospital in Wilmington, the Jefferson Hospital for Neuroscience in Philadelphia, and the Methodist Hospital in South Philadelphia provide additional experience and access to a wider variety of cases than would be available solely at the parent institution.