Clinical Base Year

All four years of training in our categorical program are here at the University of Vermont Medical Center. Residents in the PGY1/intern year are integrated within the Internal Medicine and Surgery departments. Residents will also rotate in Emergency Medicine, Critical Care Medicine, and Anesthesiology. A wellness curriculum during this first year brings the entire class together on a regular basis.

Clinical Anesthesia - 1 (CA-1) Year

As a foundation for subsequent acquisition of clinical skills and medical knowledge, the CA-1 Year emphasizes the fundamental aspects of anesthesia in order to provide a well-rounded experience in basic anesthesia training. This includes being exposed to preoperative assessment of a wide range of patients presenting for surgery, becoming familiar with the anesthetic implications of common diseases, and understanding the basic pharmacologic and physiologic considerations involved in anesthetic practice. The first month of the CA-1 year is spent in the general operating rooms working one-on-one with faculty mentors who will guide you through your first anesthetic cases. A daily, two-month intensive introductory lecture series has been designed to complement your initial experience in the general operating rooms. As a CA-1 resident, you will be preferentially be assigned to straightforward cases, providing you with an opportunity to master the basics. Call duties are gradually phased in as residents gain sufficient skill and experience needed during on-call duties.

Additional time will be spent in the CA1 year in the clinical practice of four week subspecialtydisciplines, including obstetric anesthesia, regional anesthesia and acute pain management, surgical intensive care unit, pediatric anesthesia, neuroanesthesia and/or cardiothoracic anesthesia.

Clinical Anesthesia - 2 (CA-2) Year

The CA-2 Year provides more detailed clinical exposure to anesthesia subspecialties and greater independence in case management. Each subspecialty rotation anesthetic has specific goals for study and designated learning objectives. As a CA-2 resident, you will spend 1 month in critical care medicine, neuroanesthesia, pediatric anesthesia, cardiothoracic anesthesia, obstetric anesthesia, anesthesia in remote locations and chronic pain. While POCUS didactic sessions start in the intern year and continue through the CA3 year, a dedicated two-week POCUS rotation is scheduled in the CA2 year.

Clinical Anesthesia - 3 (CA-3) Year

In general, CA-3 residents spend the majority of their year carrying out more advanced cases in patients with significant co-existing disease. Residents have an opportunity to choose from several elective rotations including TEE, research, and blood bank. All residents will complete an OR management rotation where they learn how to supervise and run a busy OR board.