Clinical Training 

baptist-medical-center-2015
INTEGRIS Baptist Medical Center, site of PGY-1 year in Anesthesia.

The Intern Year
The PGY1 (Intern) year is centered at our affiliated hospital, INTEGRIS Baptist Medical Center (IBMC), about five miles northwest of the University of Oklahoma Health Sciences Center (OUHSC). Dr. Bradley Carter oversees the educational program at IBMC. Dr. Pramod Chetty, the Core Program Director, also serves on the GME Committee Member at IMBC.

During the PGY1 Year all residents take two months of night call while on the Hospitalist rotation, and two months of day call while on the Inpatient Pediatric and Pediatric Newborn rotations. However, DO residents do one OB/Gyn rotation in place of the Pediatric Newborn rotation. In addition PGY1 residents rotate for one month in each of the following areas; Emergency Medicine, Inpatient Medicine, Transplant, Cardiology or Pulmonology, and Hepatology or Nephrology, Three months are spent doing rotations at the OUHSC campus--Trauma ICU, Pre-op Anesthesia Clinic, and Anesthesia

All residents work under the supervision of a member of the Attending Staff, and have direct responsibility for patient care. Residents are actively involved with "hands on" care, and are never in the role of "spectator". At IBMC the number of rotations available significantly exceeds the number of residents.

Evaluations of the PGY-1 residents are done monthly and transmitted to Dr. Carter, who functions as the primary conduit for feedback to the residents. Evaluations are also shared with the core residency program director, and progress is discussed regularly. On completion of a satisfactory Intern Year, a certificate is awarded to our residents, who then enter the first clinical year of Anesthesiology.


Children's Hospital in Oklahoma City, Oklahoma

Clinical Anesthesiology
The American Board of Anesthesiology requires a three year curriculum which consists of experience in:

  • (CA-1) Basic Anesthesiology - emphasis is on an introduction to anesthesia. During the first six months almost all of a resident's time is spent on rotation between Adult Services (OU Medical Center). Subspecialty rotations are introduced in the latter part of the CA-1 year. The Board recommends that approximately twelve months be spent in Basic Anesthesia Training, with the majority of this occurring during the CA-1 year.
  • (CA-2) Subspecialty Anesthesia - is spent completing the subspecialty rotations. Some opportunity is provided for further experience at Adult Services (OU Medical Center) in the middle of the CA-2 year, to aid the resident in integrating his/her subspecialty knowledge into more routine practice.
  • (CA-3) Advanced Anesthesiathe resident has second visits to essential rotations and senior level specialty rotations for the budding consultant in Anesthesiology. This includes ambulatory, regional block, senior level VA, and senior perioperative months.

It is a graded curriculum of increasing difficulty and learning that is progressively more challenging of the resident's academic and clinical skills.

Basic Anesthesiology and Subspecialty Training
Anesthesiology residents at the University of Oklahoma spend the 36 months of their training as follows:

A typical schedule would include the following:

  • Adult Services - 8 months
  • VAMC - 5 months
  • Ambulatory (Surgery Center) - 1
  • Pediatric Anesthesiology - 4 months
  • Obstetrical Anesthesiology – 3 or 4 months
  • Cardiothoracic Anesthesiology - 3 months
  • Intensive Care - 2 months (+2 in Internship)
  • Elective - 1 month
  • Neuroanesthesia - 2 month
  • Pain Management - 3 months
  • PACU - 1 month
  • Perioperative Services – 2

At the completion of 36 months of clinical anesthesia training, the trainee will have completed all ABA requirements for board certification.

Advanced Clinical Research Track
With prior authorization at the end of the CA-1 year and with good academic and clinical progress, residents can select an advanced clinical research track for 6 months, as permitted by the ABA. This option would entail working with basic sciences faculty on campus with the goal of publications and presentations at a national level conference.

On Call Responsibilities
Night Float- During the clinical anesthesia years, residents cover four total months of night float, 3 trauma months(1 month each academic year) and 1 OB month, as a CA-1. During this time, the resident is in-house Sunday through Thursday (7pm – 7am). The night float system has been very well received. Enacting the night float months has greatly diminished the number of days residents have missed of specialty training.

Weekend trauma and OB call- Trauma call is both an exciting and rewarding opportunity at the only Level 1 Trauma Center in the State of Oklahoma. The experience of a wide variety of high acuity cases make trauma calls some of the best learning opportunities. The resident team will consist of 3 residents and an attending anesthesiologist. OB weekend call is very high pace as OU is the tertiary referral center for high risk OB patients. This will be covered by one resident and one attending anesthesiologist. You will feel comfortable taking care of any and all OB emergencies on completion of your residency.

Additional calls include pediatric anesthesia and liver call. Pediatric anesthesia is 24 hour call with a guaranteed post call day. Fortunately, after the cases conclude for the day, call is then taken from home. This will be covered mostly by on-service residents during the week. Again, call at our Level I pediatric hospital can be very high intensity and can range from foreign body removals to emergent cardiac cases. This is a great opportunity to spend one-on-one time learning from a pediatric fellowship trained faculty member. When not on a night float month, residents average 1-3 sixteen hour weekend calls per month, depending on level of training. Lastly, liver call is taken in 24 hour shifts. Our liver transplant numbers have been increasing yearly and provide a huge educational benefit. A great perk of liver call is that you are compensated just for being on the schedule. If a liver transplant occurs between 5pm and 7am, plus weekends, you are compensated per hour for the duration of the case.