University of Rochester School of Medicine

The Department of Anesthesiology and Perioperative Medicine at the University of Rochester is dedicated to the education and training of the next generation of anesthesiology leaders. Our personalized approach incorporates development in education, quality and safety, research and the business of medicine. Our restructured curriculum places more emphasis on the transition of didactic information to clinical practice. As a result, our innovative program has always been fully accredited and graduates a diversely talented group of individuals who practice around the United States and Canada. Strong Memorial Hospital has been chosen by the ACGME as only one of eight institutions nationwide to participate as Pathway Innovators in Pursuing Excellence in Clinical Learning Environments; a 4 year initiative to transform where residents pursue their specialized training.

Our unique fully integrated categorical training program is one of the few that allows PGY1 residents early entry into the OR while also coordinating the traditional PGY1 floor rotations with anesthesiology subspecialty rotations.

We offer our trainees the following unique experiences:

Resident Tracks

The Department of Anesthesiology at the University of Rochester recognizes that physicians in training may have career goals that are best served by additional formal education outside of the traditional clinical framework. As a nationally known Clinical and Translational Science Institute (CTS.I), the University has diverse educational offerings and resources that can be realistically incorporated into residency training. This will provide the goal-oriented resident excellent preparation for a career as a physician/educator, physician/administrator, or physician/scientist.

Operating Room Management

We offer a one month elective in Operating Room Management that serves as an introduction to the basic principles of managing the Perioperative Suite on both a day-to-day and long-term basis. The resident rotator works daily with the Anesthesiologist assigned to manage Strong Memorial Hospital operating rooms and additional non-operating room locations. In addition to helping coordinate patient flow through the perioperative areas, the resident will actively participate in operating room schedule adjustments, departmental assignments, add-on case placement, and delegation and completions of daily operating room and departmental tasks. Residents are also encouraged to participate in a process improvement project that may serve to address a deficiency in the operating room, and potentially may establish the foundation for a larger academic project.

Improvement Sciences

A new elective that allows anesthesiology residents the opportunity to determine their role in patient safety and practice improvement. During this rotation, trainees learn how to perform a root cause analysis and complete learning modules that emphasize innovation, and understanding the framework to reach objectives.

Transfusion Medicine

The transfusion rotation allows the resident to rotate in the blood bank, coagulation laboratory and transfusion medicine to understand the guidelines for transfusion and regulations regarding the utilization of blood products. Trainees learn about management of transfusion reactions, as well as undiagnosed coagulopathies and the numerous laboratory tests to measure these deficiencies.

Sleep Medicine

During this rotation, residents gain a greater appreciation for the science of sleep disorders. Trainees learn about the evaluation and management of patients with obstructive sleep apnea in the perioperative environment and spend time in the sleep laboratory to learn about the assessment of this special patient population.

Advanced Airway Elective

The Advanced Airway Elective is an innovative program that offers a comprehensive airway curriculum that is essential to our multidisciplinary practice. The advanced training includes a special focus on challenging airway management, independent decision-making, clinical assessment, clinical aptitude and patient care efficiency. Residents learn the latest airway tools, practice surgical airways and master fiberoptic and video-assisted bronchoscopies.

Point of Care Ultrasound

We have created a structured ultrasound curriculum to teach residents point of care ultrasound skills over the course of their residency training. Our tailored curriculum incorporates theoretical, hands-on, and practical application of perioperative point-of care ultrasound. With an experienced team of our faculty and state-of-the art equipment, residents begin by learning fundamentals of ultrasound. The didactic curriculum continues throughout residency by incorporating numerous conferences and hands-on ultrasound sessions so that residents become proficient in perioperative point of care ultrasound, lung ultrasound and focused transthoracic echocardiography.

Objective Structured Clinical Examination

The Objective Structured Clinical Examination (OSCE) experience was created to provide residents increased competency and improved clinical performance in skills such as communication, professionalism, treatment options, peri-procedural complications, ethical issues, technical skills, interpretation of echocardiograms and applications of ultrasonography. Residents work one-on-one basis with standardized patients or simulations. The goal is the further enhancement of skills related to history taking and performance of common anesthesiology procedures in preparation for the new ABA Applied Examination.

Multidisciplinary Team Based Simulation

Throughout their 4 years of residency, residents are involved in high fidelity multidisciplinary team training exercises that teach the basic tenets of crisis resource management. Working along with their surgical colleagues, nursing staff, and ancillary service staff (respiratory therapists, anesthesia technicians, xray techs), our anesthesia trainees gain valuable skills in communication that mirror principles of TEAMSTEPPS. In this protected environment, residents have the opportunity to practice the basics of surgical cricothyrotomy, ultrasound-guided nerve blocks, advanced airway management, and a host of other topics. Anesthesia residents also participate in skills training sessions that involve intraosseous access, advanced airway training, central line placement, etc.

Focus on Wellness

Psychological, emotional and physical wellbeing is critical in the development of the competent, caring, and resilient physician. In conjunction with the University of Rochester “Well U” program, Employee Assist Program (EAP), and Behavioral Health Partners (BHP), we have created a four year resident wellness curriculum that incorporates personal 1:1 therapy, small group “confessions” and regular scheduled activities such as yoga, meditation, art therapy, pet therapy, massage and music therapy.

The department’s website provides additional information: https://www.urmc.rochester.edu/education/graduate-medical-education/prospective-residents/anesthesiology.aspx