Rotations

CBY

Our clinical base year provides excellent exposure to acute inpatient medicine as well as to multiple medical specialties including oncology, cardiology, and nephrology. The year consists of 13 consecutive four-week rotations. Each rotation consists of three weeks of inpatient responsibilities with a one-week flex period, which aims to provide exposure to knowledge and skills applicable to anesthesiology. You will split time during your clinical base year between KU Med and the Kansas City VA Medical Center, which serves our nation's veterans. Both provide extensive opportunity to expand your medical knowledge and provide excellent care to patients from across the region. Toward the end of the clinical base year, you will spend a month with us in the department of anesthesiology, rotating between the operating room and high-risk obstetrics. This is invaluable for easing the transition from intern year to clinical anesthesia.


What is 3+1?

  • Block scheduling that helps to separate inpatient and outpatient duties and minimize conflicts between inpatient responsibilities and outpatient clinical responsibilities. Residents will spend 3 weeks in a consult or inpatient setting including general medicine, subspecialty medicine and critical care exposure. They will then spend 1 week in a primarily ambulatory setting with increased didactic time.
  • Allows for longitudinal clinical experiences in sub-specialty training sites.
  • Increases exposure to a variety of ambulatory experiences.
  • Allows for a longitudinal board prep experience.
  • Allows for a weekend free of clinical duties at the end of every +1 week. Residents will have rare back up call responsibilities during this time.


Sample scheduling showing 3+1 pattern:

  

3+1 Block Scheduling week by week

  

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Red Team

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Orange Team

+1

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Yellow team

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Green Team

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CBY Anesthesia Resident Rotation will include...  

  • 4 week sequences of MICU, NSICU, ER and Anesthesiology
  • Rotations will include general medical-inpatient, renal ward, pulmonary consults and cardiovascular consults
  • Four 1-week rotations in the Pain Clinic
  • One week ENT rotation
  • One week of IHI patient safety and quality improvement
  • Three 1-week vacation blocks
  • Monthly anesthesia didactics

CA 1, 2, and 3

Clinical anesthesia years (CA-1 through CA-3) are primarily spent at KU Med rotating throughout all major surgical disciplines including otolaryngology, gynecology, oncology, neurosurgery, ophthalmology, and urology as well as general, vascular, plastic, orthopedic, pediatric, cardiothoracic, and transplant surgery. Although we perform many pediatric cases at KU Med on a regular basis, the majority of our pediatric anesthesia exposure is accomplished with a two-month rotation at Children's Mercy Kansas City, an acclaimed pediatric hospital. Care for obstetric patients is a cornerstone of anesthesia, and we get a robust experience both at KU Med and with a six-week rotation at Kansas City's busiest obstetric service at Shawnee Mission Medical Center.

The future of anesthesiology revolves around perioperative management of surgical patients. At KU Med, our training reflects that vision as our residents play a crucial role throughout the perioperative period. Our preoperative assessment clinic, where you will serve a one-month rotation as a CA 2, allows us to evaluate our patients before their planned procedures in an ambulatory setting. Ample time is available for thorough evaluation and discussion of the individualized anesthetic plan with each patient. Also, any preoperative lab work or other necessary studies can be accomplished before surgery, both optimizing the patient's medical status and reducing the risk of cancellation the day of surgery.

So much of what we do as anesthesiologists occurs outside of the operating room and our perioperative rotations help us hone these skills. These rotations include acute and chronic pain, postanesthesia care unit, regional anesthesia, airway, transesophageal echocardiography, and critical care. Our acute pain service is comprehensive, allowing us to play a key role in the postoperative care of our patients. We place and manage epidural catheters used for postoperative pain control, improving patient satisfaction, reducing hospital stay, and minimizing the development of chronic pain syndromes, which are a major source of debilitation in our country. Experience with the diagnosis and management of chronic pain syndromes is gained by rotating with our pain specialists and fellows in our comprehensive pain clinic. Splitting time between our outpatient clinic and the procedure suite makes this a rich experience. Safe recovery after surgery is vital to limit morbidity in the postoperative setting. Managing postoperative patients in the post anesthesia care unit allows for great experience addressing common issues that arise after surgery. During our regional anesthesia rotation, we perform nerve blocks as both the primary anesthetic and for postoperative pain control using the latest technology and techniques. Our airway rotation allows for vital practice with advanced airway management through fiber optic intubation and other techniques. While on your airway rotation, you will also hold one of our code pagers, providing important training in crisis management by responding to both traumas and code blues. Our month-long TEE rotation gives you the opportunity to perform basic TEE exams during cardiac cases. Combined with our weekly TEE conferences, basic certification is well within reach for those seeking such credentials. Anesthesiology continues to expand its role in treating the critically ill. We gain valuable knowledge and skill by rotating through both the neurosurgical and cardiothoracic intensive care unit, both managed by our department.

Last modified: Sep 12, 2016
Residency Program

Residency Program Director
Gina Hendren, MD

Associate Program Directors
Gregory K. Unruh, MD
John Bracken, MD

Senior Residency Coordinator
Heather Gorman

Residency Coordinator
Tracy Fogel

Resident Quotes

"I selected KU for residency because of the family friendly feel I got from the program and past residents. I feel like KU does an excellent job of attracting residents with similar personalities that work well together."

"The clinical experience I receive at KU will prepare me well for handling any scenario that may occur in my future practice. I was looking for a program with broad but in depth training, and my professional goals will be met with a post-graduate education from KU."

"I enjoy living in Kansas City because there is a lot of good bbq and good people."

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