Curriculum Highlights: Anesthesia Training at UF
Focus on Education
Residents who train at the University of Florida graduate with a solid set of clinical skills and the ability to practice anesthesiology in any setting they choose, whether private or academic . The emphasis on didactics is ubiquitous in each training year. Didactic sessions are generally held throughout the week from 6:30 – 7:15 am, with an 8:00 am operating room start time. Friday morning case conferences feature timely discussions of recent interesting and challenging cases, and are often led by residents. One morning each week is dedicated to small group teaching with residents in each subspecialty meeting with faculty from that specialty, meanwhile the CA1′s work as teams of two or three with a faculty mentor to present to their peers a chapter from their textbook, and the faculty mentor subsequently presents a related case to all residents. CA1’s are also set up for success with a highly effective Basic Exam board review series from January – May.
Residents receive a generous Professional Development Allowance with additional financial incentives for superior performance on the in-training exam, as well as textbooks, study materials such as in-training exam key word applications, and the American Society of Anesthesiology’s Anesthesiology Continuing Education (ACE) program. We are also working to incorporate the latest teaching innovations into the curriculum.
Visiting professors and journal clubs are a regular occurrence, as are bimonthly Jeopardy competitions with a reward for the winning team at the end of the year. Mock orals are scheduled at least twice per year, often with members of our faculty who are real board examiners, with additional opportunities on various subspecialties and at the request of residents. Individual 2-hour tutoring sessions with a former board examiner are provided by request for all seniors.
All residents are encouraged to participate in the Gulf Atlantic Resident Research Conference, as well as other regional and national conferences with departmental support for travel. Residents also participate in research, patient safety and quality initiatives, and educational endeavors. We regard our residents not only as trainees, but as valuable contributors to our program and the care of our patients.
All residents are encouraged to participate in the Gulf Atlantic Resident Research Conference, as well as other regional and national conferences with departmental support for travel.
Because UF Health Shands is a tertiary referral center for much of the Southeast, our residents regularly encounter patients with a multitude of medical and surgical comorbidities, many of whom are transferred to us because their conditions are out of the scope of practice at the referring facility. Residents truly get exposed to everything here. The following are just a few examples:
- Our pediatric surgical colleagues have made UF Health a center for babies with congenital heart disease, congenital diaphragmatic hernias, and neurosurgical abnormalities, as well as children with medical conditions relating to craniofacial abnormalities or ear, nose and throat pathology requiring surgical correction. Residents at UF have the opportunity to provide anesthesia for the vast majority of these cases.
- UF Health Shands Hospital is a major referral center for complex vascular and cardiothoracic surgical conditions. Our vascular surgeons provide services ranging from simple dialysis access to complex endovascular thoracic aortic aneurysm stent grafting. Our cardiothoracic surgeons’ practice involves a large number of aortic and valve operations, and UF also serves as an active heart and lung transplant center.
- Residents obtain early exposure to Regional Anesthesia and Acute Pain Medicine beginning with a dedicated rotation their CA-1 year as well as multiple opportunities for regional procedures during their rotations at the VA.
- Basic TEE certification training and reading of exams is available to residents who desire to accomplish this during their residency.
- By mid-way through their CA-2 year, most residents have reached all of their ACGME case requirements.
- A unique “Transition to Practice” rotation is available to CA-3 residents, mimicking a private practice setting with CRNA supervision experience.
Fellowships and Academic Medicine
The following fellowships are offered through the Department of Anesthesiology:
- Acute Pain Medicine
- Adult Cardiothoracic Anesthesia
- Adult Combined Cardiothoracic Critical Care (CTCC)
- Critical Care Medicine
- Pain Medicine (Multidisciplinary)
In addition the Department often works graduating residents to design fellowships that meet their needs in areas such as neuroanesthesia, patient safety, research, and transplant anesthesia.
For residents with a special clinical interest, “subspecialty” tracks are offered during the CA-3 year where up to an additional 6 months of training can be arranged in a selected subspecialty. We also can arrange a research track for interested residents, with 6 months of the CA-3 year dedicated to a research project guided by a faculty member.
There are ample opportunities for research and all residents are given the opportunity to participate. The Department provides assistance, including an internal funding agency, an IRB/grant support staff, a statistician and a professional editor.
Work Hours and Moonlighting
- Our current work hours average 54 hours per week.
- Call while assigned to the Main OR is one Saturday per month, leaving 3 out of 4 weekends free from work commitments. Weeknights are covered by a night Each resident completes two of these 2-week “mole shifts” per year.
- Multiple moonlighting opportunities are available.
Moonlighting opportunities exist where residents can work a 12 hour overnight shift doing OB anesthesia or a 6 hour Sunday day-time shift doing preoperative evaluations.