Residency
Clinical Anesthesia Training - CA1 & CA2
The clinical
anesthesia experience is primarily devoted to the education of
residents in the management of patients requiring surgical, obstetric,
or diagnostic procedures requiring anesthesia. Residents also
receive training in the management of acute and chronic pain problems,
intensive care and respiratory problems. This is achieved through
didactic instruction, diversity of case assignments and a thorough
grounding in the use of modern anesthetic drugs and techniques.
The majority of this experience is offered at the parent hospital,
Foster G. McGaw Hospital. Faculty also provide direct anesthesiology
patient care alone, so the residents are truly learning from active
expert practitioners.
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The
strength of the Loyola program is
very simply the best clinical experience in the City of
Chicago.
Dave Thamban M.D.
In private practice in Michigan
Class of 2003
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The first
year of training concentrates on experience in the operating room,
involving the anesthetic management of patients requiring surgery.
It starts with a one-to-one preceptorship with attending staff.
Training goals include the ability to perform a complete preoperative
evaluation, plan anesthetic management, administer anesthesia,
and follow-up patients in the Post-Anesthesia Recovery area and
in the postoperative period.
Residents
discuss the patient’s conditions and the choice of anesthesia
with the attending anesthesiologist and perform the required tasks
during the administration of anesthesia under the direct supervision
of an attending anesthesiologist.
Twenty or
more attending anesthesiologists are usually assigned to clinical
anesthesia every day. All are either board certified or board
eligible by the American Board of Anesthesiology. Many have had
additional subspecialty training in such areas as pediatric anesthesia,
cardiovascular anesthesia, pain management, neuroanesthesia, critical
care and intensive care medicine. While attending anesthesiologists
provide one-to-one supervision of residents during the first few
months of training, this relationship evolves to one-to-two, offering
progressive independence and judgment as experience and skill
of the residents increases. Faculty help and consultation are
continuously available as residents take on more responsibility for
each patient. Coverage by "in house" attending faculty
is available to the residents 24 hours a day.
As they enter
the second year of clinical anesthesia training, residents begin
rotating in specialized areas of practice, such as cardiovascular
anesthesia, neurosurgical anesthesia, regional and pediatric anesthesia.
Each is offered at the parent institution.
Residents spends one month in obstetrical anesthesia. Here
residents are engaged in the evaluation and management of patients
requiring pain relief during labor and vaginal or cesarean delivery.
During this rotation, residents always work with an attending
anesthesiologist, usually on a one-to-one basis. Because Foster
G. McGaw Hospital is a regional center for high-risk obstetrical
patients, residents become proficient with complex obstetric techniques,
specifically the management of high risk patients in labor.
Residents
also rotate through the Anesthesia Pain Service (APS) which permits
involvement in the management of postoperative pain. A variety
of analgesic modalities are learned by the residents, including
the use of patient-controlled analgesia, as well as subarachnoid
and epidural infusions of opioids and local anesthetics.
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I
think the greatest strength of Loyola is the large
variety and the complexity of cases being done there.
Arif Rafiq M.D.
In private practice in Canada
Class of 2004
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During their
training, residents also learn about chronic pain problems and
manage inpatients and outpatients. The outpatient visits in the
Pain Control Center average about 2800 per year and approximately
2000 procedures including epidural steroid injections, nerve blocks
and acupuncture are performed annually.
During their
clinical anesthesia training, residents will spend two months
in the cardiac surgery intensive care unit where our house staff
provides complete care for these patients under the direction
of our anesthesiology and critical care faculty.
Residents
will spend an average of three months at Loyola Outpatient Surgery
Center, in addition to several weeks of pediatric anesthesiology
at this outstanding facility. At Loyola Outpatient Surgery there are over 4600 surgical
cases per year, and 25% of these cases are children below the
age of 12 years. There is a major emphasis on regional anesthesia
and physicians employ a multi-modal, proactive approach to pain
management in the ambulatory surgical patient, including clinical
research in acute pain management for the ambulatory patient.
