Categorical & Advanced Program
The department offers training in its categorical (4-year) and advanced (3-year) programs.
Categorical training starts with a 12-month rotating internship, designed to provide a breadth of training appropriate to future anesthesiologists. The internship includes the following 4-week rotations:
- General internal medicine, 3 months
- Cardiology, 1 month
- Surgery, usually thoracic surgery and another subspecialty, 2 months
- Emergency medicine, 2 months
- Surgical critical care, 1 month
- Cardiothoracic critical care, 1 month
- Preoperative assessment, 1 month
- Clinical simulation, 1 month
- Operative anesthesia, 1 month
Our interns are very much members of our department, even when they are rotating through other services. Interns are invited to all of our educational and social functions and attend our conferences as schedules allow. Clinical Anesthesia training (CA-1 through CA-3) Training in clinical anesthesia begins with a 6- to 8-week tutorial period. During this period, new residents are paired with faculty for intensive clinical training, as well as receiving an intensive series of lectures on basic anesthetic practice and pharmacology. After residents have gained the necessary basic skills, they spend the remainder of the CA-1 and CA-2 years rotating through all anesthetic subspecialties. The CA-1 and CA-2 clinical curriculum comprises the following rotations:
- Ambulatory surgery
- Hepatobiliary and vascular
- Otolaryngology (ENT)
- Neuroanesthesia (2 blocks)
- Trauma (2 blocks)
- Cardiothoracic (2 blocks)
- Regional anesthesia
- Obstetric anesthesia (2 blocks)
- Pain management (2 blocks)
- Critical care (3 blocks)
- Pediatrics (4 blocks)
By the end of the CA-2 year, residents should be broadly competent in all areas of anesthetic management and should have met the specific case distribution requirements described by the Accreditation Council of Graduate Medical Education. The CA-3 year is largely elective. Three months of rotations are required (preoperative assessment, postoperative care, and float). With the remainder of the time, residents are free to pursue rotations that reflect their clinical and academic interests. Most residents choose a series of clinical rotations designed to prepare them for their chosen work following graduation, and many residents pursue research projects during this year. At the conclusion of residency, our graduates are qualified to perform independently in all areas of perioperative care and eligible to enter into the certification process by the American Board of Anesthesiology.
Research In Residency
Interviews for our Research Track Applicants will be held on November 21-23, 2019. We offer two options for residents interested in pursuing significant research during residency:
Washington University Scholars Program The Scholars program exists within the normal, categorical residency track, and residents in this program will fulfill all of the usual requirements of the residency. Scholars will take the 9 months of research allowed by the ABA during their clinical anesthesia training. Following their training, they are given a 1-year junior clinical faculty appointment with most of their time protected for research. Residents in this program can pursue a clinical fellowship if they wish, but it isn’t explicitly integrated into the rest of this curriculum. Following interviews, applicants will be accepted into this program contingent upon matching into our categorical residency track.
ASAP (Academic Scholars Advancement Program) ASAP is an integrated 5-year categorical residency that uses a separate curriculum and is approved as an innovative program by ACGME. Over a 60-month continuum, trainees complete an internship, a residency, a clinical fellowship, and have a total of about 15 months protected for research. Promotion within the track is based on competencies at different milestones in training, rather on the usual “time-served” basis. The main advantage of ASAP is that it saves more than a year of time, versus doing all of its activities within a traditional internship, residency, and fellowship format. Candidates for ASAP should be certain that they are interested in pursuing a clinical fellowship. They also need to have a strong clinical record, in order to make good progress in the accelerated clinical curriculum.