Our educational program for anesthesiology residency training encompasses many different educational modalities as we prepare you to become board-certified in anesthesiology. It includes supervised patient care, formal conferences, board prep (OSCEs, orals, and basic/advanced), and simulation. Details of training requirements of the American Board of Anesthesiology (ABA) may be found in the ABA Booklet of Information, which is available here or on the ABA website here.
|Anesthesia (July)||Anesthesia (July)||CCM-3||AC-CCM-4|
|CB (See table below)||Anesthesia||CTV-2(TEE)||AC-OB Anesthesia|
|CB (See table below)||Anesthesia||CTV-3||AC-Pes/Shriner's|
|CB (See table below)||Anesthesia||Neuroanesthia||AC-CTV|
|CB (See table below)||Ambulatory||CB (See table below)||Elective|
|CB (See table below)||Pre-OP Clinic||Pres-Shriner's||Elective|
|CB (See table below)||OB Anesthesia||Peds-UK||Elective|
|CB (See table below)||CTV-1(TEE)||OB Anesthesia||Elective|
|CB (See table below)||Neuroanesthia||Regional||OR Supervisor|
|Acute Pain||CB (See table below)||PACU-POCUS||Transition to Practice|
|Anesthesia||CB (See table below)||Ambulatory||Transition to Practice|
|Anesthesia (April - June)||CB (See table below)||Remote Site||Transition to Practice|
|PSH-1 (POC U/S)|
|Chronic Pain (inc. Palliative Care)||Cardiology Consults|
|PSH-2 Practice Mgmt (May)|
- Clinical Base (CB) 12 months are in the second table
- ICU- 1,2 and 4 (CTV ICU)
- CU- 3 (Neurosurgical ICU) PSH- rotation directed by Dr. Rebel with POC Ultrasound training included
- TEE- 1 week of TEE training in PGY2, and 2 weeks during PGY3. Electives in TEE may be arranged.
• AC (Advanced Clinical) rotations
- Supervisor rotation- experience teaching and supervising other residents and CRNAs
- Transition to Practice- experience modelling expected future practice including daily variety in case mix and assignments
- 4 months of PGY4 electives, including:
- Research - Research proposal will be approved by Dr. Sloan and Dr. Pinault in advance. Experience in research available throughout training, but usually accomplished during PGY4 year.
- Global Health/International Medicine: An elective of 1-2 weeks in international medicine is available to PGY4 residents (and PGY3 residents if acceptable to Dr. Montgomery and Dr. Pinault).
- Community-Based Medicine: Ambulatory surgery rotation based at Pikeville Medical Center in Pikeville, Ky.
Your first month of anesthesia training is designed to prepare you to provide care to the healthy adult patient and to expose you to more specialized types of patients and techniques. The course includes time in the operating room, training in the human patient simulator, multiple didactic conferences each week, and the Anesthesia Knowledge Test at the beginning and end of the month. "Basics of Anesthesia" is used as the primary reference text. You will be supervised by an attending anesthesiologist or will be paired with another resident throughout the entire first month. This month is our opportunity to get to know each other and ensure you feel at home in our department before you go off to other services as part of the clinical base year. We hold multiple social gatherings to welcome you outside of the hospital as well.
At the beginning of your first month, you will be provided with a set of books that have been pre-selected by the program director, the point-of-care ultrasound probe trainers and software, and a department fleece with your name embroidered.
|Subspecialty topics are delivered by video cast with accompanying self-assessment questions.||Core curriculum covering ABA content outline delivered by video cast with accompanying self-assessment questions.||General Competencies Conference (GCC). This conference is used to present interesting cases, management problems, morbidity and mortality, professionalism vignettes, and POC ultrasound cases. 6:30-7:30am||A face to face interactive conference, including PBL case discussion, audience response questions, “flipped classroom” (didactic material provided in advance, and class time is interactive), etc. 6:00-6:45am||A variety of conferences including task-based simulation, subspecialty, chief resident breakfast, and chair/program director breakfast.|
|PGY2 residents meet with face to face interactive conference for ABA basic exam preparation. 6:00-6:45am||Rise and Shine Didactic Series|
Journal Club is held quarterly and is meant to be a department-wide, multi-institutional experience to discuss the art of locating, interpreting, and applying research and identifying unanswered questions in clinical anesthesiology. A senior and junior resident team present journal articles and lead the discussion, with an emphasis on evidence based practice.
Practice Management Training
A series of lectures is provided covering such topics as operating room management, types of practice, job acquisition, financial planning, contract negotiations, billing arrangements, professional liability, and legislative and regulatory issues. PGY2 residents participate in a practice management rotation each May.
American Board of Anesthesiology Boards (In-Service Examination) Preparation
Throughout the year there are daily keywords, weekly question/answer didactics, and core/subspecialty didactics, all designed to guide preparation for the ITE (In Training Exam) each February. Residents also attend a review course consisting of morning didactics over the course of four months from October through January each year leading up to the exam.
ABA Basic Exam Prep
PGY 2 residents attend weekly interactive conference on Tuesday morning covering the complete ABA basic outline. There is an interactive daily ABA basic exam prep each May prior to the June exam.
Oral Boards Preparation
One week in the fall and one week in the spring each year will be designated for individual mock exams. Dr. Olsen is responsible for this program which is designed to help residents learn to verbalize their knowledge of evidence-based medicine. We are privileged to have multiple ABA applied examiners on faculty.
OSCE (Objective Structured Clinical Exam)
The ABA now includes an OSCE component to the certification exams administered with oral boards, following graduation from residency training. Each year, each resident participates in multi-station OSCE experiences utilizing task trainers as well as standardized patients. The ABA OSCE content outline is used to develop OSCE scenarios. Dr. Pinault directs the annual “Anesthesia Olympics” which utilizes the OSCE format to assess growth in skills and knowledge.
Full high-fidelity human patient simulation (METI) is used in the first month of orientation and throughout residency training. In addition, multiple task simulators are utilized for skills training, and the Heartworks Simulator is used during TEE training. Each PGY1 is provided SonoSim Point of Care Ultrasound probe trainers and software. Additional opportunities for simulation are available throughout the year. Dr. Nguyen and Dr. Gambrel direct departmental simulation.
Visiting Professor Program
Each year nationally prominent anesthesiologists visit our department to enrich our educational program with lectures, leading journal club discussions, observing in the OR, and administering mock oral board examinations. Guest lectures from UK faculty in other specialties are used to further supplement the didactic curricula.
Graduated Clinical Anesthesia Assignments
Much of the learning and teaching of anesthesia occurs in the operating room. You will be assigned cases of increasing difficulty with time to help accomplish competency. Each resident is supervised by an attending anesthesiologist, who is responsible for supervising no more than two residents at a time. Cases are discussed with the attending ahead of time and a plan is generated. You are expected to read as necessary to be prepared for the case; the attending provides the supervision and teaching to ensure safe care for the patient and a good educational experience for the resident.
On subspecialty rotations, broader educational objectives and techniques are added. The program of graduated clinical assignments is designed to provide progressively challenging clinical problems, as well as an increasing degree of independence with the aim of graduating competent and confident practitioners in the entire spectrum of anesthesia care.
All residents exceed minimum standards and in most categories exceed 1.5-4 times the procedure requirements.