A typical resident schedule is as follows:
Clinical Base Year
Applicants may select our four-year program or choose to complete a qualified internship elsewhere. Our internship program blends medical, surgical, and elective experiences. We maximize critical care exposure during this year and interns can expect to be fully integrated into our anesthesia-managed ICUs. We also provide interns with foundational experience in Quality Improvement. You will receive a total of 5 weeks off during the year, plus scientific meeting days as needed.| Internship | Months | Description |
|---|---|---|
| Emergency Medicine | 1 | EM experiences are split between Jackson Memorial Hospital (JMH) and the Miami VA Medical Center (VAMC) both on the main campus. |
| Cardiology Consults | 1 | Work with the consultation team at the University of Miami Hospital (UMH) learning about risk stratification, medical and interventional management of heart disease. Foundational experience in echo, ECG, and stress testing. |
| General Medicine | 3 | Medical wards are divided between JMH, UMH, and the VAMC. Interns are fully integrated into the ward teams with our medicine colleagues. |
| SICU | 1 | Manage ICU patients after complex surgical cases and gain early experience with mechanical ventilation and cardiovascular support. |
| General Surgery | 1 | These services occur at UMH and VAMC. |
| Pediatric Surgery | 1 | One of the few anesthesia internships that includes exposure to pediatric patients. |
| Trauma Surgery | 1 | Manage post-op and post-ICU patients to discharge from one of the nation’s busiest trauma centers. |
| Quality Improvement | 1 | Spend one month learning fundamentals of QI work with our quality officers on existing projects and plan your own QI project for graduation. |
| Chronic Pain | 1 | Early experience in pain clinic, especially good for anyone contemplating a career in pain medicine. |
| Anesthesiology | 1 | Finish the base year with a jumpstart into the CA-1 year. |
| Vacation | 1 |
CA-1
The first year begins with a month-long introduction to the operating room. New residents spend each morning working alongside senior residents in the OR, while afternoons are packed with essential lectures and high-fidelity simulation activities. During this orientation month of duty residents do not take call. This provides substantial time for reading and academic preparation. The remainder of the year is spent strengthening these basic skills at various clinical sites including Ryder Trauma Center, Jackson Memorial Hospital, labor & delivery, and anesthesiology-directed ICUs.| CA-1 | Months | Description |
|---|---|---|
| General Services & Trauma | 7 | Rotate through UMH, JMH Main OR, and Ryder Trauma Center. These locations provide an excellent intro level cases with opportunities to advance as you gain skills. Residents can expect to manage life-threatening pathology from the first month with appropriate support. |
| Trauma ICU | 1 | Multidisciplinary team caring for 25+ trauma/burn patients. Frequent exposure to ECMO and advanced ventilation strategies. |
| OB Anesthesia | 2 | JMH is the high-risk referral center for the region and provides services for the most complex obstetric cases. |
| Pre-Anesthesia Clinic | 1 | JMH-based clinic coordinates preop clearance for our county facilities. |
| Transplant Anesthesia | 1 | First-year residents included in the transplant rotation for outstanding exposure to line placement, invasive monitoring, and blood management. Miami Transplant Institute is one of the highest volume centers in the country. |
| Vacation | 1 | 2 two-week blocks |
CA-2
Residents transition to a higher level of patient care and more challenging anesthetic plans. This year focuses on learning the subspecialty rotations including pediatric, cardiothoracic, and neuroanesthesia. Throughout the year, residents also gain exposure to acute and chronic pain medicine, preoperative evaluation, and post-operative care. Residents will also have additional rotations in obstetric and critical care medicine.| CA-2 | Months | Description |
|---|---|---|
| Neuroanesthesia | 2 | UMH and JMH. Full spectrum of cases including spines, neurovascular, tumor, and awake craniotomies. |
| Pediatric Anesthesia | 2 | Nicklaus Children’s Hospital and Holtz Children’s Hospital provide our residents access to virtually all pediatric cases in the county. Nicklaus is a private tertiary care pediatric hospital located 15 minutes from the main campus. |
| Cardiac & Thoracic Anesthesia | 2 | Rotate through cardiac surgeries at UMH and JMH including minimally invasive cases, heart and lung transplants. Generous experience with TEE in-vivo and simulation lab. |
| OB Anesthesia | 1 | Return to OB for a refresher month. |
| PACU | 1 | This rotation includes POCUS rounds with dedicated attending to facilitate patient care. |
| Chronic Pain | 1 | Spend time in our CRB or VAMC clinic. |
| Regional & Acute Pain | 1 | 3 RAPM teams exist cover JMH, UMH, and VAMC with excellent volume and variety of procedures. |
| Non-OR Anesthesia | 1 | Provide sedation and anesthesia services in remote locations like GI, radiology, and pediatric sedation unit. |
| SICU | 1 | VAMC-based ICU experience. |
| Vacation | 1 | 2 two-week blocks. |
CA-3
Senior residents prepare for independent practice in both autonomous and supervisory capacities by serving as “team chiefs” during portions of their senior year. They are responsible for managing the operating room schedules, ensuring timely case starts and turnovers, as well as supervising junior residents. Senior residents may choose to enhance their skills within their preferred subspecialties or pursue electives in pediatric cardiac anesthesia, sleep medicine, blood banking, and more.| CA-3 | Months | Description |
|---|---|---|
| Trauma Team Chief | 2 | Seniors spend two months or more leading a team of junior residents. They function as junior attending in this transition-to-practice experience. |
| OB Team Chief | 2 | Seniors spend two months or more leading a team of junior residents. They function as junior attending in this transition-to-practice experience. |
| Advanced Clinical Anesthesia | 2 | Complex hepatobiliary, thoracic, complex airway, and liver transplant cases in UMH and JMH. The senior resident is responsible for the most difficult cases of the day. |
| Regional & Acute Pain | 1 | Continue to collect blocks and procedures for orthopedics, general surgery, and acute pain patients. |
| Outpatient Pedi Anesthesia | 1 | Bascom Palmer Eye Institute on the main campus provides fast-paced, high-turnover ambulatory pedi experiences for senior residents. |
| SICU | 1 | |
| Electives | 2 | Residents can revisit any subspecialty of interest or choose rotations like blood banking, sleep medicine, community ICU, or ASA-sponsored initiatives. Pediatric cardiac anesthesia is available at Holtz Children’s Hospital on main campus. |
| Vacation | 1 | 4 one-week blocks. |