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GandalfTheWhite said:
How are you able to get away with 6 anesthesia months? I thought a certain number of months have to be floor months (IM/Surg) in addition to the 2 ICU months, and 1 month EM?
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Most likely a mixed program where the CA1s go back and do more floor months. I don’t know about CCF but that’s how my medical school does it.
 
They divide the "intern" level rotations among PGY1 and 2 years. That adds some OR time to PGY1 and some floor time to PGY2. Part of the reason is this adds more advanced floor electives. For instance, one of the PGY2 rotations is the CVICU which is an amazing rotation, however, it can be hard to figure out an ICU where 13 of the 14 patients are on ECMO when you haven't been in an OR yet.

As I stated, our PD is very involved in how we educate perioperative physicians in anesthesiology. The program is dynamic and future forward. We don't operate on a "more is better" philosophy but rather quality of training cases and rotations.

I guess if you're going to be an intern and you think "learning medicine" is a better use of your time than doing anesthesia feel free to go hang with the dinosaurs. Is 6 months of IM hospitalist really >>> 1 month? My grandfather's grandfather did a medicine base year and he was a fine anesthesiologist. Of course, anesthesia had a 50% mortality rate then too.
 
PropAlfenta said:
They divide the "intern" level rotations among PGY1 and 2 years. That adds some OR time to PGY1 and some floor time to PGY2. Part of the reason is this adds more advanced floor electives. For instance, one of the PGY2 rotations is the CVICU which is an amazing rotation, however, it can be hard to figure out an ICU where 13 of the 14 patients are on ECMO when you haven't been in an OR yet.

As I stated, our PD is very involved in how we educate perioperative physicians in anesthesiology. The program is dynamic and future forward. We don't operate on a "more is better" philosophy but rather quality of training cases and rotations.

I guess if you're going to be an intern and you think "learning medicine" is a better use of your time than doing anesthesia feel free to go hang with the dinosaurs. Is 6 months of IM hospitalist really >>> 1 month? My grandfather's grandfather did a medicine base year and he was a fine anesthesiologist. Of course, anesthesia had a 50% mortality rate then too.
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I'd hate to do IM during my CA-1 year. Makes much more sense to get it done and out of the way and use it to study for STEP 3 rather than do IM when I can use that time to study for the basic. I guess it'll come down to preference. We already do CVICU intern year, and I imagine most places put it in during intern year as one of your 2 ICU reqs. With that said, it sounds like a pretty interesting setup and very resident centric.
 
PropAlfenta said:
I guess if you're going to be an intern and you think "learning medicine" is a better use of your time than doing anesthesia feel free to go hang with the dinosaurs. Is 6 months of IM hospitalist really >>> 1 month? My grandfather's grandfather did a medicine base year and he was a fine anesthesiologist. Of course, anesthesia had a 50% mortality rate then too.
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There's a significant number of people here who think a strong foundation in medicine will make you a better periop physician. Otherwise why not just skip med school entirely and go the CRNA route?
 
Mehd School said:
Interns doing renal transplants? Jesus Christ. I picked the wrong big name program.

Time to go back to my discharge summaries.
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Renal transplants should be a beginner-level anesthesia case wherever you go. CCF does them as interns because they split up their intern year.

If your program is reserving kidneys as a senior case, you've got much bigger problems.
 
Ronin786 said:
Renal transplants should be a beginner-level anesthesia case wherever you go. CCF does them as interns because they split up their intern year.

If your program is reserving kidneys as a senior case, you've got much bigger problems.
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A kidney transplant is a basic abdominal case. Liver cases are pretty basic too unless they exsanguinate.
 
Mman said:
A kidney transplant is a basic abdominal case. Liver cases are pretty basic too unless they exsanguinate.
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True, just like doing and ex-lap on a septic patient, no biggie. I’m not at a powerhouse residency, but I’ve lost of how many OLTs I’ve done, at least low to mid teens.
 
Mman said:
A kidney transplant is a basic abdominal case. Liver cases are pretty basic too unless they exsanguinate.
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Depends on your center. If you're doing MELDs in the single digits to low teens, then yes. But when there's so much competition in the area that your average MELD is in the 30s, then they can be some of the most challenging yet fulfilling cases.
 
MoMoGesiologist said:
Doesn't that mean the CCF surgeons were just a lot better? Or selected better patients? I can't imagine the anesthesia at CCF is so much better for an OLT...
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Likely because there are more livers available in that region so the patients are less sick when receiving them. It also could be the culture of the department, transfuse at lower thresholds
 
another CCF graduate ... I love my program it was the best four years of my life. I know people here will always hate CCF not sure why. It used to get to me in residency but having been an attending I now know that I saw and did a lot. There aren't many things that I haven't seen or done in residency. You will get great cardiac exposure (~100 pump cases), tons of livers transplant (i did teens), tons of open AAA and TAA (teens) and complex endovascular repairs, did a couple spinal drains as residents, 1 month of TEE rotation with cardiac fellows (~ 50 echos) many residents will sit for basic and some advanced TEE at end of residency (3 in my class did), great regional (easily > 300 blocks, interscalene, supra/infra clav, axillary, sciatic/popliteal, fem/adductor, TAP, QL, Pec1,2, serratus, PVB, u name it and tons of thoracic epidurals), great ped experience with new rotation in Akron children, ped cardiac available if interested. People match really well into cardiac, peds, chornic pain into well regarded places. I myself did cardiac fellowship at a well regarded program in South (per SDN) and didn't find myself lacking. Research opportunities are plenty. I hated research and still got a few papers got published. They just find you. Went to every ASA conference basically intern to CA3 presenting cases/papers and that was the norm with my classmates as well. Educational resources are plenty. Many workshops that you can sign up for for eg. I did pig heart dissection for TEE as a resident, surgical airway management with pig trachea in lab, IO workshop, multiple crisis management simulations, etc. I luv my program... will go there all over again if i have to... PM me if anyone wants any detail.
 
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