1. Dismiss Notice
  2. Download free Tapatalk for iPhone or Tapatalk for Android for your phone and follow the SDN forums with push notifications.
    Dismiss Notice

CA3 in academic programs - do you feel competent and comfortable??

Discussion in 'Anesthesiology' started by E'01, Nov 18, 2005.

  1. E'01

    E'01 1K Member
    7+ Year Member

    Joined:
    Jun 26, 2001
    Messages:
    1,216
    Likes Received:
    1
    Status:
    Medical Student
    I just came back from an impressive community-based program interview yesterday. Practically all of the CA3 go into private practice but some do fellowships (esp peds at boston children's hospital). Because there are no fellows at this program and the program itself is very small (8 incoming PGY1/year) , the residents state that they get to do the hearts, transplants, etc and feel extremely comfortable with their skills and are ready to practice by the end of second year.

    I'm just curious as to whether the seniors on here at academic programs feel the same way or do they feel like they have to fight for complex cases. I'd really appreciate all input. Thanks!
     
  2. Note: SDN Members do not see this ad.

  3. DRTHOR

    DRTHOR New Member

    Joined:
    Nov 19, 2005
    Messages:
    2
    Likes Received:
    0
    Status:
    Resident [Any Field]
    I am at an acedemic program in Florida. I can tell you that I feel very comfortable doing any big case, liver, heart, peds, trauma,, neuro..you name it. As far as the smaller programs go, be careful that you don't get too much experience. Livers, hearts. etc. are nice to know how to do well, but they can also be very stressfull and labor intensive, in other words you don't want to do those every day. Somedays, you want bread and butter cases that you can read during.
     
  4. E'01

    E'01 1K Member
    7+ Year Member

    Joined:
    Jun 26, 2001
    Messages:
    1,216
    Likes Received:
    1
    Status:
    Medical Student
    That's reassuring to hear. Thanks so much for your input! Anyone else care to share their experience?
     
  5. Smokenchoke

    Smokenchoke New Member

    Joined:
    Nov 17, 2005
    Messages:
    2
    Likes Received:
    0
    Status:
    Resident [Any Field]
    I'm at MUSC in Charleston. Here, we have no fellows and no ER residents (WEll, actually we took 1 CT fellow this year, but only this year)...which means we get the good cases, and almost all the trauma intubations, so yes I feel confident....that being said, I agree with the above post--bread and butter is nice.
     
  6. JackPB

    JackPB Fire, and lots of it!
    5+ Year Member

    Joined:
    Nov 15, 2005
    Messages:
    29
    Likes Received:
    0
    Status:
    Attending Physician
    I'm a CA-3 in an academic center with multiple fellowships. There are plenty of interesting cases to go around, and I do not compete with fellows. In some super-duper cases, I've been posted to a room along with a fellow. In those rooms, there's plenty of excitement for all and I'm glad to be with a fellow.

    I think we should seek to do the most complex cases possible in the sickest patients possible. Don't short-change your education! We learn anesthesia by taking care of really sick people. ASA 1's are pretty hard to kill. After a while, those bread-and-butter cases are just work. Work is what a private practice anesthesiologist does. We're residents to get an edumacation.

    The baddest, most interesting patients often go to major academic centers. Once we know how to take care of that obese, pre-eclamptic, myasthenic trauma thoracotomy, a bread/butter lap chole seems pretty easy. I want to experience my "oh-crap" moments while a resident when someone else is responsible, not when my own license is on the line.

    Any resident who feels ready to practice by the end of the second year is overconfident. He/she simply hasn't seen enough dangerous cases or scary moments. Terrible, Unexpected Things happen in the OR. Make sure your residency can show you a few.

    JPB
     
  7. drfeelgood

    drfeelgood In Gas We Trust
    15+ Year Member

    Joined:
    May 4, 2002
    Messages:
    156
    Likes Received:
    38
    Status:
    Attending Physician
    E'01.... Did you interview at Caritas-St. Elizabeths in Boston? They do many of their complex cases offsite at Lahey Clinic. Maybe the CA-2 are confident because most of them were anesthesia attendings in their homeland...i.e. India. Eastern Block Be aware that you will spend more than one month each year in the pre-op clinic and many post call days in pre-op clinic. I know a friend there who is extremely upset.

    Best of luck
     
  8. Ahh...The Life

    Ahh...The Life Membership Revoked
    Removed

    Joined:
    Nov 13, 2005
    Messages:
    30
    Likes Received:
    0
    I'm surprised that the CA-2s feel well prepared. Most CA-3s are still getting their numbers there. I'm not sure how prepared people are if they haven't gotten the minimum ACGME numbers, but they may feel prepared.

    I like the programs where CA-2s are finished with their numbers by late second year and can focus/tailor their CA-3 year to their interests.
     
  9. drfeelgood

    drfeelgood In Gas We Trust
    15+ Year Member

    Joined:
    May 4, 2002
    Messages:
    156
    Likes Received:
    38
    Status:
    Attending Physician
    The ACGME numbers are set very low. They are designed so that you can have your numbers by CA-2. This shouldn't be a issue at most academic (university) programs. I don't know them off the top of my head, but i can find them if anyone wants them.
     
  10. E'01

    E'01 1K Member
    7+ Year Member

    Joined:
    Jun 26, 2001
    Messages:
    1,216
    Likes Received:
    1
    Status:
    Medical Student
    No I didn't interview there. Good luck to you too


    ** JackPB - Thanks so much for your response. It makes a lot of sense and I will keep what you said in mind. Anyway, what it boils down to is that I want a more community based prelim program and definitely an academic program for Anesthesiology.
     

Share This Page