kingyogurt said:
I was wondering if anyone had any info on number of elective months different residency programs allow during the three years of anes:
1) Number of elective months in house allowed?
2) Number of elective months allowed outside system?
3) Total number of electives allowed in any one subspeciallty like Peds and Pain?
(whats the basic set up for the three years)
Thank You
My program:
CA-1: 4-5 months Parkland General, 3-4 Zale General, 1 Pain, 2 OB, 1-2 months of the following: Pediatric anesthesia, SICU, MSR (Multispecialty Rotator - Basically you do a week each of Cardiac, Pedi, Zale Neuro (heavy intracranial vascular service), and/or Pain to get your feet wet, with no call responsibilities and all 4 weekends off). Understand that on the general months, you will get everything (trauma, thoracic, major vascular, etc.) except pump cases and pedi, so those months aren't just bread and butter cases.
CA-2: 2-3 Cardiac, 2-3 Neuro, 2-3 Pedi, 1-2 OB Senior (East chief), 1-2 Pain, 1 VA General (heavy block month), 1-2 SICU or PICU, 1 PACU, 0-1 Parkland General Senior or Zale General Senior. Toward the end of your CA-1 year, you submit requests for your preferences in the subspecialties, if you have any, as well as time requests (Pedi early, etc.). By the end of your CA-2 year, all of your ACGME requirements are usually completed with few exceptions, leaving the CA-3 year to fill out those exceptions and do a minifellowship in a subspecialty of choice.
CA-3: 3-6 Cardiac (2 months at subspecialty heavy Baylor Dallas and/or Methodist including heavy transplant services), 2-3 pedi, 1-2 Parkland or Zale General Senior, 1-2 Pain, 1-2 Neuro, 1 OB Senior (West chief), 0-1 SICU or PICU. Toward the end of your CA-2 year, you submit requests to tailor your CA-3 year. In my class, pain oriented people have gotten 3-4 months of pain, pedi oriented residents 3-4 of pedi (these are very busy months - you don't need more than this), cardiac oriented residents 5-7 months (we have multiple hospitals with cardiac available), etc. Although we're not keen on it, in-year trades are allowed as well. Our chairman does prefer that each resident leave with at least 50 CPB cases so the third year is somewhat slanted toward cardiac for that purpose.
Research electives are available, but rarely requested simply because you have time to do research on just about any month in your residency except SICU or PICU.
Away electives: No one has requested this. The department funds you for two months at Baylor Dallas and/or Methodist and I suspect that you could petition one or both months to do away rotations (we pay your salary, you pay for your own housing), but licensing issues will be a major headache for you if you leave your home state as most states will NOT issue a temporary license without a full application process (Step scores, transcripts, etc.). This has been the case for a UCSF resident who is rotating here in January and our department has borne the brunt of the paperwork to help him with the red tape. Residents from other programs have rotated through our subspecialty services, and the military residencies in particular rotate through our Neuro, OB, and soon vascular services.
