TYs not fulfilling anesthesia requirement?

[gymone1]

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So after contacting the transitional year program that I am most interested in...I got the following response. Does anyone know about this? I have not heard of TYs not taking anesthesia residents. If it is just a really nice rejection note then I am ok with that too...but I do not want to interview at TYs that are not going to meet the anesthesia requirements!!!
"You application was received through ERAS, but unfortunately the Anesthesia RRC has changed the requirements of the preliminary year, effective July 08. They have significantly lengthened the time residents are required to do in-patient medicine, and our program does not meet the new requirements. In fact, not even close. We are, therefore, not an available training site for residents going into anesthesia.

We appreciate your interest and wish you well."

 

[bubalus]

http://www.acgme.org/acWebsite/downloads/RRC_progReq/040pr07012008.pdf

 

[ProDoze]

I'd be curious what TY program has less than 6 months of inpatient medicine/surgery/peds/ob/gyn/neuro/etc. You can PM me if you want, as I'd be interested to know.

 

[Ferdie]

I interviewed at a TY today that doesn't interview future radiologists because they think they're lazy... Don't think it has anything to do with requirements there, just with PD bias (and apparently one future radiology resident made it through the whole month of OB there without ever doing a cervical exam...)

I thought that was a weird statement to make to applicants.

 

[narcusprince]

Ferdie was this a program in Illinois??

 

[me454555]

I interviewed at a TY today that doesn't interview future radiologists because they think they're lazy... Don't think it has anything to do with requirements there, just with PD bias (and apparently one future radiology resident made it through the whole month of OB there without ever doing a cervical exam...)

I thought that was a weird statement to make to applicants.

This is the problem with transitional years and intern years in general. Whats the point? Who cares if you can do a cervical exam if you're going into rads. Same with anesthesia. Although I really like my program and feel I'm learning some useful things, I really think there are more effective ways to train anesthesia residents. How bout 6 months of ICU rather than ob/gyn, peds, or surgery. What do you really get out of these months? I really hope they start to turn this into a 4 year specialty b/c there's a lot of down time in intern year.

 

[Ferdie]

Ferdie was this a program in Illinois??

yup.

 

[InductionAgent]

How bout 6 months of ICU rather than ob/gyn, peds, or surgery. What do you really get out of these months? .

Hmm...potentially a better understanding of what's going on with the obstetric, surgical, and pediatric patients you're caring for.

Not to knock ICU, since it has obvious merits. I guess it depends what your specific interests are with regard to anesthesia. Our CB year had a fairly good foundation, but I actually wish I'd had an OB rotation as an intern. My only one was four years ago as a 3rd-year medical student, and I'll have to relearn all that stuff when I do my OB anesthesia rotations next spring.

 

[Trisomy13]

How bout 6 months of ICU rather than ob/gyn, peds, or surgery. What do you really get out of these months? I really hope they start to turn this into a 4 year specialty b/c there's a lot of down time in intern year.

just finished a night of call that i spent entirely on the OB floor with multiple emergencies and am happy to have spent that month on OB during my clinical base year. take advantage of that time to get to know the attendings and residents, what time of anesthetic plans they prefer for different scenarios, which patients you think would benefit more from a CSE vs regular epidural, where your department stocks everything on that floor, who the scrub techs for L&D are, etc.. We had some freaky pathology last night and being familiar with the attending made planning and execution much smoother than it could have been.

 

[me454555]

just finished a night of call that i spent entirely on the OB floor with multiple emergencies and am happy to have spent that month on OB during my clinical base year. take advantage of that time to get to know the attendings and residents, what time of anesthetic plans they prefer for different scenarios, which patients you think would benefit more from a CSE vs regular epidural, where your department stocks everything on that floor, who the scrub techs for L&D are, etc.. We had some freaky pathology last night and being familiar with the attending made planning and execution much smoother than it could have been.

Of course I'm not doing my ty @ my anesthesia program so those advantages are lessened

 

[Trisomy13]

Of course I'm not doing my ty @ my anesthesia program so those advantages are lessened

even at a different hospital, if you keep a focus on anticipating what you will be looking for as a CA-1, you can get more out of your TY. during your post-op rounds on OB you might not really care if mom is breast feeding or what birth control she plans on using, but you can check the op record and see if she got duramorph or depot-dur, or how much of which local anes they used to dose her epidural for that emergent c-section. things like that can help you feel less overwhelmed as a CA-1.

 

[Bertelman]

...and apparently one future radiology resident made it through the whole month of OB there without ever doing a cervical exam...

I wish I had survived my OB month without doing a single cervical exam.

As for the other comments re: value of an OB month, I will say that yes, I appreciate meeting the other residents. Attendings? Yeah, I saw the shadows of a few, but 2 months out I can recall or recognize maybe 4 of the 30 that rotate through. The benefits ended there.

Do I really need to know how to judge cervical d/s/e? Place miso? Rupture membranes? Write D/C scripts for post-partums? Triage VB? Assess and treat PIH? Sew up a secondary lac? I did all that and more, yet learned very little of the anesthetic side of OB. The OB residents' goal for me during this rotation? "We want you to understand that sometimes when we call you for an epidural, you need to know that we need it RIGHT THEN!"

I entered that rotation hoping to count on one hand the number of deliveries I assisted. I succeeded, mostly thanks to the eager attitudes of the MS3s. I salute them.