Program Overview
The Residency Training Program at Yale-New Haven Hospital consists of a four-year continuum of education in anesthesiology as approved by the American Board of Anesthesiology. This includes one year of non-anesthesia clinical training (Clinical Base Year) and three years of clinical anesthesia training (CA-1, CA-2, and CA-3 years).
The 12-month clinical base year (internship) must be completed in a program accredited by the Accreditation Council for Graduate Medical Education (ACGME); or in Canada in an institution approved by the Royal College of Physicians and Surgeons. This experience in clinical medicine will form the foundation upon which subsequent training in anesthesiology can occur.
The Department of Anesthesiology at Yale-New Haven Hospital has associations with several area hospitals with a limited number of positions at the PGY-1 level. We encourage applicants to investigate the PGY-1 position on their own, as many of them may require the application to be processed through the ERAS System. The CA-1 positions are processed through the National Residency Matching Program (NRMP) via this Department's office. If any positions remain after the Match has been completed, candidates may apply for any unfilled CA-1 positions. Candidates who already possess an MD or DO degree may also apply for an unfilled CA-1 position, however all slots will be filled through the Match first.
The three years of clinical anesthesia, (CA-1 through CA-3 years), consist of:
- Basic anesthesia training
- Sub-specialty anesthesia training
- Advanced anesthesia training.
Experience in basic anesthesia training is intended to emphasize basic and fundamental aspects of patient management in the perioperative period. At least twelve months of the CA-1 and CA-2 years are spent in basic anesthesia training. Also, during the CA-1 and CA-2 years, subspecialty training is included. During the CA-3 year, the resident receives additional exposure to the various subspecialties and has greatly increased responsibilities. During their training, our residents experience the full spectrum of surgical procedures. Each resident will be involved in approximately 400 anesthetics per year.
Subspecialty rotations at Yale-New Haven Hospital include Obstetric Anesthesia, Pediatric Anesthesia, Cardiac Anesthesia, Anesthesia for Thoracic and Vascular Surgery, Neuroanesthesia, Ambulatory Anesthesia, Critical Care Medicine, Liver Transplantation, Acute Pain Management, Chronic Pain Management and Post Anesthesia Care. Regional anesthesia is taught during all clinical rotations, especially neuraxial anesthesia.
The resident receives a focused experience in regional anesthesia during the Block Rotation. During the Block Rotation, the resident reviews the entire OR schedule to find patients who might benefit from a peripheral nerve block. In association with the Block Attending, the resident approaches the patient and, when appropriate, performs the block in the preoperative area. Interscalene, axillary, femoral, sciatic, popliteal, and continuous femoral nerve block are commonly used for orthopedic procedures.
