The goal of the residency program of the Department of Anesthesiology is to train physicians to become both consultants in anesthesiology as well as diplomats of the American Board of Anesthesiology. It is a four-year categorical program organized in accordance with the American Board of Anesthesiology and the RRC of the ACGME. The current structure is:
PGY 1 & 2: Clinical Base Year and Basic Anesthesiology
PGY 3 & 4: Subspecialty and Advanced Anesthesiology
Throughout their training, residents are fully supervised by anesthesiology faculty and staff members. The faculty is comprised of about 30 full- and part-time anesthesiologists whose subspecialty training includes fellowships or expertise in cardiovascular anesthesia, pediatric anesthesia, neuro-anesthesia, pain management, and critical care medicine. During their training, residents continually reflect on their performance, seek feedback and guidance from faculty, and work towards improvement and eventual mastery. This cycle is the key to life-long learning and mastery of the skills necessary to become an independent, competent anesthesiologist.
Residents are assigned an individual clinical advisor to act as a mentor throughout the 3 years of Clinical Anesthesia training. Residency training is a team effort by the resident and the faculty, with an emphasis on progressive independence, constantly improving knowledge, and development of a professional and ethical attitude that defines the best physicians. Each training year and each individual clinical rotation has its own educational “Goals and Objectives.” Meeting the “Goals and Objectives” of the training years and rotations is the pathway of the educational process.
At any given time, there are typically 8 residents per class for a total of 32 residents. The Department participates in the National Resident Matching Program for all positions at the PGY1 level.
The primary teaching hospital for the residency program is MedStar Georgetown University Hospital, a 609-bed acute care teaching and research hospital affiliated with the Georgetown University School of Medicine. Founded in 1898, GUH is the national capital area’s oldest and most recognized academic teaching hospital. In 2000, the hospital became part of MedStar Health, the largest health care network in the D.C.-Baltimore region. Centers of excellence include cancer, neurosciences, gastroenterology, transplant and vascular diseases. Each year, approximately 14,000 surgical procedures and 1,000 obstetric cases are performed. Residents will rotate through anesthetizing sites in the main operating rooms (16 rooms), Same Day Surgery (7 rooms), Labor and Delivery, and off-site locations (GI endoscopy, interventional radiology, CT/MRI, Cyberknife, bronchoscopy suite, and cath lab). Required rotations in critical care are completed in the Surgical Intensive Care Unit (SICU), located within the Concentrated Care Center.
In the CA-2 and CA-3 year, residents will complete rotations at MedStar Washington Hospital Center, a 926-bed sister institution located in the city several miles east. Founded in 1958 and part of MedStar Health since 1999, it is the largest non-profit hospital in the metropolitan region. PGY-1 residents may also rotate at Washington Hospital Center through the medical subspecialties. At WHC, CA-2 and CA-3 residents enjoy a robust clinical experience in Cardiac Anesthesia at one of the five largest cardiovascular surgery programs in the nation (over 1700 cases per year). WHC also operates the area’s only regional adult burn center and the region’s premier Level I trauma center. The Labor & Delivery unit is quite busy with high-risk patients, and residents have an opportunity to spend time here during the final year. CA-3 residents may also choose to be involved in the busy regional anesthesia service as well.
Rotations in advanced pediatric anesthesia for CA-2 and CA-3 residents are completed at Children’s National Medical Center, Washington, D.C.’s exclusive provider of pediatric care. Founded in 1870, CNMC moved to its current 303 bed facility in Northwest D.C. near Washington Hospital Center in 1977. CNMC also serves as the regional referral center for pediatric emergency, trauma, cancer, cardiac and critical care as well as neonatology, orthopaedic surgery, neurology, and neurosurgery. The Department of Anesthesiology provides care for nearly 15,000 surgeries per year.
For experience in chronic and interventional pain management, residents will rotate through two sites. At Georgetown Pain Management’s Maryland and DC locations, residents will have experience in the medical management for chronic intractable pain, nerve blocks, neurolytic blocks, radiofrequency ablation, spinal cord simulators and intrathecal morphine pumps, vertebroplasty, and percutaneous discectomy. The average resident (assuming no vacation) can expect to see 100 to 120 (approximately 25 new) patients and be involved in 40 to 60 procedures per month. The numbers can increase significantly if the resident expresses special interest in a pain management fellowship. Residents will also spend half their rotations at the Washington Hospital Center’s pain management clinic.
Established in 1959, our anesthesiology residency training program is fully accredited by the Accreditation Council of Graduate Medical Education (ACGME). Our program last received a site visit in 2009. We have been granted continued accreditation each year with no citations since that time. We will conduct our self study in 2017-2018 and anticipate the next accreditation site visit in 2018-19.