Residency Training

The Department of Anesthesia training program has approximately 80 total resident positions. The first clinical anesthesia year (CA-1/PGY-2) begins after completion of a clinical base year (PGY-1). The department offers four categorical positions which include one clinical base year followed by three clinical anesthesia years. It also offers 22 advanced positions per cohort which provide three clinical anesthesia years.

One of many of the advantages of training at Indiana University School of Medicine for residency is the unusual diversity of clinical experiences. Residents rotate through five unique tertiary-care hospitals with widely varying patient-care missions. The education and training in these settings ensure that residents are prepared to provide safe and competent anesthesia care to virtually any patient upon graduation.

Academic Training

Intraoperative education is an essential component of this residency program, and is facilitated by a high ratio of faculty members to residents, a high acuity patient population, and an education structured specialty curriculum. In addition, the first-year, second-year and third-year clinical anesthesia resident classes (CA-1 through CA-3) have separate weekly lectures along with experience-appropriate sessions in the human-patient simulation laboratory.

The didactic aspect of IU School of Medicine’s anesthesiology residency program is structured to develop the necessary knowledge, judgment, and professionalism required of a board-certified anesthesiologist. The curriculum stimulates learners to understand of the science of anesthesiology. Each resident’s progress in both the academic and clinical aspects of anesthesiology is carefully monitored.

Clinical Experience

The anesthesiology residency program at Indiana University School of Medicine offers a broad and robust clinical experience in all aspects of the specialty. The core strength of the program lies in the diversity of clinical experience that covers the entire spectrum of surgical procedures.

Clinical training occurs on the school’s Indianapolis campus at five tertiary-care hospitals: IU Health University Hospital, IU Health Methodist Hospital, Riley Hospital for Children at IU Health, Eskenazi Hospital, and the Roudebush VA Medical Center.

Professional Preparation

In addition to competence in patient care, the anesthesiology residency curriculum prepares physicians to become diplomates of the American Board of Anesthesiology (ABA). As part of preparation for the ABA examinations, residents complete problem-based learning exercises and simulation scenarios throughout the three years of training. Didactic sessions are specifically tailored to prepare residents for the In-Training Exam (ITE), BASIC, and ADVANCED written exams. Mock oral boards sessions are another part of the preparation for board-certification examinations.

Medical simulation is a core component of training future anesthesiologists. The 30,000-square-foot Simulation Center in Fairbanks Hall at the IU School of Medicine—Indianapolis campus provides additional educational diversity. Formative OSCE training scenarios in the simulation environment prepare residents for the APPLIED portion of the board certification exam.

In addition, the Department of Anesthesia participates in weekly Grand Rounds that feature clinical case presentations, journal clubs, morbidity and mortality conferences, and presentations by nationally renowned visiting professors. Attendance and scholarly presentations at American Society of Anesthesiologists (ASA), Midwest Anesthesia Residents Conference (MARC), and other anesthesia society meetings is encouraged and supported during residency training.

Program Progression

Anesthesiology residency clinical rotations enhance the overall clinical skills of analysis, synthesis, and evaluation of anesthesiology principles and practice. During the CA-1 rotations in clinical anesthesia, emphasis is on the foundational aspects of patient care, medical knowledge, and the application of anesthetic principles. The medical knowledge portion of the CA-2 and CA-3 year provides residents the ability to hone understanding of their foundational skills. All residents who complete anesthesiology training at IU School of Medicine are expected to become board-certified anesthesiologists. The broad overview of clinical experiences that are provided prepares residents to obtain mastery within the various subspecialties of anesthesiology.

The CA-1 resident year emphasizes the principles of both general and regional anesthesiology necessary to function as an anesthesiologist. Residents are exposed to a myriad of surgical cases including general surgery, otolaryngology, urology, orthopedics, and gynecology. Both regional and general anesthesia techniques are emphasized.

CA-1 Year Rotations
Riley Hospital for Children – OR (Pediatric Anesthesiology)1 – 2 rotations
University Hospital – OR1 – 2 rotations
Roudebush VA Medical Center – OR1 rotation
Eskenazi Hospital – OR1 – 2 rotations
Chronic Pain1 rotation
Obstetric Anesthesiology1 rotation
Riley Hospital for Children – Outpatient1 rotation
Peri-operative Care Unit / PACU1 rotation
Outside of surgical suite – NORA1 – 2 rotations

In the CA2 year, residents develop greater mastery and knowledge of the skills learned during the CA1 year. In addition, the CA-2 year incorporates rotations in the subspecialties of anesthesiology, including obstetric, cardiovascular, and neurosurgical anesthesiology, critical care medicine, and chronic pain medicine. Further experience in pediatric anesthesiology is also gained. Each clinical rotation is accompanied by an organized didactic program to ensure that the resident becomes both clinically proficient and knowledgeable about the fundamentals of each subspecialty. In addition, residents master cardiopulmonary resuscitation and develop the skills to manage complex surgical cases, including those involving deliberate hypotension, deep hypothermic arrest, major vascular procedures, and organ transplantation.

CA-2 Year Rotations
Riley Hospital for Children – OR (Pediatric Anesthesiology)1 – 2 rotations
Eskenazi Hospital Perioperative Pain – APS1 rotation
Neurosurgical Anesthesiology1-2 rotations
Acute Peri-operative Pain – APS1-2 rotations
Roudebush VA medical Center – Cardiothoracic1 rotation
Obstetric Anesthesiology1 -2 rotations
Eskenazi Hospital – ICU1 rotation
Transplant Anesthesiology1-2 rotations
General OR – University Hospital, Eskenazi Hospital, and Roudebush VA Medical Center1-4 rotations

The CA-3 year is designed to provide the clinical experience and education necessary for the resident to become a perioperative physician and anesthesiology consultant. Advanced training occurs in pain management as well as in cardiovascular, transplant, vascular, obstetric, pediatric, thoracic, neurosurgical, and ambulatory anesthesiology. In addition, rotations are available in critical care medicine. Rotations are accomplished within a framework offering the two tracks recognized by the American Board of Anesthesiology. The Advanced Clinical Track offers experience in specific areas of complex anesthesiology assignments. In addition, ample research opportunities exist to support the Clinical Scientist Track, which may include up to six months of research.

CA-3 Year Rotations
Advanced Cardiac Anesthesiology1 – 2 rotations
Transplant Anesthesiology1-2 rotations
Vascular Anesthesiology1 rotation
Ambulatory Anesthesiology1-2 rotations
Neurosurgical Anesthesiology1-2 rotations
Thoracic Anesthesiology1-2 rotations
Regional Anesthesiology1 rotation
General OR – University Hospital, Eskenazi Hospital, and Roudebush VA Medical Center1-4 rotations

Residency Intranet

IU School of Medicine anesthesiology residents and faculty can access schedules, learning modules, resources, communications, and more from the Department of Anesthesia course site on Canvas.