Rotations

Rotations

 

The following is a description of rotations according to PGY level. Rotations are not necessarily chronologic. All rotations have reading assignments. Day-to-day faculty teaching is predominantly one-on-one and case-based.

Clinical Base Year (CBY)

The Clinical Base Year (CBY) rotations are completed at Lahey Hospital and Medical Center. Residents participate in inpatient and outpatient activities arranged by rotation directors in accordance with ACGME CBY requirements.

Rotation  Duration (Months)  
General Surgery 4
Internal Medicine 4
Medical Intensive Care Unit (MICU)                                   1
Emergency Medicine 1
Anesthesiology* 1
Chronic Pain 1

*The Anesthesiology month familiarizes residents with the basics of Anesthesiology, the Electronic Medical Record (Epic) and general workflows. Residents are mentored by experienced Anesthesia faculty in both the OR and classroom. This rotation occurs during the second half of the CBY and is designed to provide a smooth transition to the CA -1 year.

Clinical Anesthesia – 1 (CA-1) Rotations

Rotation  Duration (Months)  
General OR 5
Cardiothoracic (CT) Anesthesia 1
Chronic Pain 1
Neuro Anesthesia 1
Pre-Admission Testing (PAT) 1
Regional Anesthesia 1
Vascular Anesthesia 1
Acute Pain 0.5
Post Anesthesia Care Unit (PACU)                                      0.5

Clinical Anesthesia – 2 (CA-2) Rotations

Rotation  Duration (Months)  
Pediatric Anesthesia (Boston Children’s Hospital)
3
Obstetric (OB) Anesthesia (Brigham and Women’s Hospital) 2
Surgical Intensive Care Unit (SICU) 2
Acute Pain 1
Advanced Airway* 1
CT Anesthesia 1
Neuro Anesthesia 1
Trauma/Advanced General OR
1

*The Advanced Airway rotation will focus on techniques in both clinical situations and simulation.

Clinical Anesthesia – 3 (CA-3) Rotations

Rotation  Duration (Months)  
Electives* 4
SICU 2
CT Anesthesia 1
OB Anesthesia 1
Regional Anesthesia 1
Transplant Anesthesia 1
Trauma/Advanced General OR Anesthesia                          1
Vascular Anesthesia 1

*Electives are used to augment clinical experience in an anesthesia subspecialty, to complete case requirements or to work on research projects. Two of the four months must be clinical OR months.