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

Fundamental Clinical Skills (FCS)

The Fundamental Clinical Skills rotations are completed at Lahey Hospital & Medical Center. Residents participate in inpatient and outpatient activities arranged by rotation directors in accordance with ACGME FCS requirements.

Rotation  Duration (Weeks)  
General Surgery 16-18
Internal Medicine 16-18
Medical Intensive Care Unit (MICU)                                   4
Emergency Medicine 4
Anesthesiology* 4
Chronic Pain 4
Electives 2-4

*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 FCS 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) 0.5
Regional Anesthesia 1
Vascular Anesthesia 1
Off-Site Anesthesia 0.5
Post Anesthesia Care Unit (PACU)                                   0.5
Acute Pain 0.5

Clinical Anesthesia – 2 (CA-2) Rotations

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

*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
Cardiothoracic Anesthesia 1
Obstetrics 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.