Clinical Rotations

All rotations are performed at the above affiliated hospitals/institutions in San Antonio, Texas.

PGY-1

A transitional year incorporating rotations in the departments of Medicine, Surgery, Pediatrics and Anesthesiology. Rotations include cardiology, pediatrics, internal medicine (wards and medical intensive care unit), general surgery, emergency medicine, cardiothoracic surgery, and otolaryngology. Interns receive exposure to anesthesiology through a rotation in the Anesthesia Inpatient Pre-anesthesia Clinic, the Surgical Intensive Care Unit at the VA hospital staffed by the Anesthesiology department, as well as an OR-based “boot camp” experience during the final block in preparation of PGY-2 year.

PGY-2

Twelve months of predominantly operating room experience at the affiliated training hospitals (University Hospital and Audie Murphy VA Hospital) under the direct supervision of Anesthesiology faculty with increasing degrees of difficulty and a wide variety of surgical cases. Residents typically begin rotating through sub-specialty disciplines (including neuro, pediatric and regional anesthesia) on the latter half of the academic year.

PGY-3 and 4

Twenty-four months of rotation assignments designed to enable the resident the opportunity to spend dedicated time experiencing specific types of sub-specialty anesthesia cases with increasing responsibilities and case complexity.

Minimum required experience (16 months)

• 2 months of Cardio-thoracic Anesthesiology
• 2 months of Neurosurgical Anesthesiology
• 2 months of Pediatric Anesthesiology
• 2 months of Critical Care Medicine
• 2 months of Obstetric Anesthesiology
• 1 month of Advanced Airway Management / Transition to Anesthesia Practice (TAP)
• 1 month of Hepatobiliary/Advanced Anesthesiology
• 1 month of Non-Operating Room Anesthesiology
• 1 month of Regional Anesthesiology
• 1 month of Perioperative Medicine
• 1 month of Post-anesthesia Care
• 1 month of Chronic Pain
• 1 month of Acute Pain
• 1 month of Private Practice exposure

Plus optional experience opportunities (depending on case logs, clinical need, and/or clinical interest)

• Additional rotation(s) in anesthesia sub-specialties, particularly cardiothoracic, critical care, obstetric, regional/APS, pediatric and hepatobiliary anesthesia.
• One-month elective rotations available at the PGY-4 level only: Research, TEE / Ultrasound, Palliative medicine, Global Health Rotation