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Clinical Rotations Overview

The second, third and fourth years of our anesthesiology residency program are designated as clinical anesthesiology (CA-1-3) years and are devoted entirely to anesthesiology. The first postgraduate year (PGY-1) is designated as a clinical base (CB) year and is devoted to hospital-based clinical experience outside of the operating room.

Expand the entries below to get a description of the rotation curriculum for every year of the program.

 CB Year

The purpose of this first year of the program is to train the resident to become a proficient hospital physician in the broadest sense. This year may be fulfilled in many ways, such as a transitional program that includes various clinical rotations, a year of internal medicine or a year in any other clinical specialty program.

Northwestern's program offers medical students a unique clinical base year that is planned as an integral part of the four-year continuum. It emphasizes internal medicine and critical care experiences. Many residents find the opportunity to train continuously in a single program an attractive and convenient option.

Rotation Hospital Duration

Emergency Medicine

NMH

4 weeks

Medical ICU

NMH

4 weeks

Cardiology Coronary Care Unit

NMH

0-4 weeks

Card Consult Service + Inpatient Medicine Night Float

NMH

4-6 weeks

Pulmonary Consult Service + MICU Night Float

NMH 4-6 weeks

Palliative Care, Hepatology, or Nephrology

NMH

4-6 weeks

Ward Medicine

NMH

8-12 weeks

Ward Medicine

Veteran’s Administration Westside

4 weeks

Hematology Oncology

NMH

0-4 weeks

Surgery

Veteran’s Administration Westside

4 weeks

Colorectal Surgery

NMH

4 weeks

Anesthesiology Critical Care Medicine

NMH

4 weeks

Introduction to Anesthesiology (June)

NMH

4 weeks

 CA-1 Year

The CA-1 resident year emphasizes the scientific and clinical principles necessary to function as an anesthesiologist. New CA-1 anesthesiology residents undergo a one-month orientation that includes a daily introductory lecture series and one-to-one attending supervision. The CA-1 year is organized into discrete block rotations to ensure that every resident is exposed to all major areas of expertise. These rotations include general surgery, urology, ENT, gynecology and orthopedic anesthesia in addition to preoperative assessment and recovery room. Residents will begin their subspecialty rotations after six to eight months of training.

Rotation Hospital Duration

Introduction to Anesthesiology

Northwestern Memorial Hospital (NMH)

1 month

General Surgery

NMH

1 month

Urologic Anesthesia

NMH

1 month

Gynecologic Anesthesia

NMH

1 month

Post Anesthesia Care Unit (PACU)

NMH

0.5 months

Preoperative Assessment Clinic

NMH

0.5 months

Basic Clinical Anesthesia

NMH

1 month

ENT

NMH

1 month

Pain Medicine

Outpatient Pain Clinic

0-1 month

Regional Anesthesia

NMH

0-2 months

Cardiothoracic Anesthesia

NMH

0-2 months

Critical Care

NMH

0-2 months

Neurosurgical Anesthesia

NMH

0-2 months

Pediatric Anesthesia

Lurie Children's

0-2 months

Obstetrical Anesthesia

NMH- Prentice Women's

0-2 months

 CA-2 Year

The CA-2 year incorporates rotations in the subspecialties of anesthesiology, including pediatric, obstetric, cardiothoracic, regional and neurosurgical anesthesiology, as well as critical care and chronic pain medicine. 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. Because several subspecialty rotations are completed during the CA-1 year, CA-2 residents will complete some electives in advanced anesthesia rotations and/or CA-3 level rotations like trauma, vascular-transplantation, acute pain and cardiothoracic critical care medicine. Residents can also elect to do research time.

Please note: Some CA-2 rotation will be completed during the CA-1 year.

Rotation Hospital Duration

Cardiothoracic Anesthesia

NMH

0-2 months

Critical Care

NMH

0-2 months

Regional Anesthesia

NMH

0-2 months

Neurosurgical Anesthesia

NMH

0-2 months

Obstetric Anesthesia

NMH - Prentice Women's

0-2 months

Pain Medicine

Outpatient Pain Clinic 

0-1 month

Pediatric Anesthesia

Lurie Children's

0-2 months

Electives in Advanced subspecialties

NMH, Prentice, or Lurie Children's

0-4 months

Acute Pain, Vasc-Xplant, CTICU,
Trauma

NMH, Cook County 0-4 months

 CA-3 Year

The CA-3 year is designed to give the resident all the exposure necessary to develop into a perioperative physician and anesthesiology consultant by providing advanced training in transplantation/vascular, cardiothoracic critical care, acute pain medicine, as well as OR Management and non-operating room anesthesia. Over half of the residents decide to do one to two months of research. Residents have the option of doing research during a single month or single days spread over several months. The weekly research option allows a research experience lasting for months rather than weeks.

Mandatory Rotations
(3-5 months)
Hospital(s) Duration

Acute Pain

NMH

1 month

Vascular/Transplantation Anesthesia

NMH

1 month

Cardiothoracic Intensive Care

NMH

2 months

Advanced Preoperative Assessment Clinic

NMH

0.5 months

Non-OR anesthesia (GI Lab, MRI, ECT, IR, EPS)

NMH

0.5 months


Elective Rotations (7-9 months) Hospital(s) Duration

Advanced Regional Anesthesia

NMH

0-4 months

Ambulatory Anesthesia

NMH

1 month

Advanced Cardiothoracic & TEE

NMH

0-4 months

TEE NMH 1 month

Advanced Obstetric Anesthesia

PWH

0-4 months

Advanced Neurosurgical Anesthesia

NMH

0-4 months

Advanced Pain Medicine (Outpatient)

NMH

0-4 months

Advanced Pediatric Anesthesia

CMH

0-4 months

Trauma Anesthesia

Cook County

0-1 month

Advanced Clinical Anesthesia, including OR Management

NMH

0-4 months

Research or

NMH

1-2 months

Research (1 day per week) NMH 4 months
Global Health Initiatives International 10 days- 1 month

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