The goal of the Anesthesia Residency at the Indiana University School of Medicine is to train physicians to be competent and compassionate practitioners of clinical anesthesia.  These Clinical Anesthesia rotations are designed to enhance your overall clinical skills of analysis, synthesis and evaluation of anesthesia principle.  During the CA1 and CA2 rotations in clinical anesthesia emphasis is placed on the foundational aspects of patient care such as medical knowledge and the application of anesthetic principles.  The medical knowledge portion of your CA3 year will provide the resident the ability to hone his or her understanding of their foundational skills.  All residents who complete their anesthesia training are expected to become board certified anesthesiologist.  The broad overview of clinical experience that is provided during the CA1 and CA2 years well prepares our CA3 residents to work on skills to obtain mastery within the various disciplines of anesthesia.

Clinical Rotations

CA-1 Year / PGY 2

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, ENT, Urology, Orthopedics, and Gynecology. Both regional and general anesthesia techniques are emphasized.

CA-1 Year
Riley OR (Pediatric Anesthesia) 4-8 weeks
University OR 4-8 weeks
VA OR 4 weeks
Ezkenazi OR 4-8 weeks
Chronic Pain 4 weeks
University OR 4 weeks
Ezkenazi Outpatient 4 weeks
Peri-operative Care Unit/PACU 4 weeks
Ezkenazi, University and VA OR 4-8 weeks

CA-2 Year / PGY 3

The objective of the CA2 year is to 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 anesthesia 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 will master cardiopulmonary resuscitation and develop the skills to manage complex surgical cases including deliberate hypotension, deep hypothermic arrest, major vascular procedures, and organ transplantation.

CA-2 Year
Riley OR (Pediatric Anesthesia) 4-8 weeks
Ezkenazi Perioperative Pain 4 weeks
Neurosurgical Anesthesia 4 weeks
Acute Peri-operative Pain 4 weeks
V.A. Cardiothoracic 4 weeks
Obstretrical Anesthesia 4-8 weeks
Ezkenazi ICU 4 weeks
Transplant Anesthesia 4 weeks
University, VA, and Ezkenazi OR 4 weeks

CA-3 Year / PGY 4

The CA-3 year is designed to provide the clinical experience and education necessary for one 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 anesthesia. 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 foster the Clinical Scientist Track.

CA-3 Year
Advanced Cardiac Anesthesia 8 weeks
Transplant Anesthesia 4 weeks
Vascular Anesthesia 4 weeks
Ambulatory Anesthesia 4 weeks
Neurosurgical Anesthesia 4 weeks
Thoracic Anesthesia 4 weeks
Regional Anesthesia 4 weeks
Electives 4 months
CA-3 schedules customized to meet each resident's learning and career objectives

CA3 residents are provided with a listing of electives from which to choose:

  • 2 months CV
  • 2 months Thoracic
  • 1 month Advanced OB
  • 1 month Advanced Neuroanesthesia
  • 2 months Advanced Pediatrics
  • 2 months Pain Management
  • 1 month Critical Care Medicine at University Hospital
  • 2 months Ambulatory/Outpatient Anesthesia
  • 1 month Transplantation Anesthesia  

Clinical Scientist Track:

May include up to 6 months of research. Opportunities are available for clinical research, educational/electronic media research, and laboratory research.

Estimated Resident Caseload

Case Description
Intra-Thoracic with CPB 55
Intra-Thoracic without CPB 80
Major Vascular (e.g. carotid, aortia, iliac) 40
Intracranial Cases 65
Vaginal Delivery 120
C-Section 60
Average Number of Cases Per Year 500

Techniques (Not including Pain) Procedures (Not including Pain)
General Anesthesia/MAC 55 Peripheral Arterial Catheters 300
Spinal 80 Pulmonary Artery Catheters 60
Epidural 40 Central Venous Catheters 120
Peripheral Nerve Blocks 65 Fiberoptic intubation of the trachea 20
Vaginal Delivery 120 Double Lumen Endotracheal tube 55
C-Section 60

Pain Procedures
Spinal (for pain) 5
Epidural (for pain) 100
Nerve Block (for pain) 90