The Program
The MetroHealth Department of Anesthesiology offers a four year anesthesiology residency training
program, including one year of rotating internship, primarily in medicine and pediatrics, and three years of
clinical anesthesia training. In addition to extensive anesthetic experiences gained in the operating
rooms and the lecture halls, residents rotate through specialty fields including:
Cardiothoracic Anesthesia
Neuro Anesthesia
Obstetrical Anesthesia
Pain Management
Critical Care
Pediatric Anesthesia
Burn and Trauma Anesthesia
Recovery Room Care Management
Most importantly, MetroHealth residents possess the ability and confidence to deal
with extremely ill and complicated patients.
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Clinical Anesthesia Years (CA-1, CA-2, CA-3)
CA-1: The first Clinical Anesthesia year is designed to introduce the
resident to a wide variety of routine cases with controlled exposure to more difficult cases. During
the first few months, CA-1 residents are eased into an exclusive team in which they work along side and
are supervised and trained by staff physicians and senior residents. In the second half of the CA-1
year, the resident usually rotates at least once through the major areas of Cardiac, Pediatric, Obstetrical
and Neuroanesthesia as well as Critical Care. The CA-1 resident rapidly gains independence from "tight"
supervision as his/her skills and abilities increase.
CA-2: During the second clinical anesthesia year, the resident gradually gains
freedom to formulate anesthetic plans, and when appropriate, s/he is permitted to embark upon a wide variety of
anesthetic techniques. The CA-2 resident manages cases of increasing difficulty and is introduced to pain
management.
CA-3: The senior resident may choose among elective rotations including
advanced clinical subspecialty and research tracks and will often supervise junior residents. A high level of
independence is granted to the CA-3 resident and s/he frequently manages anesthetic inductions under the watchful
eye of the staff anesthesiologists. During the final year, the senior resident will develop his or her role as a
consultant anesthesiologist and will become comfortable dealing with patients at all levels of complexity.