Graduate Medical Education - Residencies and Fellowships

 

 Overview

 
  • We're pleased you are interested in learning more about our outstanding Resident Education Program at Naval Medical Center San Diego! Our goal as a military Anesthesiology residency is to produce first-rate clinicians, medical leaders and top-notch naval officers. Residents are selected for our program on the basis of maturity, leadership, scholarship, and initiative.

    The physician entering our anesthesiology-training program will spend three years acquiring the skills, knowledge and expertise essential to the modern practice of anesthesiology. During the CA-1 and CA-2 years, experience is gained systematically through a block rotation system, outlined in the Curriculum Section. An intensive orientation program, didactic lectures, and close mentoring is designed to enable new residents to progress safely and comfortably through the initial stage of residency. Maximum support is provided and new residents are given expanding responsibility as they progress through their training.

    As residents gain experience and confidence they are expected to demonstrate independence and sound clinical judgement. The first two years of the residency provide comprehensive clinical training.

    The CA-3 year is structured to meet the needs and interests of each resident. Prior to the CA-3 year, each resident will select one of two CA-3 tracks:
    • Advanced Clinical Track: Six months in advanced clinical anesthesiology, with the remaining six months in one to three selected subspecialty rotations or additional advanced anesthesiology.
    • Clinical Scientist Track: Six months of approved clinical or laboratory investigation plus six months of advanced clinical anesthesiology or a subspecialty rotation.
 

 Program History

 
  •  
    Introduction:

    A research track is available for CA-3 residents for up to six months devoted to laboratory or clinical investigation. It is expected that the results of the investigations will be suitable for presentation at a local, regional, or national scientific meeting.

    Resident Selection:

    Residents desiring a research track should contact the Program Director and Research Director early in their residency to discuss their interests and possible topics for investigation.
    Residents selected for research training must meet the following criteria:
     

    ABA in-service exam scores above the 50th percentile.

    Performed satisfactorily in all clinical rotations to date.

    Clinical case numbers meeting or exceeding ACGME requirements.

    Have exhibited interest and potential for academic anesthesia through outstanding performance in previous academic projects (Resident lecture, Journal Club, CIC presentations, Keyword presentations, assisting with current research projects).

    Pre-approval by the Residency Program Director.

     

    Educational Goals and Objectives:

    Goal: To increase a resident's interest and understanding of academic anesthesia and in particular the steps in performing and critically analyzing anesthesia research.

    Objectives:

    The resident will complete all reading from the assigned reading list prior to completion of the research elective.

    Attend the "Research Methods Training Program" lecture series.

    Perform a literature search on the pre-approved research topic and be able to discuss areas available for further investigation in the literature.

    Present pertinent articles on the research topic at the department journal club and discuss the areas available for further study and potential protocol design.

    Design a research study protocol demonstrating an understanding of the ethical issues involved in the consent process, and present it to the investigation review board.

    Demonstrate an ability to execute the study protocol including patient enrollment, data collection, and data analysis.

    Write up the results of the study in abstract and /or article format.

    Present the results of their research investigation at a local , regional, or national meeting.

    Demonstrate knowledge in basic statistics by successfully completing a written exam.

    Demonstrate an ability to critically review research literature at the Department Journal Club.

     

    Ongoing Projects:

    CIP #S-06-010, Associate Investigator, A Randomized Placebo Controlled Study Of The Hemodynamic Effects Of Etomidate-Alfentanil And Etomidate-Remifentanil Anesthesia In Electroconvulsive Therapy.

    CIP #S-06-009, Associate Investigator, Coagulation Abnormalities as Measured by Thromboelastography in Patients with Systemic Inflammatory Response Syndrome and Sepsis

    CIP #S-04-045, Prophylactic Combination Dolasetron and P-6 Acupoint Injection in High Risk Patients for Postoperative Nausea and Vomiting.

    CIP #S-03-164, Utility of Acoustic Reflectometry in Various Clinical Situations.

     

    Presentations:

    Addition of Lipophilic Opioids to Bupivicaine-Morphine Mixture for Cesarean Section Reduces Intraoperative and Early Postoperative Pain. Society of Obstetric Anesthesia and Perinatology Annual Meeting Program, Palm Desert, CA. May 2005.

    Peripartum Management of Severe Aortic Stenosis: A Regional Approach. Poster Presentation of Abstract (#1295) at International Anesthesia Research Society (IARS) Conference March 2005. Oral Presentation at 20th Annual Academic Research Competition, April 2005.

    Negative Intratracheal Pressure Produced By Esophageal Detector Devices Causes Tracheal Wall Collapse In Porcine Cardiac Arrest Model. Abstract and Oral Presentation at 19th Annual Academic Research Competition, Resident Level, April 2004. Presented at Western Anesthesia Resident Conference May 2004.

    Evaluation of the Licox® PO2 Electrode in Measurement of Air Sac PO2 in Diving Emperor Penguins. Abstract and Oral Presentation at 19th Annual Academic Research Competition, Resident Level, April 2004. Presented at Western Anesthesia Resident Conference May 2004.

    Use of a Ventilating Semi-rigid Endotracheal Tube Exchanger in the Management of Airway Obstruction. Abstract and Oral Presentation at 19th Annual Academic Research Competition, Resident Level, April 2003. Presented at Western Anesthesia Resident Conference May 2004.

    Non-Operative Management of Appendicitis in a Patient with Suspected Pheochromocytoma. Presentation at 19th Annual Academic Research Competition, Resident Level, April 2003. Presented at Western Anesthesia Resident Conference May 2004.

     

    Publications:

    A Comparison of Prophylactic Dolasetron Versus Ondansetron in Patients at High Risk for Post-Operative Nausea and Vomiting. Accepted to Military Medicine 2006.

    Acute Appendicitis In A Patient With Undiagnosed Pheochromocytoma. Anesthesia and Analgesia. Feb 2006.

    The role of radiology in dive-related disorders. Mil Med. 2005 Jan;170(1):57-62.

    Prolonged postoperative disorientation after methylene blue infusion during parathyroidectomy. Anesthesia & Analgesia. 99(5):1573-4; 2004 Nov.

    Use of a simple forearm tourniquet as an adjunct to an intravenous regional block. AANA Journal. 70(4):295-8, 2002 Aug.

     
 

 Academics

 
  • Training and Lectures:

    • Basic Anesthesia Lecture Series (18 Lectures)
    • Advanced Lecture Series (18 Lectures)
    • Subspecialty lectures (20-25 Lectures)
    • Resident Lecture Series (18 Lectures)
    • Military Unique Curriculum (12 Lectures + monthly operations lectures)
    • Keyword Board Review (20-25 Sessions)
    • Journal Clubs (6-10 per year)

    Discussions: Intra-op teaching at the discretion of the attending

    • Grand Rounds/ CIC (30-40 per year)
    • Mock Oral Exams (2-4 times a year)
    • Problem Based Learning Discussion groups (Simulator: 1-2 times a year)
    • Guest Lecturers (4-10 Lectures)
 

 Curriculum

 
  • Clinical Rotation Outline (CA-1 through CA-3) CA-1 Year
    • Basic Anesthesia Training (8 months): Gen Surg/Urology, Orthopedics/Plastics, ENT, GYN, Pediatrics, Preoperative Screening Clinic
    • Regional Anesthesia (1 month)
    • PACU/Blood (1 month)
    • Pain Rotation (1 month)
    • Obstetrics (OB) (1 month)
    • Vacation/Meeting (4 weeks)
    CA-2 Year
    • Cardiothoracic Anesthesia (2 months)
    • Vascular Anesthesia (2 months)
    • Neuroanesthesia (1 month)
    • Pediatric Anesthesia (2 months)
    • Burn/Trauma (1 month)
    • Critical Care (2 months)
    • Pain Medicine (1 month)
    • Obstetrics (OB) (1 month)
    • PICU (1 month)
    • Vacation/Meeting (4 weeks)
    CA-3 Year
    • Advanced Clinical Track (12 months)
    • Clinical Scientist Track (12 months)
    • Vacation/Meeting (4 weeks)
    • CA-3 schedules customized to meet each resident's learning and career objectives.
    CA-3 Advanced Clinical (AC) Rotations and Electives
    • CT Anesthesia Mercy Hospital
    • Pediatrics (Children's Hospital)
    • Pain Medicine
    • Regional Anesthesia Service
    • Critical Care Medicine
    • Research
    • OB Anesthesia
    • Advanced Clinical Anesthesia UCSD
    • AC - Mayo Clinic
    • AC - Cleveland Clinic
    • AC - Scripps Green Hospital, La Jolla CA
 

 Faculty

 
  • Anesthesiology
 

 scholarly activity

 
  • Anesthesiology