Clinical Training Program
Residency training in Anesthesiology at UCLA comprises of four years, beginning as a PGY1 during our tailored Clinical Base Year followed by three years at the Ronald Reagan UCLA Medical Center (RRUMC) and affiliated sites including Olive View Medical Center, Children's Hospital Los Angeles, Long Beach Memorial Medical Center, and Veteran's Administration Greater Los Angeles Medical Center.
Clinical Base Year (PGY1)
The medicine-based curriculum for the Clinical Base Year is designed to prepare the intern for future training in Anesthesiology. The year is spent primarily at the Veteran's Administration Greater Los Angeles Medical Center in West Los Angeles with an introduction to clinical anesthesiology, a rotation in medicine wards, and additional subspecialty rotations at the Ronald Reagan UCLA Medical Center.
The year is organized into 4-week blocks. Blocks at the VA Medical Center include General Medicine Wards, Intensive Care Units (medical and surgical), Specialty Consult Service (cardiology, pulmonary, renal, infectious disease, endocrine), Emergency Medicine, and the PACE Ambulatory Clinic. One block at the VA is spent on the Medicine Consult Service during which experience in preoperative patient evaluation is gained. Additionally, 2 to 3 blocks are spent in various ICUs to prepare the intern to care for the critically ill patient including ventilator and hemodynamic management. Each intern spends 1 block on Medicine Wards at RRUMC. Finally, each intern embarks on an Anesthesiology rotation in the Main Operating Rooms of RRUMC during one of the last four blocks. This rotation is supervised by UCLA Anesthesiology faculty on a one-to-one basis and includes daily didactics and at least four simulator training sessions.
CA-1 – CA-3 Years
General Anesthesia/Main Operating Room
The heart of our residency training occurs at the Ronald Reagan UCLA Medical Center and includes Mattel Children’s Hospital. Well over 50,000 anesthetics are performed at UCLA annually in all surgical subspecialties, including anesthetics outside of the operating room, and these numbers are growing. RRUMC has 23 fully functional operating rooms plus two adjacent procedure rooms, 6 cardiac catheterization labs, and 4 Interventional Radiology suites located on the same floor. Many of our patients having surgery have been referred to UCLA by outside institutions, including other academic medical centers.
UCLA is also one of the most prominent adult and pediatric organ transplantation center in the world and is a Level-1 trauma center. RRUMC houses two helipads and two fully-equipped Emergency Room Trauma Bays with CT imaging capabilities that can treat up to four trauma victims simultaneously.
The Mattel Children's Hospital, named among the top pediatric medical centers in the United States by U.S. News & World Report, provides primary and tertiary health care to neonates, infants, and children in all subspecialties. Training includes children with cardiac, liver, kidney, and neurologic disease, including high-risk neonates. Additionally, Children's Hospital of Los Angeles offers a 6-week pediatric anesthesiology rotation for our residents. UCLA also offers an ACGME-accredited clinical fellowship in Pediatric Anesthesiology.
RRUMC houses a 12-bed Labor and Delivery Unit with an adjacent 28-bed Neonatal ICU. Approximately 40% of our obstetric cases are high-risk, including patients with congenital cardiac, liver, and neurologic disease. The overall cesarean section rate is approximately 30%. Residents also experience obstetric anesthesiology in a fast-paced, private practice setting at Long Beach Memorial Hospital.
Both adult and pediatric cardiac surgeries are performed at UCLA with the use of Transesophageal Echocardiographic monitoring by the anesthesiology team for nearly every case. Many cases involve heart or lung transplantation, complex congenital heart disease, or acquired valvular pathology. Additionally, residents gain strong experience in anesthesiology for adult vascular and thoracic as well as pediatric thoracic surgery procedures, including the use of modern techniques for single lung ventilation. 4-week senior electives comprising cardiac and thoracic anesthesia are also available at the Veteran's Administration Greater Los Angeles Healthcare System in West Los Angeles. UCLA also offers an ACGME-accredited fellowship in Cardiothoracic Anesthesiology.
The UCLA Department of Anesthesiology and Perioperative Medicine has a large, active neuroanesthesia service that provides anesthesia for intra-cerebral masses, complex aneurysms, and other intra-cranial pathology. Some of the most advanced OR technologies are housed in our neurosurgical operating rooms. Experiences include advanced techniques such as “asleep-awake-asleep anesthetic” and a wide variety of neurologic monitoring techniques.
Anesthesia for Ambulatory Surgery
UCLA has 2 outpatient surgery centers for ambulatory surgeries. The 200 Medical Plaza Peter Morton Medical Building Ambulatory Surgery Center houses 10 ambulatory surgery operating rooms plus 4 procedure rooms for a high volume, rapid turnover outpatient experience. The Santa Monica-UCLA Surgery Center, the health system’s first to be designed as LEED Gold for sustainability, houses 8 outpatient operating rooms plus 2 radiation oncology suites. At these ambulatory surgery centers, education in techniques of prompt recovery from anesthesia and outpatient considerations is emphasized. Additionally, a number of regional techniques for a broader anesthesia experience are performed during these rotations.
UCLA residents gain an outstanding training experience in regional anesthesia at the Olive View Medical Center and Santa Monica-UCLA Medical Center and Orthopaedic Hospital. In addition, residents may gain additional training at the Veteran's Administration Greater Los Angeles Medical Center in West Los Angeles. Use of ultrasound guidance and other state of the art techniques are taught by dedicated regional and acute pain specialists at these hospitals. UCLA also offers a clinical fellowship in Regional Anesthesiology.
The UCLA Department of Anesthesiology and Perioperative Medicine offers a comprehensive experience in pain medicine. While at RRUMC, residents participate in acute pain management for relief of perioperative pain. Our Acute Pain Service provides excellent experience in regional anesthesia for thoracic, abdominal, and orthopedic surgeries. Our Chronic Pain rotation provides experience in new patient evaluation and the full range of interventional treatments for chronic pain in a fast-paced clinical setting. Interventional procedures are performed at Santa Monica-UCLA Medical Center and Orthopaedic Hospital. UCLA also offers an ACGME-accredited fellowship in Pain Medicine.
Jules Stein Eye Institute/ Anesthesia for Opthalmic Surgery
Training in anesthesia for ambulatory ophthalmic surgery is provided at the Jules Stein Eye Institute (JSEI) with 5 operating rooms for adult and pediatric patients. Consistently ranked as the best eye care center in the Western United States by U.S. News & World Report and Ophthalmology Times, the JSEI offers a full range of services for patients of all ages. The Ophthalmic Anesthesiology Service at the JSEI provides preanesthetic evaluation and anesthetic care for all types of ophthalmic surgical procedures. In addition, all parts of the anesthetic management, including recovery, are conducted at the JSEI. Patients from newborns through the elderly are provided with advanced anesthetic techniques that promote rapid recovery and appropriate postoperative pain relief.
There are 3 intensive care rotations for UCLA anesthesiology CA1 through CA3 residents, including the Cardiothoracic and Liver Transplant ICUs at RRUMC and the Surgical ICU at the VA Greater Los Angeles Medical Center that is staffed by UCLA Anesthesiology Faculty. Residents experience rotations in at least two of the three ICU experiences offered. UCLA also offers an ACGME-accredited fellowship in Anesthesiology Critical Care Medicine.
Human Patient Simulator
Clinical training is also obtained on the Human Patient Simulators at the UCLA Simulation Center. Established in 1996 by the Department of Anesthesiology and Perioperative Medicine, the UCLA Simulation Center was the first in southern California to provide simulation-based training to medical students and residents, which has now become a standard for medical education, surgical training, and health care team training. Residents experience the simulator at least four times during their first month of training in Anesthesiology and then multiple times throughout their residency for critical incident scenarios. The simulator is also used periodically during Tuesday afternoon resident didactic workshops.
Malignant Hyperthermia Program
The UCLA Malignant Hyperthermia Program is one of only 2 West Coast centers performing biopsies for the diagnosis of malignant hyperthermia. Our participating anesthesiology faculty are expert advisors to the national malignant hyperthermia hotline.
The Residency Training Program in Anesthesiology at UCLA consists of a diverse and challenging clinical experience. The links below provide examples of typical resident clinical experiences: