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Education Program | Alumni Activities | Combined Residency/PhD Program Information
Welcome to the Department of Anesthesiology, the David Geffen School of Medicine at Los Angeles at the UCLA Medical Center. Our department offers the highest standard of education in the field of anesthesiology. UCLA Medical Center is the best in the west according to the US News and World Report survey and remains "Best in the West". The three-year residency trains physicians in all aspects of peri-operative anesthesia consultation. At the successful completion of the residency, all graduates will be qualified for examination by the American Board of Anesthesiology. By the year 2005, the UCLA Center for Health Sciences will move into a new hospital housing some of the most modern operating rooms worldwide. This will afford residents the opportunity to train in an environment of cutting edge anesthesia and surgical technology. Our department has an intensive clinical program and educational program devoted to training the finest anesthesiologists in the country. Lastly, there are strong research opportunities for residents within the discipline of anesthesiology resulting in multiple resident and faculty publications yearly. Residency training in anesthesiology at UCLA is an opportunity to develop expertise in general and regional anesthesia in all settings - pain management, critical care, cardiopulmonary resuscitation and academic investigation. Our department provides an environment committed to excellence in all aspects of training and patient care as an anesthesiologist. APPLICATION PROCESS The UCLA Medical Center has been rated one of the top three hospitals in the United States by US News & World Report. As a premier institution, the most difficult, complex, and educationally rewarding cases are available. The intensity of our training is what attracts the highest caliber of medical students to our program. The combination of superb clinical opportunities; along with thorough didactic, simulator, and small group interactive educational programs; diverse clinical research activities and basic science research opportunities in our NIH-funded laboratories, builds well-educated and well-trained anesthesiologists. All twenty (20) CA-1 positions will be recruited through the National Residency Matching Program (NRMP). Applicants to our Residency Program are required to submit their application and supporting documents to the Electronic Residency Application Service (ERAS). The following are the required application materials: ERAS
Application The UCLA Department of Anesthesiology has established an agreement which enables anesthesiology residents to conduct their PGY-1, first year of training (Clinical Base Year), in the Department of Surgery. Applicants interested in this opportunity should apply directly to the UCLA Department of Surgery via ERAS. They have established interview dates on 4 Saturdays. You may contact the Department of Surgery directly for further information. Sandra
Fulton We look forward to receiving your completed ERAS application and we appreciate your interest in the UCLA Department of Anesthesiology Residency Program. If you have any questions, please feel free to contact our Residency Coordinator. Coco
Camargo http://www.aamc.org/audienceeras.htm RESIDENCY
TRAINING PROGRAM Well
over 30,000 anesthetics are performed
at UCLA annually in all surgical
subspecialties, including anesthetics
outside the operating room. The
Center for Health Sciences includes
Mattel Children’s Hospital providing
primary and tertiary health care
to neonates, infants and children
in all sub-specialties. This includes children
with cardiac and neurologic disease,
including high-risk neonates.
Additionally, Childrens
Hospital of Los Angeles offers
a two-month pediatric anesthesiology
rotation for residents. UCLA
is one of the most prominent adult
and pediatric organ
transplantation centers in the
world and is a Level-1 trauma center. The
hospital houses a high-risk obstetrical
service with an adjacent Neonatal
ICU. Residents also experience
obstetrical anesthesiology in a
private practice setting at Cedars
Sinai Medical Center. Both
adult and pediatric cardiac surgery
are performed at UCLA with the use
of Transesophageal Echocardiographic
monitoring by the anesthesiology
team for nearly every case.
Additionally, residents will
gain strong experiences in anesthesiology
for adult vascular and thoracic
and pediatric thoracic surgery procedures,
including the use of modern techniques
for single lung ventilation. Our
anesthesiology department has an
active neuroanesthesia service which
provides anesthesia for intra-cerebral
masses, aneurysm and other intra-cranial
pathology. Advanced techniques
include the use of an “asleep-awake-asleep
anesthetic”. The
UCLA medical campus’ Surgery Center
houses the ambulatory care operating
rooms for a high volume, rapid turnover
experience.
Education in techniques of
prompt recovery from anesthesia
and outpatient considerations are
emphasized.
Additionally, a number of
regional techniques for anesthesia
experience are performed during
this rotation.
Residents gain additional
regional anesthesia experience during
dedicated regional months at the
West Los Angeles VA Hospital. The
UCLA Department of Anesthesiology
offers a comprehensive experience
in pain medicine. We offer both an
academic and private practice experience
as part of residency training. While on the UCLA campus, residents participate
in peri-operative acute pain medicine
and chronic pain clinic plus procedures
for relief of chronic pain.
Senior residents may elect
to rotate to one of two private
practice pain treatment clinics
for additional care of patients
with chronic pain. Training
for anesthesia for ophthalmic surgery
is provided at the Jules Stein Eye
Institute with four operating rooms
for adult and pediatric patients. There
are three intensive care rotations
for UCLA anesthesiology residents,
including the Pediatric ICU and
Medical ICU or the Surgical ICU
at the Long Beach VA Medical Center. Residents spend a
month in each of the two ICU experiences
offered. Clinical
training is also performed on the
Human
Patient Simulator. The anesthesia simulator is located adjacent
to the operating rooms.
Residents rotate through
the simulator four times during
their first month of training and
then through their residency. The
Malignant
Hyperthermia Program is one
of the only 2 west coast centers
performing biopsies for the diagnosis
of malignant hyperthermia.
Our participating faculty
are expert advisors to the national
malignant hyperthemia hotline. The Residency Training Program in Anesthesiology at UCLA consists of a diverse and challenging clinical experience. The links below provides examples of the resident clinical experience: Goals
and Objectives by rotation The
didactic component of the residency
in anesthesiology at UCLA is just
as intensive and modern as the clinical
experience.
We have three components
to our educational philosophy, including
education in the science of anesthesiology,
applied anesthesiology and preparation
for the written and oral board examination
given by the American Board of Anesthesiology During
the first 4 weeks of training, CA-1
residents are relieved from the
OR each day for an interactive lecture
on a different aspect of the basics
of anesthesia practice. Additionally, during
this month each resident spends
4 sessions at the Human Patient
Simulator experiencing Induction,
Emergence, Hypoxia and Hemodynamic
Changes. Tuesdays
at 3:30 pm all anesthesiology residents
at UCLA are relieved of their OR
duties by the faculty to attend
the interactive lecture series.
The first 30 minutes are
devoted to either a keyword session
or a case conference.
The keyword session consists
of an interactive review of 2 keywords
from the American Board of Anesthesiology
written exam from the previous year. Case conferences are oral board style.
Once per month, there is a CA-3
oral board conference with the Chair.
The
second 60 minutes are devoted to
an anesthesia subspecialty topic
by our own faculty subspecialist
or an expert visiting professor.
These lectures cover all
aspects of the specialty of Anesthesiology
over an 18-month period.
This affords each resident
two opportunities to participate
in each program.
The lecture series includes
workshop programs in airway management,
regional techniques, epidural/spinal
placement, TEE, and PA catheters. Every
Wednesday from 7:00 am to 8:00 am
on a variety of topics by our own
faculty, visiting professors and
experts from other UCLA departments
are presented. One session per month
serves as a Morbidity and Mortality
Conference. The
UCLA cardiac anesthesia service
provides journal clubs in both cardiac
anesthesia and TEE.
Other journal club offerings
include Neuroanesthesia, Pain Medicine,
and Pediatric Anesthesiology. Our
department provides a weekly written
board review for CA-3 residents
over a 9-month period on Thursday
evenings from 5:00 – 6:00 pm.
A reading schedule is provided
and the session is spent discussing
board questions in an interactive
format. Twice
per year, just prior to each ABA
oral board examination, the UCLA
Department of Anesthesiology offers
mock oral sessions to UCLA residents
and Alumni. The practice exams are performed to accurately
simulate the experience of taking
the oral board exam in anesthesiology. Annual
CME Meeting – a day long CME meeting
provided by the faculty to give
our alumni a convenient and cost
effective way to earn required CME
credits.
This excellent review meeting
is free for our housestaff. Annual
Alumni Dinner – held in the fall
each year this is a good opportunity
for housestaff to network with alumni
in private practice. Departmental
Newsletter – sent each fall to keep
alumni informed of Departmental
events.
Opportunity to showcase resident
accomplishments. Reception
at Annual Meeting of the American
Society of Anesthesiologists – held at west coast ASA
meetings and very popular with alumni.
This is another good opportunity
for current housestaff to network
with past graduates for job opportunities. A variety of research projects are in progress in the department of anesthesiology. Areas of interest include cardiovascular physiology and pharmacology, neurophysiology, neuropharmacology and neuromuscular transmission. The basic science research program in molecular anesthesiology performs basic and applied research on the molecular aspects of membrane proteins and associated signaling pathways. This research will have applicability to the action of anesthetics on membrane proteins and is performed in conjunction with the organization of high level teaching on molecular aspects of anesthesiology and pain. This effort utilizes a multi-faceted approach including molecular biology, biochemical, biophysical, and genetic techniques. Practical aspects derived from these studies will include "smart" drug design and development of analgesic and anesthetic agents. The department is active in clinical research projects. Our volume and variety of clinical work provides a fertile field for drug trials, equipment evaluation and monitoring device appraisals. Computer interfaces are available for all monitoring equipment used in the operating room, allowing for electronic capture and storage of physiologic parameters. Clinical research allows training in research methodology in an arena that is especially relevant to the prospective clinician. Residents are encouraged to participate in research projects and are supported in individual projects which they may wish to pursue. The departmental library is conveniently located adjacent to the Main Operating Rooms. It is supplied with appropriate texts and periodicals relating to anesthesia, demonstration mannequins and models. This room has been prepared for study in a quiet and pleasant atmosphere with comfortable furnishings and appropriate equipment. Three computers (one Mac, two PC) are available in the library for resident use. Educational and general purpose (e.g. word processing) software is installed. On-line medical literature search and internet access is also available. A VCR and monitor are provided along with an extensive selection of educational videos. The library also contains a Medical Center Computing Services (MCCS) terminal whereby residents may access laboratory results, pathology reports, patient information, on-line medical records and E-mail. MCCS terminals are also located throughout the medical center. The UCLA Center for the Health Sciences maintains a large biomedical library (located within the Medical Center complex) which contains over 450,000 volumes, subscribes to approximately 7,000 current periodicals, and offers a variety of reference services, including computerized literature searches. A roster of foreign language translators is available at the library and a staff of reference librarians is available to facilitate the acquisition of reference material. CLINICAL ANESTHESIA LABORATORY The department has its own clinical laboratory capable of performing tests required for the practice of anesthesiology. The laboratory was developed to provide rapid turnaround time, typically less than 10 minutes, on patient blood samples drawn during surgery and while in the Recovery Room. Assays performed include blood gases, electrolytes, glucose, ionized calcium, oncotic pressure, cell counts, and coagulation studies. The laboratory also provides support for patient monitoring. This includes assistance with invasive monitoring setup and line placement as well as technical support for all anesthesia monitoring equipment. The laboratory is staffed 24 hours a day, seven days a week. CONTINUING EDUCATION A residency program should be only the beginning of a lifetime of learning in the specialty of anesthesiology. Residents are encouraged to develop habits of ongoing individual education. Attendance at the monthly meetings of the Los Angeles County Society of Anesthesiologists (LACSA) is encouraged and all residents are guests of the department at the dinner preceding the meeting. The annual Postgraduate Conference in Anesthesiology presented by LACSA; the annual Pediatric Conference at Children's Hospital, and other postgraduate conferences at UCLA are excellent sources of continuing education. Attendance at these meetings and the associated luncheons, dinners and social functions is without cost to residents. Any resident who prepares a paper which is accepted for presentation on the program of an approved meeting may attend that meeting at departmental expense. The Western Anesthesia Residents Conference is supported by the department and residents are encouraged to submit papers to the yearly meeting. All residents receive an educational stipend of $1000 per year which can be used for the purchase of books, computer software or other educational materials. The funds may also be used to attend educational conferences during the CA-3 year. QUALITY OF LIFE Each resident is registered as a graduate student of the University of California with all the privileges and advantages of such registration. UCLA house staff have many recreational opportunities from which to choose. A variety of plays, concerts, films, exhibits and lectures are offered throughout the year by various campus organizations and touring groups from around the world. These provide an opportunity for a rich cultural experience. Admission to UCLA football, basketball and other athletic events is available at reduced fees or free with an athletic privilege card. The UCLA campus offers exceptional recreational facilities. The Sunset Canyon Recreation Center is located close to the medical center. This center includes an Olympic-size swimming pool, children's wading pool, sun deck, tennis courts and a picnic area. The UCLA Sailing Club, located at nearby Marina del Rey maintains a fleet of sailboats available for member use. The UCLA Medical Center is located on a scenic university campus and is surrounded by a desirable residential area. Nearby Westwood Village contains an attractive shopping and restaurant district and is the motion picture theater center in Los Angeles. UCLA is located in beautiful Southern California where the mild Mediterranean climate is the envy of the world. The resources of the nation's largest metropolitan area are conveniently close to magnificent mountain, desert and coastal recreation areas. REQUIREMENTS RESIDENCY
CLINICAL
FELLOWSHIPS
INTERVIEW
STIPEND
CONCLUSION
COMBINED RESIDENCY/PhD PROGRAM/STAR Extraordinary advances in scientific research and the sophisticated use of new therapeutic agents are creating a growing need for clinicians who can form a bridge between the laboratory and the operating room. The Department of Anesthesiology and the Neuroscience Program at UCLA offer the best in Residency and Doctoral training to prospective Academicians. Numerous physicians in training realize that they would like to devote themselves to a career in academic medical research at a time when the opportunity for M.D.-Ph.D. training has past. These considerations led UCLA to create the Specialty Training and Advanced Research (STAR) Program, so that residents can combine clinical and research training. Selected applicants will have the opportunity to earn a Ph.D. in combination with their Anesthesiology Residency training. Research
in Anesthesiology
The
Neuroscience Program
Combined
Residency and Ph.D. Curriculum
Salary
More
information Patricia
A. Kapur, M.D. Finally,
additional information on the STAR
program can be accessed at:
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