Residency Information
Residency Program
General Information
The anesthesiology residency program at Wayne State University, Detroit Medical Center, is comprehensive and is facilitated through the Anesthesiology Education Office in the Department of Anesthesiology. The Program offers excellence in academic and clinical training.
The residency program is integrated in a large department consisting of 60 staff anesthesiologists and 36 residents practicing at 6 hospitals and 3 ambulatory centers in the Detroit Medical Center system. Annually, the department provides approximately 95,000 anesthetics encompassing every subspecialty.
The residency program consists of four years of graduate medical education. The first year (clinical base year) provides residents with twelve months of Accreditation Council for Graduate Medical Education (ACGME) accredited education in medical disciplines other than those directly associated with the administration of anesthesia. In rare instances, particularly for graduates of osteopathic medical schools; we accept applicants after a PGY-1 year that is completed outside our institution. The remaining three years of residency are primarily spent in clinical anesthesia, surgical critical care, and pain management via rotation in six Detroit Medical Center hospital facilities (for more information please visit www.dmc.org).
Strengths of the Program
The strengths of our program reside first in the academic activity/medical education, coupled with basic and clinical research associated with Wayne State University, School of Medicine. Secondly, the strengths of the program are complemented by the exceptional clinical training provided by the expertise of our ABA certified physicians.
Goals of the Residency Program
The overarching goal of the residency program is to produce qualified anesthesiologists that are capable of practicing in any clinical setting, with the capability to serve as a consultant for a variety of subspecialties, and who are knowledgeable in clinical research methodology.
The Department’s aims are to provide a scholarly and clinical environment that promotes the acquisition of the knowledge, skills, clinical judgment, attitudes, and good clinical practices that are essential to the practice of anesthesia; that in turn will provide residents with the guidance to work effectively as members of health care teams.
Clinical Rotations
Experience as a Wayne State University anesthesia resident will include intensive anesthesia training and rotation at:
These multiple sites located in the Detroit Medical Center complement each other because each site has valuable clinical procedures that add to the residents’ comprehensive anesthesia training. Hutzel Women’s Hospital staff includes attending anesthesiologists with expertise in obstetric anesthesia. Residents will spend at least 1-2 months in addition to night call during their residency. Detroit Receiving Hospital is the trauma center for the Detroit Medical Center, and is the only level one trauma center in the city. It also includes a burn unit and an oral surgery department. Residents spend a total of 1-3 months per residency at Detroit Receiving Hospital. Harper University Hospital encompasses other adult specialties that include general surgery, oncological surgery, neurosurgery, cardiothoracic surgery, vascular surgery, otolaryngology surgery, urology, and plastic surgery. Residents spend an average of 6-8 months per residency at Harper University Hospital. Pediatric surgical subspecialties are represented at Children’s Hospital of Michigan, and residents spend a minimum of 3 months during residency at this site, with opportunities in their senior year. In addition, residents will rotate through the Michigan Orthopaedic Specialty Hospital, Sinai Grace Hospital, Huron Valley-Sinai Hospital, and the University Pain Clinic.
All of the surgical sites encompass 102 anesthetizing locations, with 84,000 adult anesthetics and 11,000 pediatric anesthetics; administered by 65 anesthesiologists, and 95 nurse anesthetists. On the average day, there are more clinical opportunities than there are residents. Residents are assigned 20-25% of the clinical work load. Residents deliver approximately 1,400 anesthetics during their time in the residency program.
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Didactics
Didactic instruction encompasses clinical anesthesiology and basic science education, as well as other pertinent topics from other medical and surgical disciplines. Included in the didactic curriculum are talks on chemical dependence, practice management, and operating room management.
In addition, residents will actively participate in:
- Journal clubs
- Research conferences
- Problem-case discussions
- Didactic conferences
All residents are expected to attend professional and national conferences; including the Midwest Anesthesia Resident Conference (MARC) in their CA-1 year, and the American Society of Anesthesiologists (ASA) in either their CA-2 or CA-3 years.
An outline of the current didactic program follows:
- Orientation Program –Incoming CA-1 residents attend an intensive 1-month intensive orientation program in preparation for direct patient care. During this month, CA-1 residents spend mornings in the operating rooms with senior residents (in an observership mode) and learn about anesthesia paperwork, machine check-up and calibration, proper room set-up, and general flow of anesthesia work. In the afternoons, CA-1 residents are in a classroom reviewing the first half of the Basics of Anesthesia (Stoelting and Miller) text. CA-1 residents will take an AKT (Anesthesia Knowledge Test) pre-test and a post-test.
- Mortality and Morbidity
- Resident Presentations – Individual 30 minute individual presentation on pre-assigned topics.
- Clinical Anesthesia Conference – Conducted by a visiting professor or a member of the faculty.
- Anesthesia Lecture Series – Held weekly from September through May, this lecture series is usually conducted by a member of the anesthesia faculty or may be preempted from a lecture by a visiting professor. These conferences discuss the entire spectrum of anesthetic practice. Basic science and clinical anesthesia material will be presented.
- Problem-Case Discussion – A member of the faculty presents a case scenario, then directs residents in the critical decision-making processes
- Saturday Education Sessions – Occasionally residents are given an assignment, which may include the following: ABA-ASA In-Training Examination, ACLS course, ATLS course, a Difficult Airway Symposium, Anatomy/Regional Anesthesia course, Transesophageal Echocardiography course, a Board Review Course, or Mock Oral Presentations.
- In addition, all anesthesia residents receive comprehensive research training including IRB/HIC (Internal Review Board/Human Investigation Committee) HIPAA training and guidance, and basic research practices (literature search guidance, statistical consultation, and protocol/research review) at resident orientation from the Anesthesia Research Office (ARO) located within the Department of Anesthesiology. Effective December 16 2004, all anesthesia residents are required to complete a prospective or retrospective research study, which must include data collection and analysis. It is expected that residents present their research and its findings at MARC (Midwest Anesthesia Resident Conference) during their residency.
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Residency Duty Hours/Schedule
To avoid undue fatigue and stress, anesthesia residents are provided with sufficient off-duty scheduling. On average, in-house overnight on-call scheduling is assigned two to four times per month exposing residents to trauma and to appropriate time management when staffing is curtailed. Residents can expect at least one full day out of seven free of program and clinical responsibilities the following day after in-house overnight call.
Resident Financial Allowance
Generous allowances support resident participation and attendance at major conferences and textbook purchases.
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Residency Evaluation Process
Resident progress is critically evaluated on a regular basis and occurs. Evaluations will critique knowledge and clinical competence, practitioner skills, and overall development and professionalism. When a resident fails to progress satisfactorily (academically and professionally), a written plan identifying the problems will be documented, and will include a progress plan for correcting the documented issues. All communication will be signed by the residency director and the resident.
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Testing
All CA-1 residents are given the Anesthesia Knowledge Test (AKT) at the beginning of the first month, at the end of the first month, and at the end of the first six months of clinical training. All CA-2 residents are given the AKT-18 in the middle of the CA-2 year. Practice oral examinations in the format of the American Board of Anesthesiology are administered twice a year to all residents. All residents are also required to complete the annual ABA-ASA In-Training Examination.
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Application Process
The Department considers/accepts graduates of United States and foreign/international medical schools. In rare circumstances, residents may be accepted into the program after an ACGME accredited and completed clinical base year from an outside institution.
The School of Medicine/Detroit Medical Center will sponsor H-1 visas if requirements are fulfilled. An average score of 85 on the USMLE Step 1 and Step 2 examination is also required.
Applications for residency are processed via ERAS (Electronic Residency Application Service) from the Association of American Medical Colleges (AAMC). No paper applications will be considered. You can obtain more information regarding the ERAS by logging on to AAMC website at www.aamc.org/eras. To receive an ERAS application packet, please contact:
- The Dean of your current medical school (if you are a US medical school student)
or
- The ECFMG if you are a graduate of an international medical school. The ECFMG can be contacted at:
ECFMG, ERAS Program
P.O. Box 13467
Philadelphia, PA 19107-3467 USA
(215) 386-5900
(215) 222-5641 fax
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Department Contact Information
To obtain additional information about the residency program at Wayne State University, School of Medicine, please contact:
The Anesthesiology Education Office
Monica Hoopingarner, Residency Coordinator
mhooping@med.wayne.edu
(313) 745-7233
Kym Holler, Residency Secretary
kholler@med.wayne.edu
(313) 745-7233
Konstantin Rusin, MD, PhD
Associate Residency Program Director
krusin@med.wayne.edu
(313) 745-7233
Elie J. Chidiac, MD
Vice-Chair for Education
echidiac@med.wayne.edu
(313) 745-7233
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