Clinical training

See the curriculum for the Transitional Year Residency (PGY-1).

The three clinical anesthesia years (CA-1 to CA-3, or PGY-2 to PGY-4) include training in basic, advanced and subspecialty anesthesia, as well as opportunities to participate in research. Rotations vary in length between one and three months.

The first and second years of clinical anesthesia training (CA-1 and CA-2) consist of clinical rotations in all basic and subspecialty areas with increasing levels of responsibility as you gain experience.

Throughout the course of the Anesthesiology Residency at Mayo Clinic's campus in Phoenix/Scottsdale, Arizona, assignments may be arranged at Mayo Clinic's campuses in Rochester, Minnesota, or Jacksonville, Florida. Mayo Clinic funds the authorized additional costs of travel, housing, auto rental and licensure fees.

Rotation schedule

CA-1 and CA-2 years
Rotation Length
Basic, general and regional anesthetic techniques 7-8 months
Critical care medicine 1-2 months
Postanesthesia care unit/acute pain management 1 month
Pain management clinic 2 months
Preoperative evaluation clinic 1 month
Obstetric anesthesia (off campus) 2 months
Cardiovascular anesthesia 3 months
Neuroanesthesia 2 months
Trauma anesthesia (off campus) 1 month
Pediatric anesthesia (off campus) 2 months

CA-3 year

The first month of the CA-3 year is spent supervising and mentoring the new CA-1 anesthesia residents in the general operating room. The CA-3 residents are involved in orientation, basic anesthesia instruction and supervision of routine anesthetic cases. This opportunity allows the CA-3 residents to advance their own skills of teaching, increase their responsibility in the operating room and prepare themselves for independent practice. At all times, the residents have direct supervision by a faculty member.

The CA-3 year curriculum consists of rotations in a variety of subspecialty areas. During this training, which is distinctly different from the CA-2 subspecialty experience, residents participate in the care of the most seriously ill patients and most challenging procedures in an increasingly independent manner.

Rotations are offered in:

  • Cardiovascular and thoracic anesthesia
  • General operating room anesthesia, including advanced cases in general surgery, orthopedics, otorhinolaryngology, gynecology and urology
  • Outpatient surgery anesthesia
  • Neuroanesthesia
  • Pediatric anesthesia
  • Obstetric anesthesia
  • Critical care medicine
  • Pain management

A resident may do up to six months in research (see CA-3 research track below). There are also rotations available at other Mayo Clinic campuses in Minnesota and Florida.

The resident must complete an academic project each year. Academic projects may include clinical or laboratory research or quality improvement projects suitable for presentation or publication, Grand Rounds presentations, preparation and publication of review articles, book chapters, manuals for teaching or clinical practice, or similar academic activities. The resident's adviser oversees the project and ensures that it meets academic standards.

Residents plan their CA-3 year with help from their adviser based on the residents' interests, needs and future career goals. Final approval of rotations is made by the program director to ensure all requirements for completion of the Anesthesiology Residency have been met.

CA-3 research track

You may spend six months during your anesthesia training doing clinical or laboratory research or both. The research rotation goals are to provide the resident with exposure to graduate and postgraduate level research, while fostering a program that continues research within the department. Residents contribute to publication-quality research efforts.

Didactic training

Didactic training is an integral part of Mayo Clinic's Anesthesiology Residency. Residents participate in:

  • Clinical case conferences
  • Core curriculum lectures
  • Introductory lecture series
  • Journal clubs
  • Morbidity and mortality conferences
  • Oral board practice exams
  • Subspecialty mini-lectures
  • Written board reviews

Research training

Research opportunities at Mayo Clinic are outstanding. Residents are encouraged to participate with the consulting staff in research projects, which include opportunities for clinical studies and laboratory-based projects.

Call frequency

Mayo Clinic follows the recommendations of the Accreditation Council for Graduate Medical Education (ACGME) regarding call frequency. Call schedules vary greatly by individual rotation, but call is never more frequent than every third night and on some rotations may be as little as two to three days a month. Residents have off at least one weekend day each week, free of program duties.

Teaching opportunities

Residents have the opportunity to teach Mayo Clinic School of Medicine students, visiting students from other medical schools, surgery and internal medicine residents, and other anesthesia residents through operating room instruction and formal didactic lectures.

Practice examinations and reviews

The American Board of Anesthesiology (ABA) In-Training Examination is a half-day exam administered each year in March. It is used to compare individual knowledge with that of other trainees nationwide. The written examination for certification by the ABA is a subset of this examination and is completed at the end of the Anesthesiology Residency.

The ABA requires an oral examination after completion of the written examination. To prepare, practice oral examinations are conducted several times during clinical training and former residents are encouraged to return to Mayo for practice oral exams shortly before taking the examination for credit.

Committee assignments

Residents have an opportunity to gain experience in a number of administrative capacities during their training. These include the department's education committee and quality assurance committee. Residents may also participate in committee assignments in the American Society of Anesthesiologists (ASA), the House of Delegates of the ASA, the Anesthesia Patient Safety Foundation and the state societies of anesthesiology in Arizona.

Career development

You meet periodically with your faculty adviser and the training program director to discuss individual goals. Mayo Clinic recruits many of its staff physicians from its own training programs, so after you complete the Anesthesiology Residency, career opportunities may be available at one of Mayo Clinic's practice sites.


To ensure you acquire adequate knowledge and development of appropriate technical skills, your performance is monitored carefully during the course of the Anesthesiology Residency.

Formal written evaluation by supervising faculty members occurs monthly, and each trainee is assigned a faculty adviser for the purpose of providing feedback. Residents receive a written clinical competence evaluation twice each year. These evaluations are forwarded to the American Board of Anesthesiology, which grants credit for training.

Each year, you are able to provide a confidential evaluation of all aspects of the Anesthesiology Residency to be used as part of the annual program evaluation.

July 11, 2014