Program Description

The Anesthesiology Residency Program at Mayo Clinic in Jacksonville utilizes Mayo Clinic's multi-site practice to offer a flexible, integrated program structure with resident opportunities at all three practice sites - Rochester, Minn., Jacksonville, Fla., and Scottsdale, Ariz.

The Department of Anesthesiology offers an outstanding clinical anesthesia experience that can be tailored to meet individual educational goals. You will receive thorough preparation for board certification in anesthesiology, extensive didactic training, subspecialty training, and clinical and laboratory research opportunities.

Teaching Opportunities
Residents have the opportunity to teach Mayo Medical School 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) American Society of Anesthesiology (ASA) In-Training Examination is an all-day exam administered each year in July. 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 anesthesiology residency training.

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

Call Frequency
Mayo Clinic follows the recommendations of the Accreditation Council for Graduate Medical Education (ACGME) regarding call frequency. Call schedules vary by individual rotation, but call is approximately every fourth to fifth night. This allows a day after call with no direct patient care responsibilities. You will have at least one weekend day off per month, free of program duties.

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

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

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

In addition, you regularly will evaluate rotations and faculty to ensure education needs are met and to provide feedback to the faculty to guide their efforts to improve the program.

Career Development
You will 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. Thus, after you complete the Anesthesiology Residency program, career opportunities may be available at one of Mayo Clinic's practice sites.

Rotations to Other Mayo Sites
Throughout the course of the Anesthesiology Residency program at Mayo Clinic in Jacksonville, assignments may be arranged at Mayo Clinic in Rochester or Mayo Clinic in Scottsdale. Mayo Clinic funds the authorized additional costs of travel, housing, auto rental and licensure fees.

Additional Training
To complement Mayo Clinic's anesthesiology residencies, several one-year fellowships are offered.

After you successfully complete an accredited anesthesiology residency program, additional fellowship training in anesthesiology subspecialty areas is available at Mayo Clinic.

Faculty

In addition to caring for patients in their clinical practices, Mayo Clinic's faculty members are committed to teaching and facilitating the growth of medical knowledge. Many faculty members have published and lectured extensively and are well regarded in their field. You will have direct access to these individuals throughout your training program.

Advisers
You will be assigned a faculty adviser who can provide comprehensive educational advice and personal support. The adviser also serves as a contact point, introducing you and your family to Mayo Clinic and the Jacksonville community.

Visiting Professors
Many prominent professors visit Mayo Clinic each year. They present their work during morning and late afternoon lectures. You will be encouraged to take full advantage of these opportunities to interact with experts from other academic centers and are excused from clinical assignments to do so.

Curriculum

The residency is divided into two parts: a clinical base year (PGY-1) and clinical anesthesia years (CA-1 through CA-3, which are equivalent to PGY-2 through PGY-4).

Clinical Training
The three clinical anesthesia years (CA-1 through CA-3) 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.

The curriculum is as follows:

CA-3 Year
The first month of the CA-3 year will be in supervising and mentoring the new CA-1 anesthesia residents in the general OR. The CA-3 residents will be 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 them 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 the following areas: 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 and pain management.

There are electives in transplant anesthesiology, including liver, kidney, pancreas, heart and lung and in transesophageal echocardiography. A resident may do up to six months in research (please see Research Track). There are also rotations available at other Mayo Clinic group practice sites (Rochester, Minn., and Scottsdale, Ariz.).

The resident must complete an academic project by the end of their CA-3 year. Academic projects may include special training assignments, Grand Rounds presentations, preparation and publication of review articles, book chapters, manuals for teaching or clinical practice, or similar academic activities. The resident's advisor oversees the project and assures that it meets academic standards.

The resident will plan his/her CA-3 year with help from his/her advisor based on the resident's interests, needs and future career goals. Final approval of rotations will be made by the program director to assure all requirements for completion of the anesthesia residency have been met.

CA-3 Research Track
You may spend six months during your anesthesia training doing clinical and/or laboratory research. The research rotation goals will be to provide the resident with exposure to graduate and post-graduate level research, while fostering a program that continues research within the department. The resident will be contributing to publication-quality research efforts.

Didactic Training
Didactic training is an integral part of Mayo Clinic's Anesthesiology Residency Program. You will participate in:

• Clinical Case Conferences
• Core Curriculum Lectures
• Introductory Lecture Series
• Journal Clubs
• Morbidity and Mortality Conferences
• Oral Board Reviews
• Subspecialty Mini-lectures
• Written Board Reviews

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

Clinical
There are a variety of topics on which to focus your clinical research. Examples include:

• Cardiovascular Anesthesia
• Neuroanesthesia
• Obstetric Anesthesia
• Pain Management
• Regional Anesthesia

Laboratory
The Department of Anesthesiology has basic science research activity in a number of fields related to anesthesiology, physiology, cancer and neuroscience research, in keeping with the overall focus of the Mayo Clinic's research in Jacksonville.

The department has dedicated laboratory research space designed for bench assays, cell culture and incubation techniques (and other aspects associated with the investigation of nutritional support of cancer patients), mechanisms of pain and anesthesia, as well as a support bench laboratory for large animal experimental procedures. In addition, this laboratory houses work/study areas for residents rotating through the laboratory.

Admissions

Qualifications
To begin the Anesthesiology Residency at Mayo Clinic in Jacksonville, one year of basic clinical training at Mayo Clinic or another accredited academic medical center is required. To fulfill this requirement, Mayo Clinic offers:

• A transitional year program at Mayo Clinic in Jacksonville
• A preliminary surgery program at Mayo Clinic in Jacksonville
• A preliminary internal medicine program at Mayo Clinic in Rochester
• A preliminary surgery program at Mayo Clinic in Rochester
• A transitional year program at Mayo Clinic in Scottsdale

Application Process

Positions
Each year, Mayo Clinic in Jacksonville offers four positions in their Anesthesiology Residency on a competitive basis.

Apply
Senior medical students can apply for a three-year anesthesiology residency position at Mayo Clinic in Jacksonville through the National Residency Match Program. Students must apply separately for the PGY1 positions offer at each of the Mayo Clinic sites.

Application to Mayo Clinic's Anesthesiology Residency requires:

• A completed ERAS application
• Official graduate and medical school transcripts
• Official test transcripts for all applicable examinations (USMLE, LMCC, COMLEX, NBOME, FMGEMS, FLEX or NBME)
• A dean's letter and three other letters of recommendation
• A curriculum vitae
• A personal statement
• A valid ECFMG certificate (if a graduate from medical school outside of the U.S. or Canada)

For information on ERAS, contact your dean's office or visit the ERAS Web site.

Foreign medical graduates should contact the ECFMG for information and instructions on how to apply using ERAS.

Applications for each academic year, which begins in July, should be completed by December 15 of the year preceding the beginning of the residency. If you are considered for an appointment, you will be invited to Mayo Clinic in Jacksonville for an interview. Interviews are usually conducted from November through January.

Program Contacts

For an application form or more information, please contact:

Marie L. DeRuyter, M.D., Associate Program Director, Department of Anesthesiology
(904) 953-0487

Karen M. Goodman, Anesthesiology Residency Program Education Coordinator
(904) 953-0439
jax-anes-res@mayo.edu

If you would like to discuss the Anesthesiology Residency Program at Mayo Clinic in Jacksonville with Mayo Clinic alumni living in your area, please write to us for a list of their names.

Mayo Clinic College of Medicine
Mayo School of Graduate Medical Education
4500 San Pablo Road
Jacksonville, FL 32224

For more information about Mayo Clinic residencies and fellowships, please contact:

Mayo Clinic College of Medicine
Mayo School of Graduate Medical Education
200 First Street S.W.
Rochester, MN 55905
(507) 284-2220