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Clinical Training

The three clinical anesthesia years (CA – through CA-3, PGY-2 to PGY-4) include training in basic, advanced and subspecialty anesthesia, as well as opportunities to participate in research.

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.

Sample curriculum includes:

CA-1 Basic Anesthesia Training Length
Basic, General & Regional Anesthetic Techniques 8 months
Critical Care Medicine 1 month
Recovery Room/Acute Pain Management 1 month
Preoperative Evaluation Clinic 1 month
Obstetric Anesthesia (off campus) 1 month
CA-2 Advanced and Subspecialty Anesthesia Training Length
Pain Management Clinic 1 month
Obstetric Anesthesia (off campus) 1 month
Critical Care Medicine 1 month
Cardiovascular Anesthesia 2 months
Neuroanesthesia 2 months
Regional Anesthesia 1 month
Pediatric Anesthesia (off campus) 2 months
Outpatient Surgery Anesthesia 1 month
Outfield Anesthesia 1 month

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).

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.

Off-campus Rotations

During the anesthesiology residency, off campus rotations are arranged at affiliated locations. For Elective out of state rotations during the CA-3 year, the cost of travel, housing, licensure, and other fees are provided, such that these rotations do not become a financial hardship for the resident. These rotations include:

  • Nemours Pediatric Hospital in Jacksonville, FL
  • University of Florida/Shands Hospital in Jacksonville, FL (Obstetric and Trauma Anesthesiology)
  • Bowman Gray in Salem, NC (Obstetric Anesthesiology)

Didactic Training

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

  • Introductory Lecture Series
  • Core Curriculum Lectures
  • Subspecialty Mini-lectures
  • Keyword Conference
  • Journal Clubs
  • Morbidity and Mortality Conferences
  • Oral Board Reviews
  • 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.


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

  • Cardiovascular Anesthesia
  • Neuroanesthesia
  • Pain Management
  • Regional Anesthesia

Call Frequency

Mayo 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 and at least one weekend day off per week.

Teaching Opportunities

Residents have the opportunity to teach Mayo medical students, visiting students, surgery residents, pediatric and internal medicine residents, and other anesthesia residents through operating room instruction and formal didactic lectures.


To ensure you gain proficiency and develop the corresponding technical skills, your performance is monitored throughout this program. You are formally evaluated by your supervising faculty member following the completion of each clinical rotation; and then meet with the program director to review these evaluations. In addition, you regularly evaluate the faculty to ensure your educational goals are being met.

  • ART907580