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Clinical training

The three clinical anesthesia years (CA-1 through CA-3, otherwise known as PGY-2 through 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.

Rotation schedule

This is a sample curriculum:


See the Internal Medicine Preliminary Residency for sample PGY-1 block schedules.

CA-1 year: Basic anesthesia training
Rotation Length
Basic, general and regional anesthetic techniques 8 months
Critical care medicine 1 month
Recovery room and acute pain management 1 month
Preoperative evaluation clinic 1 month
Obstetric anesthesia (off-campus) 1 month
CA-2 year: Advanced and subspecialty anesthesia training
Rotation 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 is spent supervising and mentoring the new CA-1 anesthesia residents in the general operating room. CA-3 residents are involved in orientation, basic anesthesia instruction and supervision of routine anesthesia cases. This opportunity allows 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

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 (see CA-3 research track below).

The resident must complete an academic project by the end of his or her 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 adviser oversees the project and ensures that it meets academic standards.

The resident will plan his or her CA-3 year with help from his or her adviser based on the resident's 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 of Anesthesiology. The resident contributes 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 Children's Clinic in Jacksonville, Florida
  • University of Florida Health Shands Hospital in Jacksonville, Florida (obstetric and trauma anesthesiology)
  • Wake Forest Baptist Medical Center in Winston-Salem, North Carolina (obstetric anesthesiology)

Didactic training

Didactic training is an integral part of the Anesthesiology Residency. You 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 are 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 Clinic follows the recommendations of the Accreditation Council for Graduate Medical Education regarding call frequency. Call schedules vary by individual rotation, but call is approximately every sixth to eighth night. This allows a day after call with no direct patient care responsibilities and at least one weekend day off each week.

Teaching opportunities

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

Trips and vacation

See the trips and vacation policy.


See the moonlighting policy.


To ensure you gain proficiency and develop the corresponding technical skills, your performance is monitored throughout the Anesthesiology Residency. You are formally evaluated by your supervising faculty member after 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.

  • March 19, 2015
  • ART907580