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The Mayo Clinic Anesthesiology Residency in Rochester, Minnesota, offers a flexible and comprehensive training experience with opportunities to rotate to several affiliated institutions, including the other Mayo campuses in Jacksonville, Florida, and Phoenix/Scottsdale, Arizona.

Anesthesiology residency training is comprised of two components: 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 base year

One year of basic clinical training at Mayo Clinic or another accredited academic medical center is required for all anesthesiology residents.

To fulfill this requirement, Mayo Clinic offers:

Requirements of the clinical base year include:

  • Six months of inpatient care, which may include:
    • Internal medicine
    • Pediatrics
    • Surgery
    • Surgical specialties
    • Neurology
    • Family medicine
  • One to two months each of critical care and emergency medicine

Clinical anesthesia years

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

Throughout the CA-1 to CA-3 years, each resident has at least two separate rotations in obstetric anesthesia, pediatric anesthesia, neuroanesthesia and cardiothoracic anesthesia. The clinical training progressively challenges the resident's cognitive and technical skills.

CA-1 and CA-2 years

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 residents gain experience.

CA-1 basic anesthesia training
Rotation Length
Basic, general and regional anesthetic techniques 8 months
Critical care medicine and intensive care 1 month
Recovery room and acute pain medicine 2 months
Preoperative evaluation clinic 1 month
CA-2 advanced and subspecialty anesthesia training
Rotation Length
Pain Clinic 1 month
Cardiovascular anesthesia 3 months
Neuroanesthesia 2-3 months
Regional anesthesia 1-2 months
Obstetric anesthesia 1-2 months
Pediatric anesthesia 1-2 months
Outfield anesthesia 1 month

CA-3 year

The third year of clinical anesthesia training (CA-3) is distinctly different from the CA-1 and CA-2 years. In addition to allowing greater scheduling flexibility, residents are responsible for more complex anesthetic procedures and perioperative assignments.

Advanced rotations may include:

  • Cardiovascular senior
  • Neuroanesthesia senior
  • Ambulatory anesthesia
  • Regional anesthesia senior
  • Liver transplant
  • Transfusion medicine
  • Urology senior
  • Transesophageal echocardiography

Extramural rotations

During the CA-2 or CA-3 year, extramural rotations can be arranged at affiliated locations. The cost of travel, housing, licensure and other fees are covered, such that these rotations do not become a financial hardship for the resident.

These rotations include:

  • Mayo Clinic, Phoenix/Scottsdale, Arizona
  • Mayo Clinic, Jacksonville, Florida
  • Nemours Children's Hospital, Jacksonville, Florida
  • Wake Forest Baptist Medical Center, Winston-Salem, North Carolina (obstetric anesthesiology)
  • Brigham and Women's Hospital, Boston (obstetric anesthesiology)

Didactic training

Didactic training is an integral part of the Anesthesiology Residency. You participate in:

  • Clinical case conferences
  • Core curriculum lectures
  • Introductory lecture series
  • Journal clubs
  • Keyword phrase mini-lectures
  • Morbidity and Mortality conferences
  • Oral board reviews
  • Formal practice oral examinations
  • Subspecialty mini-lectures
  • Written board reviews

Cardiac life support certification

Certification in Basic Life Support (BLS) and Advanced Cardiovascular Life Support (ACLS) is required for all Mayo Clinic anesthesiology residents and fellows. ACLS courses are offered free of charge during the last week of June, just before the start of the academic year. In addition, the course is offered evenings every three months during the year to facilitate recertification.

Research training

Residents are encouraged to take advantage of the many opportunities for both clinical and laboratory-based research available at Mayo Clinic. Several bench and clinical laboratories are available for residents to participate in.

Clinician-Investigator Training Program

The Clinician-Investigator Training Program prepares residents for a career in academic medicine and allows development of research skills during training. In addition to standard anesthesiology residency training, an 18-month laboratory research rotation and graduate-level courses are required. Residents enrolled in this program also participate in an institutional clinician-investigator seminar series.

Application for this program may be submitted at any time. It is not necessary to declare an interest in this program when you apply to the Anesthesiology Residency. For more information about the Clinician-Investigator Training Program, contact the program director.

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 each 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.

Practice examinations and reviews

The American Board of Anesthesiology (ABA) In-Training Examination is administered yearly and 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 your anesthesiology residency training.

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

Nine members of Mayo's current anesthesiology faculty serve or have served as associate examiners for the ABA.

Committee assignments

You have an opportunity to gain experience in a number of administrative capacities during your training. These include the department education council, education committee and quality assurance committee.

Residents and fellows can also participate in committee assignments for the American Society of Anesthesiologists (ASA), the Anesthesia Patient Safety Foundation, the House of Delegates of the ASA, and the state societies of anesthesiology in Minnesota, Florida or Arizona.

Career development

You meet periodically with your faculty adviser and the training program director to discuss your goals. Mayo Clinic recruits many of its staff physicians from its own training programs. If you are interested in an academic career, opportunities to join the staff at Mayo Clinic may be available upon completion of your training.


Moonlighting is permitted for licensed residents and fellows beyond the PGY-1 level. Moonlighting should not interfere with required learning and must not violate ACGME work hour rules. Moonlighting should not compromise your education, but rather enhance it.


To ensure acquisition of adequate knowledge and development of appropriate technical skills, resident and fellow performance is monitored carefully during the course of the Anesthesiology Residency.

Formal evaluation by supervising faculty members occurs monthly. Each trainee meets with his or her faculty adviser at least quarterly to review faculty evaluations as well as academic progress and goals. Residents and fellows 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, which grants credit for training.

In addition, trainees regularly evaluate rotations and faculty to ensure educational needs are met and provide feedback to the faculty to guide efforts to improve the program.

  • May 18, 2016
  • ART217651