Education

The PGY-1 Primer

The addition of a PGY-1 year to the Residency Program has created a new dimension to the task of training better anesthesiologists.  For the first few residents who had the privilege of going through the PGY-1 year in Anesthesiology, many found it a great experience.  It allows one the chance to gain useful medical knowledge for future application in evaluating patients as an anesthesiologist.  The program provides a good resource of patient experiences, and a broad exposure to a variety of medical and social programs.  Being able to perform several procedures throughout the year, as well as gradually building confidence in managing various medical cases, all help in preparing one to becoming a good anesthesiologist.

What follows is the Survival Guide for all Anesthesiology Residency Interns.

General Guidelines	Downstate MICU	Kings County MICU	Downstate Medical Wards
Kings County Medical Wards	Kings County ER	Pain Elective	Anesthesia Elective

 

General Guidelines

• Most rotations are team dependent and YOU have the option of requesting who you work with!!!  Take full advantage of this underutilized privilege.
• As a Categorical, you meet CA1’s and 2’s that you will be working with in the future.  Ask plenty of questions, because they offer you many helpful tips
• Familiarize yourself to the system: hospital, staff, and faculty.
• Make sure to get access to the ED on your ID’s.
• Get a USB drive.
• Any time you type a note, save it on the clipboard (and USB) in case your note gets deleted.
• If you are done w/ Step 3, READ ANESTHESIA.  It will ease your transition from PGY-1 to CA-1.
• Last but not least…we were you last year:  Ask us any and everything.

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Downstate MICU

·         Not as intense as King’s County ICU

·         Intern may or may not present your pt.’s in a.m.

·         Pt.’s can be in MICU, PACU, CCU, ER (which means it’s not a closed unit)

·         Show up at 7:30am

·         Team includes a Fellow, a 2^nd year Medicine resident, 2 CA-1’s, and an Intern

·         Post-call resident has day off, so you will be with 1 to 2 residents/CA-1’s and Fellow.

·         Resident on call does morning notes so you don’t have to!!!

·         Learn how to manage patient’s on mechanical ventilation

·         Manage different acute cases (and often tested subjectson Step 3) like sepsis, ARDS, DKA, asthma excerbation, CHF, multiple organ failure, etc…

·         Opportunity to do many procedures

·         Nurses are extremely helpful

·         Most days, you leave at 5pm

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Kings County MICU

·         Team consists of 3^rd year resident and Intern.

·         Intern presents team’s pt.’s.

·         Pt’s are in MICU, but if bed’s fill up, they can be across the hall in SICU/NSICU

·         During week (Mon-Wed):  Post-call team (Resident and Intern) are gone after rounds, so every other team divide’s their pt.’s for the day

·         Weekends (Thurs-Sun):  Pre-call team off, and post-call team off, so the remaining teams cover their pt.’s and divide remaining pt.’s.  REMEMBER:  You must present the Pre-call pt’s during morning rounds as well as your own.

·         Show up at 7am

·         Intern presents pt. during morning rounds, so check labs and updates on your pt’s and the pt’s that you are covering for the day (pre-call team’s pt.’s Thurs-Sun).

·         Very hands on in terms of doing everything

·         procedure oriented

·         It's the ICU so expect to work hard

·         Notes are relatively easy b/c it's computerized

·         most days you leave between 4-5pm

·         Calls are overnight and you won't sleep much because there's a lot to do but you get post-call day off.  You also get pre-call day off (Thurs-Sun).

·         Lots of sick people, codes, etc… so, definitely a learning experience

 

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Downstate Medical Wards

 

·         Lots of "learning" time (attending rounds, morning report, noon conference)

·         Very Attending and Resident Dependent (remember, you can choose who you work with!!!)

·         Team consists of an Attending, a 2^nd year Resident, and 2 Interns (plus sub-I, and 3^rd year medical student)

·         Show up at 7am

·         There are three days where you accept pt.’s and three days when you don’t”:  On call (accept new pt.’s), post call, pre nightfloat, Nightfloat (accept pt.’s already worked up), Short call (accept new pt’s) and pre call.  May get pt.’s any time with overflows.

·         Some of us Learned bulk of internal medicine knowledge on medical floors.  Teaching by Attending is very Attending dependent

 

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King’s County Medical Wards

·         Attending and Resident Dependent (remember, you can choose who you work with!!!)

·         Team consists of an Attending, a 3^rd year Resident, an Intern (plus a sub-I, and 3^rd year medical student)

·         You accept pt’s 2 out of 5 days:  Call (accept new pt.’s), Post Call, Pre Nightfloat, Nightfloat (accept worked up pt.’s),  pre Call.  May get pt.’s any time with overflow but it’s rare

·         computerized system are great for obtaining info, writing notes, and ordering, but you MUST follow up your orders, consults, and tests w/ phone calls

 

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Kings County ER

·         for some, this is the favorite core rotation

·         Excellent teaching, especially the older Attendings

·         Plenty of opportunities to improve placing IV’s

·         You can choose which cases you want to see.  This is good for two reasons: you can choose cases you are weak in, and improve on, and you can choose which Attending you want to work with

·         Great experience:  see all cases, not just medical.  Take advantage of learning about Ob/Gyn pt.’s as you will not see them in other rotations this year.

·         Shift work, so be on time, but leave on time too!!!

 

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Pain Management Elective

• Clinics in AM, show up at 9am
• Consults in the afternoon, usually leave by 4 pm. 
• Wednesdays are just consults
• No weekends!!!
• Clinics could be very busy, but in general, this elective gives you plenty of time to learn about acute and chronic pain management
• Take advantage of an easier schedule and study for Step 3

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 Anesthesia (OR) Elective

·         Although we are all biased, this will probably be your favorite rotation of the year

·         Show up at 6:30am for Anesthesia test question review

·         Friday’s:  show up at 7am for Grand Rounds

·         Focus on the clinical aspects of Anesthesia, how the daily routine is, the basics of room set up, the usual medications used, IV placement, how the OR runs, etc…

·         Directly work with Attendings and Residents that you will work with next year

·         No weekends!!!

·         Take advantage of an easier schedule and study for Step 3

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PGY-1 Primer	CA-1 Primer	CA-2 Primer	Code Box Setup Guide
Cardiac Primer	Neuro Primer	OB Primer	Grand Rounds Archives