Anesthesiology Residency and Fellowships

Program Overview

Penn offers both categorical and advanced track residency spots through ERAS. The categorical program's residents spend the majority of their intern year at Penn Presbyterian Hospital. Beginning with the CA1 year, both the categorical and advanced track train at the Hospital of the University of Pennsylvania, the Children's Hospital of Philadelphia, and Penn Presbyterian Hospital. Below is an overview of clinical training by year. If you have specific questions, please contact us.

Intern Year

InternsThe Penn Anesthesia Residency Program offers 16 Categorical Positions. Applicants who match into this program spend both their intern and subsequent clinical anesthesia training years in rotations designed and overseen by the Department of Anesthesia and Critical Care. Most of the intern year is spent at Pennsylvania Presbyterian Medical Center (PPMC), which is part of the University of Pennsylvania Health System. PPMC is located ~1 mile from the Hospital of the University of Pennsylvania (HUP) and primarily serves the West Philadelphia community. Additional rotations are held at HUP and the Tuttleman Pain Center in Philadelphia's Rittenhouse neighborhood. Typically, the residency program also provides "advanced placement" to 4-5 applicants who choose to do their internship elsewhere. Several positions in the CA-1 class are additionally reserved for physicians transferring from other fields of medicine.

The curriculum for the Clinical Base Year (CBY) is designed to provide the anesthesia intern with a well-rounded medical training experience, including rotations in surgery, medicine, emergency medicine, and critical care medicine, to name a few.

The CB year is organized into twelve 4-week blocks. Blocks at PPMC include:

  • Internal Medicine Wards (2 blocks)
  • General Surgery (4 blocks)
  • Coronary Care Unit (1 block)
  • Heart/Vascular Surgical Intensive Care Unit (1 block)
  • Emergency Medicine (1 block)
  • Infectious Disease (1/2 block)
  • Acute Pain/Regional Anesthesia (1/2 block)

Blocks at HUP include:

  • Blood Bank (1/2 block)
  • Acute Pain Service (1 block)
  • Cardiac Anesthesia (1/2 block)

These rotations are specifically designed to provide interns with a broad base of knowledge that will serve as the foundation for their subsequent anesthesia training. The rotations meet the ACGME’s requirements for anesthesia residency.

Intern Rotations

General Internal Medicine (PPMC): This rotation provides exposure to the inpatient care of patients with simple and complex medical conditions. The service has 1-2 anesthesia interns with 2-3 upper level Medicine residents plus junior and senior medical students. Penn Anesthesia Interns act as members of the Department of Medicine during this rotation. Daily didactic sessions and patient care rounds with the team are highlights of the rotation.

Coronary Care Unit (PPMC): The team is composed of residents from Medicine, Anesthesia,, and Emergency Medicine in addition to Cardiology Fellows and Medical Students. The patient population typically consists of "Heart-Rescue" patients with coronary artery disease and arrhythmias who require either cardiac catheterization, medical stabilization, or diagnostic procedures. This month provides vast educational opportunities. Most interns feel that this month prepares them extremely well for their subsequent anesthesia training.

Surgery Inpatient Service (PPMC): The inpatient surgical service at PPMC is solely composed of anesthesia interns and senior surgical residents. The interns rotate through General/Vascular Surgery, Colorectal Surgery, and Thoracic Surgery. This rotation is generally a favorite as it allows for bonding among the anesthesia interns. Furthermore, working directly with surgical residents creates a congenial relationship that facilitates the transition into the Clinical Anesthesia years.

Heart/Vascular Surgical Intensive Care Unit (PPMC): The HVICU at PPMC is staffed by a Department of Anesthesia and Critical Care attending, 1-2 anesthesia Interns and a CA-3 anesthesia Resident. This is a brand new 20 bed unit that is shared between Cardiac Surgery, Vascular Surgery, and the CCU. In addition to gaining confidence in managing critically ill surgical patients, interns gain further experience with invasive line placement and peri-operative monitoring. This rotation emphasizes the physiological changes that occur in post-operative patients and gives the interns on service a thorough understanding of applied cardiovascular and pulmonary physiology. Interns do not take call or work weekends on this services.

Cardiac Anesthesiology (HUP):Interns spend 2 weeks at HUP on the Cardiothoracic Anesthesiology service, assisting in the anesthetic care during a variety of cardiac surgeries. Interns work under the direct supervision of a senior anesthesia resident and a cardiac anesthesiology faculty member/ fellow. Interns get a taste of anesthesia residency and have the opportunity to familiarize themselves with the HUP perioperative environment. During these two weeks, interns generally experience the full spectrum of cardiac surgery, from endovascular valve repair to heart/lung transplant.

Pain (HUP): Interns work alongside a senior anesthesia resident and pain fellow under the supervision of an Attending Anesthesiology/Pain physician. Interns receive supervised instruction in clinical aspects of pain management including both chronic pain, acute post-operative or post-traumatic pain problems.

Emergency Department (PPMC): Interns on this rotation function on the front lines of the care of patients in the Pennsylvania Presbyterian Emergency Room. Interns work closely with attending emergency medicine physicians in the care of simple and complex conditions. As PPMC is the primary trauma center for the health system, interns generally treat patients of all acuities.

Infectious Disease (PPMC): While rotating with this consult service, interns further their working knowledge of the management of common infectious diseases. Interns work alongside an Infectious Disease attending as part of the inpatient ID consultative service. They perform between 3-5 complete consultations each week, in addition to managing the ongoing care of patients covered by the service. Daily teaching rounds and didactics augment the resident’s clinical experience while on this rotation.

Blood Bank (HUP): Anesthesia interns work alongside a blood bank resident (Pathology intern) and under the direct supervision of a HUP pathology attending while rotating through the Blood Bank consult service. The focus of this rotation is to familiarize the intern with the complexities and nuances of blood product transfusion, including transfusion reactions and antibody screening, to better prepare the future consulting anesthesiologist for the HUP ORs during their CA-1 year. Daily teaching sessions and consults with the team are highlights of the rotation. As the Department of Anesthesia and Critical Care is the largest user of blood products in the hospital, this is truly a unique and enriching rotation.

Acute Pain/Regional Anesthesia (PPMC): One anesthesia intern is paired with two anesthesia residents who are on the Regional Anesthesia Block Team at PPMC. Anesthesia interns have the opportunity to work with and observe the regional anesthesia team perform both pre-operative and post-operative nerve blocks. The team rounds daily on all patients with an epidural or nerve catheter in place. This service is also responsible for all pain consults at PPMC.