Department of Anesthesiology & Perioperative Care: School of Medicine: University of California, Irvine

Clinical Rotations

Clinical Base Year Clinical Rotations

The Clinical Base Year (CBY) is designed to create well-rounded perioperative physicians, with a wide variety of clinical specialties and clinical environments. Residents rotate through these locations in four week blocks, concluding together as an intern class with the anesthesiology rotation in the month of June.

left quotation Clinical base anesthesia residentThe Clinical Base Year provided a great basis for my anesthesiology residency. I cared for a wide variety of patients with many different disease processes including CHF, COPD, renal failure and septic shock among the many. This allowed me to better understand the pathophysiology of these diseases and how they may effect how I will care for patient at the OR in the future. Additionally, I developed my bedside manner during this year while interacting with patients from a wide variety of backgrounds. This included even very serious family meetings that I was charged with leading and learned how to discuss these sensitive issues with my patients. Finally, I was able to get to know many of the other residents from different programs who I now work with both inside and outside the OR. right quotation
Margaret (Peggy) Riso, MD (Class of 2019)

UC Irvine Anesthesiology

This rotation is designed to provide the CBY anesthesia resident an early introduction and orientation to the university anesthesia practice. The focus is on the following areas: fundamentals of preoperative evaluation, proper airway assessment and introduction to airway management options, intraoperative monitoring, anesthesia pharmacology, and basics of postoperative issues, including pain control.

UC Irvine Emergency Medicine

The emergency medicine rotation is a four-week rotation through the UC Irvine Health Department of Emergency Medicine. UC Irvine Medical Center is the primary trauma hospital for Orange County and the resident will experience a broad range of both acute trauma and medical emergency room admissions. The resident will work with members of the emergency medicine faculty and residency to gain an understanding of the diagnosis and initial treatments of common critical emergencies.

VA Long Beach Healthcare System Critical Care

The VA Long Beach Healthcare System critical care rotation consists of 12 weeks: eight weeks in Medical Intensive Care Unit (MICU) and four weeks in Surgical Intensive Care Unit (SICU). The purpose of the critical care rotation is to teach Clinical Base Residents the major aspects of understanding and managing patients with critical medical illnesses and to apply these principles to management of the postsurgical critically ill patient. The physiologic, psychosocial, diagnostic and treatment aspects of critical illness will be addressed. The resident is expected to gain and expand their cognitive knowledge, procedural and interpersonal skills.

VA Long Beach Internal Medicine

This rotation consists of six four-week blocks on the medical wards and ICU at the VA Long Beach. The resident will be responsible for admitting and managing patients on the internal medicine service, teaching medical students, providing feedback to medical students, and doing post hospital follow up on their patients. Residents also have the opportunity to participate in electives in GI, cardiology, pulmonology, and infections disease, which will further their understanding of the management of patients in the perioperative environment. At least one rotation will be at the VA Long Beach Healthcare System MICU.

Long Beach Memorial High-Risk Obstetrics

The resident will undergo a four-week rotation at Long Beach Memorial Medical Center (LBM) with the high-risk obstetrical service. In house faculty and fellows in maternal fetal medicine supervise the high-risk obstetrics service. Patients include private practice patients, maternal regional transports from Los Angeles County and Orange County and transfers for patient consultations. The resident will work with the primary team consisting of the PGY-2 OB/GYN resident, fellow and attending.

Long Beach Memorial Surgery

As part of the Clinical Base Year, residents will spend four weeks on the General Surgery service at Long Beach Memorial Hospital (LBM). The resident is primarily on the general service, but will also participate in subspecialty and trauma consults. Therefore, residents will also be exposed to a broad volume and variety of operative cases, including general, vascular, laparoscopic, colorectal, surgical oncology, thoracic, pediatric and ENT/endocrine.

Long Beach Memorial Pediatric ICU

Residents also have a unique focused experience caring for patients in the Pediatric Intensive Care Unit (PICU). The purpose of this elective is to teach Clinical Base Residents the major key points of understanding critically ill pediatric patients and to apply these principles to management. The physiologic, psychosocial, diagnostic and treatment aspects of critical illness will be addressed. Residents will work under the direct supervision of physicians with expertise in caring for pediatric patients in the PICU.

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