Current PGY-1 Class

Introduction

The typical continuum of education in Anesthesiology consists of 4 years of training, the clinical base year (CBY) and 36 months of clinical anesthesia training (CA1, CA2, and CA3 years). The program requirements as of July 2008 are outlined on the ACGME website. Broadly, beginning in July 2008, at least 6 months must include experience in caring for inpatients in specialties such as internal medicine, pediatrics, surgery, obstetrics and gynecology, neurology, and family medicine. At least one month, and not more than two months, should be rotations in critical care and emergency medicine, and up to one month may be taken in Anesthesiology.

What is New?

Options for Entry into an Anesthesiology Program

  1. Integrated CBY with the three year Anesthesiology Program to make a 4 year Program.
  2. Transfer (e.g. from Surgery or Internal Medicine) after 1 + years of GME training.

All PGY-1 program directors will be required to provide to the Anesthesiology program directors interval assessments of performance for interns who have previously committed to Anesthesiology Programs.

In response to these new requirements for the CBY from the ACGME, in August 2006, the Department of Anesthesiology at Columbia applied to the ACGME and was approved for a four year program for 24 residents per year (i.e. total of 96 residents) This program was started in July 2008 and will be fully implemented by July 2010 (see later).

What Else is in There?

Regardless of where residents take their PGY-1 year they must have:

    • 6 months of inpatient care: Internal Medicine, Surgery, Pediatrics, Surgical Specialties, OB/GYN, Neurology, Family Medicine or a combination of the above
    • 1-2 months each of Emergency Room Medicine and Critical Care Medicine.
    • May have up to 1 month of Anesthesiology
    • Missing elements? Make up during CA1 – 3.

These new program requirements went into effect 7/1/2008.

We believe at Columbia that a 48-month program will improve the anesthesiology curriculum and training of our residents and guarantee that all anesthesia residents in the program have a broad experience in providing direct care for acutely ill hospitalized patients in a first tier academic medical center that is consistently ranked on the U.S. New & World Report Honor Roll. We intend to provide the “ideal” internship.

What about the CA-1 to CA-3 Years?

The RRC says that:

  • There must be a minimum of two 1-month rotations in pediatrics, cardiac, neuro and OB anesthesia.
  • 4 months of critical care medicine – up to 2 months may occur in PGY-1; taken in at least one month intervals.
  • 3 months of Pain Medicine – up to 1 month may occur in PGY-1; taken in at least one month intervals.
  • 1 month of preoperative Medicine taken in at least one month intervals.
  • 0.5 month in a Post-Anesthesia Care Unit
  • Elective Time
    • There will be several months of elective time which can be used to finish all required PGY-1 experiences for those who have transferred from another specialty; it could also be used for research or advanced anesthesia subspecialty rotations or related activities.

What are we doing at Columbia?

At Columbia, our four-year integrated program commenced July 1st, 2008. All resident training takes place at Columbia University Medical Center, and follows the RRC requirements as outlined on this website.  We believe that we have outlined a terrific program for our anesthesiology residents, and look forward to completing the transition to an exclusive 4 year curriculum in 2010.

How is the transition working at Columbia?

On July 1st, 2008 we welcomed our first 8 PGY-1 residents.  This is to be followed by 16 PGY-1 positions on July 1st, 2009, and finally on July 1st, 2010 we will offer the full 24 PGY-1 positions.  By gradually transitioning to the full four-year program over this three year period we are facilitating the optimal implementation of this ground-breaking curriculum.  Guiding this process are two dedicated Assistant Program Directors who together coordinate the first year program along with Dr. Pang – Brian Egan and Dean Jones.

Dean Jones

Originally from Canada, I have had the pleasure of calling New York City my home since 2002. 

I completed undergraduate studies in Pharmacology at the University of British Columbia and earned my MD at Queen’s University in Kingston, Ontario.  My residency training in anesthesia was completed at the University of Toronto and Columbia University.  I am a Diplomate of the American Board of Anesthesiology and a Fellow of the Royal College of Physicians and Surgeons of Canada.  Since 2006 I have been a Faculty member in the Department of Anesthesiology at Columbia University.

I am interested in both medical student and resident education.  Some of my present educational activities include supervision of the Chief resident weekly rounds, lecturer for both the core curriculum and crisis management curriculum, director of the resident ABA written exam review, and development of the departmental intranet site for resident education.

My clinical interests include general, vascular, and transplant anesthesia; and OR management.  Research interests include perioperative renal protection and medical education.

Brian Egan

After graduating from Dartmouth College with a BA in Psychology in 1995, I went on to study medicine at Yale University and graduated with an MD, MPH in 2000.  I then completed a transitional year internship at St. Vincent's Medical Center in Bridgeport, Connecticut, and anesthesiology residency at Brigham and Women's Hospital in Boston, MA.  Following my residency I sought out an academic appointment and was pleased to join the staff of Columbia University Medical Center in the fall of 2004. 

Since my arrival I have been heavily involved in resident education and resident advocacy.  My teaching activities are many and include participation in the core curriculum lecture series as well as individualized formal lectures in the operating room.  I also introduced an evidence-based medicine seminar and, along with Dr. Dean Jones, have spearheaded the introduction of a crisis management curriculum.  In addition, I assist in the medical student education process both during their required one week rotation and during the sub-internship program.  Finally, I am also responsible for overseeing the education of the oral-maxillofacial residents as they rotate through anesthesia. 

I am a diplomate of the American Board of Anesthesiology (ABA), a member of the American Society of Anesthesiologists (ASA), and a member of the Society for Education in Anesthesia (SEA).  I am very pleased to be a part of the growing emphasis on resident education as represented by the growth of the 4 year curriculum and am very happy to be intimately involved with the PGY-1 year as co-program director.  Along with Drs. Wood, Pang, Whittington, and my co-director, Dr. Dean Jones, I am working to make the new PGY-1 year a superior, integrated experience which will provide a solid medical foundation and lead seamlessly into the completion of the education process.

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