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Chief Residents' Message

Welcome to the Anesthesiology Residency Program at Dartmouth-Hitchcock Medical Center.

Throughout your training here you will be consistently engaged by faculty who are highly skilled, enthusiastic and dedicated to teaching. Many are nationally and internationally recognized for their work in areas as diverse as ultrasound-guided regional anesthesia, pediatric anesthesia, cardiovascular anesthesia, trans-esophageal echocardiography (TEE), critical care medicine, and patient safety. The balance between education and clinical work is outstanding at all levels of training.

Chief Residents in Anesthesiology at Dartmouth-Hitchcock Medical Center

Clay Hembree, MD and Linzi Moss, MD, Chief Residents in Anesthesiology

Seven clinical base year or CBY (PGY-1) positions are available that provide an excellent foundation for your career as an anesthesiologist and perioperative physician. CBY residents rotate through general surgery, internal medicine, pediatrics, the adult surgical ICU, cardiovascular ICU, the emergency department, and the acute pain service in a "transitional year" style internship. There are a variety of subspecialty opportunities to choose from during these rotations. The CBY year is a fantastic opportunity to develop relationships with our faculty and your fellow residents at DHMC. The CBY year concludes with clinical anesthesia training in your final month.

The CA-1 (PGY-2) year begins with faculty and senior resident led sessions in our state-of-the-art Simulation Center. From day one you will begin to learn the basics of safe and effective clinical anesthesiology. During your first three weeks as a CA-1 resident, you will work one-on-one with an attending anesthesiologist where you will learn the foundations of the perioperative management of surgical patients, including preoperative evaluation, airway management, anesthetic induction, maintenance and emergence, and postoperative care. A dedicated rotation in airway management develops your skills with advanced airway equipment and management of the difficult airway. CA-1 residents also rotate through the subspecialty areas of obstetric anesthesia, cardiothoracic anesthesia, and critical care medicine, in addition to completing rotations in TEE, the PACU, and the acute pain service. The year-long CA-1 lecture series has been carefully constructed to prepare every CA-1 to pass the first step of the anesthesia boards (the BASIC exam). Throughout the year you will fine-tune and expand your clinical abilities.

The CA-2 (PGY-3) year provides in-depth study of subspecialties in anesthesiology including obstetric, pediatric, cardiothoracic, vascular, neurosurgical, ambulatory and regional anesthesia, as well as chronic pain management. Through these subspecialty rotations you will learn to plan, execute and manage increasingly complex anesthetic cases. You will also begin to supervise your more junior residents on call, with responsibilities including management of emergency airways, traumas, and acute care in both the obstetric ward and the main operating room.

The CA-3 (PGY-4) year is the culmination of your training as you develop and implement your anesthetic plans with more independence. This year allows you to hone your skills in the general OR with ample opportunities for subspecialty elective rotations. In order to facilitate the transition from resident to attending anesthesiologist, CA-3 residents gain valuable experience in the "Transition to Practice" elective where the resident, in conjunction with a faculty member, runs the floor by assigning cases and managing the OR schedule. During this final year, you will gain confidence by acting more independently. Further experience in our Outpatient Surgery Center offers exposure to a fast-paced private practice-like environment. Unique opportunities in the CA-3 year include further training in TEE, regional anesthesia, elective opportunities in international anesthesia, and continued participation in research. In the past year, our residents have presented at and been awarded honors at meetings such as ASA, ASRA, SOCCA, and IARS.

Our didactics are robust, boasting weekly conferences in echocardiography and regional anesthesia by our internationally-renowned faculty experts. Weekly conferences include Grand Rounds intermixed with Case Conference, Journal Club and the Visiting Professor Lecture Series. An introductory didactic curriculum for the CA-1 residents covers a variety of basic anesthesia topics. A weekly written board review course is designed and run by one of our senior residents. A dedicated CA-3 conference series focuses on preparation for the oral board exam, including weekly "mock" oral board reviews with the many experienced board examiners from our department. A strong departmental research presence also provides interested residents multiple opportunities to engage in academic and clinical research during residency, with excellent faculty support.

A joint effort by our faculty and residents has led to the recent development of a unique resident wellness curriculum. Included in this is an annual resident-only weekend retreat to scenic Mount Moosilauke. Our residents are encouraged to participate actively in department committees and resident input into the curriculum is highly valued, leading to prompt, consistent and continued improvement in the residency program.

Resident life in the Upper Valley region is ideal for those who enjoy an active lifestyle and love the outdoors. The area offers endless opportunities all year long. Our residents hike, cycle, kayak, fish, camp, ski, and much more. Many activities involve team sports where faculty and residents have the opportunity to collaborate outside of work; one notable example is the departmental ice hockey team aptly named "Gas Attack." In addition to athletic recreation, the Upper Valley offers an idyllic setting with ample opportunity to explore nearby cities such as Boston and Montreal. The beautiful Maine seashore is easily accessible and a favorite place to visit in the summer. The Upper Valley also has many cultural offerings for residents and their families to enjoy. The Hood Museum of Art and Hopkins Center, both conveniently located on the Dartmouth College campus, bring world-renowned artists and performers to the local community. For those with families, the Montshire Museum of Science is a popular attraction. Other venues such as the Lebanon Opera House, Northern Stage Theater, and the Tupelo Music Hall host a variety of live performances and concerts.

We are confident that you will find our residents happy and well-trained. Our graduates continue their careers in a variety of excellent fellowships, and in both academic and private practice settings nationwide. We encourage you to call, e-mail, or stop by for a visit.

We look forward to meeting you soon and wish you the best throughout the transition from medical school to residency.


Linzi Moss, MD                                                              Clay Hembree, MD

Chief Resident in Anesthesiology                                                Chief Resident in Anesthesiology

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