Inpatient US clinical experience
IN anesthesiology

Specialty: Anesthesiology

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MD2B Connect Physician ID # 221

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Where will this rotation take place: This inpatient US clinical experience will take place in Newark, New Jersey (approximately 10 miles north of downtown Newark). This experience is currently unavailable. 

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Hours: Monday - Friday 6:30 AM to 3 PM

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Hours have been provided by the preceptor. Hours are subject to change at the preceptor’s discretion, but the minimum total hours will remain approximately the same.

What you will do: You will be under the supervision of a team of board-certified anesthesiologists who hold hospital appointments at multiple institutions, including Garnet Health Medical Center, Bon Secours Community Hospital, Good Samaritan Regional Medical Center, Chilton Medical Center, Saint Barnabas Medical Center, and Hudson Regional Hospital.

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In this fully inpatient rotation, you will gain a stronger understanding of how the practice of anesthesia is delivered to patients in the operating room. You will encounter patients undergoing surgery in such areas as cardiac surgery, orthopedic surgery, general surgery, and plastic surgery among other specialties. 

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In the late afternoon, you will learn which cases you will be assigned to the following day. Using the EMR, you will be able to review the patient's chart and preoperative anesthesia assessment. As you read this information, you will think about the patient's medical conditions and how they impact the anesthetic plan. Consider the patient's medication list carefully as many medications interact with anesthetic agents. This assessment provides valuable information about the type of challenges the anesthesiologist may encounter during the case and influences medication choice and decision-making.

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In the operating room, you will spend time with the anesthesiologist and certified registered nurse anesthetists (CRNAs). Please note that you will be working with different anesthesiologists throughout the course of the rotation. After introducing yourself before the case to the anesthesiologist and the operating room staff, you will appreciate the different aspects of anesthetic care, including induction and airway management, maintainance, emergence, and extubation.

During the case, you will observe how patients are monitored using the pulse oximeter, blood pressure monitor, and electrocardiogram. In some cases, more invasive monitoring, including arterial or central venous lines, will be used. You will also learn how aanesthesiologists detect and manage intraoperative complications. A major focus will be on understanding anesthetic agents and their mechanisms of action, including induction agents, sedation/analgesia drugs, and reversal agents. You will be expected to ask questions to advance your learning and therefore should not hesitate to do so. However, you must select the appropriate time to ask your questions. 

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Please note that this is not a shadowing observership. After a few days of observation, you will take on an increasing role in patient encounters and learn the following under the preceptor’s supervision:​

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• Interacting with the patients and members of the healthcare team

• Helping to set up the operating room

• Working with the anesthesiologist to position the patient properly on the table

• Assisting the anesthesiologist through different aspects of the case

• Transitioning the patient to the post-anesthesia care unit (PACU).

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​​​Who should consider this rotation: International medical graduates (IMGs) and students seeking US clinical experience in anesthesiology. 

How to obtain a letter of recommendation: The rotator should ask the preceptor for a LOR near the conclusion of the rotation. Dr. Desai has provided the physician with guidelines about best practices in letter writing that meet residency program requirements. In some cases, the preceptor may ask the rotator to write a letter of recommendation draft. 

​During the rotation: Our team will be checking in periodically with you to ensure that you are having an optimal experience. We encourage you to contact us if you have any questions during the rotation.

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Listen to Dr. Desai's Advice on How to Match into Anesthesiology​: