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Message from the Chief Resident

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Welcome to the University of Oklahoma Department of Anesthesiology and Perioperative Medicine Residency Program! We are delighted that you have decided to learn more about our residency program and want to thank you for your interest. Located in Oklahoma City, the University of Oklahoma offers exceptional clinical training, plentiful research opportunities, a strong mentorship program, and the flexibility for a well-rounded lifestyle during residency. I hope you find this page informative and that it provides answers to any questions that you may have.

Both American Board of Anesthesiology (ABA) and Accreditation Council for Graduate Medical Education (ACGME) approved, the University of Oklahoma offers twelve categorical positions each academic year. The foundation of our program is our comprehensive and diverse clinical training at several clinical sites. Over the four years, residents will learn and perform anesthesia at five different locations: University of Oklahoma Medical Center, Oklahoma Children's Hospital, University of Oklahoma Medical Center Ambulatory Surgery Center, the VA Hospital, and Integris Baptist Medical Center.

Our residency begins with our highly-acclaimed PGY-1 year at Integris Baptist Medical Center (IBMC). Our interns participate in rotations relevant to the scope of anesthesiology including cardiology, pulmonology, nephrology, and critical care medicine. Residents not only get the experience of a private practice setting, but also perform numerous procedures including intubations, central lines, midlines, arterial lines, etc. The procedural experience obtained our intern year is top-notch. Our interns also get experience acting as the “House Officers” of the hospital, where they are an integral part of the rapid assessment, inpatient stroke assessment, and code-blue teams. Throughout the year, time is also spent at University of Oklahoma Medical Center’s main campus where the interns spend one month in the preoperative assessment unit, one month learning general anesthesia in the OR, and one month devoted to gaining experience with point of care ultrasound (PoCUS).

The next three clinical anesthesia years are focused on developing and building your skills as a physician anesthesiologist. The CA-1 year begins with a 2-month immersion course in which the resident gradually attains more and more autonomy running cases in the operating room. The first part of this year is dedicated to mastering the basics of general anesthesia with the majority of time spent at our main hospital, University of Oklahoma  Medical Center. OUMC is currently a 355-bed facility with 22 operating rooms and 78 ICU beds. We have more than 50,000 ED visits annually, leading to almost 11,000 admissions, and almost 13,500 surgeries performed. In addition, OUMC is currently undergoing major transformations into a state-of-the-art medical tower to meet the increasing demand as the only level 1 trauma center in the state. Planning to be completed by the end of 2020, the new tower will be eight floors with 144 additional beds and 32 new operating rooms.

Clinical rotations at the end of CA-1 year and throughout CA-2 year are designed to provide extensive exposure to areas of anesthesia. This includes multiple months in pediatric anesthesia, neuro-anesthesia, cardiac anesthesia, obstetric anesthesia, acute and chronic pain, critical care, and perioperative management. Most of our residents fulfill their ACGME minimum number requirements by the end of their CA-2 year. Finally, the CA-3 year of residency training is dedicated to rounding out the residents clinical training and taking on a more supervisory role in preparation for work as an independently functioning attending anesthesiologist. The rotations during this year of training include many of the subspecialties as well as elective time to dedicate to individual interests.

Our didactics are robust, including weekly protected academic time, dedicated time in our state-of-the-art Simulation Center, and weekly conferences held every Friday (which include Grand Rounds intermixed with M&M Case Conferences, Journal Club, and resident research presentations). At the beginning of CA-1 year, a two-month immersion course is set up so that the residents can systematically work their way through the textbook, Basics of Anesthesia. On Wednesday afternoons the CA-1s also participate in the 2-hour Wednesday Education Block (WEB). 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). On Thursday afternoons the CA-2s and CA-3s attend the two-hour Thursday Education Block (ThEB). The CA-2 and CA-3 residents also have opportunities to participate in “mock orals” and a “mock OSCE” to prepare them for these exams after graduation. Educational stipends are provided for each resident per year, as well as a complement of physical and electronic text books and question banks. Educational conferences and board review courses are also available and incorporated into each resident’s schedule. Also, a lap top will be provided to all residents to keep during their time here.

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. Please don’t hesitate to contact me directly at my university email, with any questions you may have about the program. Thank you once again for your interest in our program and we look forward to hearing from you during this year's application process.


Casey Butler, MD

Chief Resident 2020-2021