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Intern Year (PGY-1)

The PGY-1 year provides a strong foundation in inpatient and perioperative medicine, preparing residents for success in Clinical  Anesthesiology training. Training is based at the INTEGRIS Baptist Medical Center (IBMC) and the University of Oklahoma Health Center campus (OUHC).The internship program is led by Site Director Dr. James Paul, who works closely with IBMC leadership and the Anesthesiology Core Program Director to ensure a coordinated, high-quality educational experience across training sites.

  Clinical Rotations

The PGY-1 curriculum offers broad-based exposure to inpatient, critical care, and perioperative medicine through rotations at both IBMC and OUHC.

OU Anesthesiology 911 Ultrasound

Core One-Month Rotations Include:    

  • Emergency Medicine   
  • Inpatient Medicine
  • Transplant ICU
  • Medical ICU (MICU)
  • Cardiology or Pulmonology
  • Hepatology or Nephrology
  • Point-of-Care Ultrasound (POCUS)
  • Pre-Operative Anesthesia Clinic
  • Anesthesia

Our program was among the first in the nation to incorporate a dedicated month of intensive Point-of-Care Ultrasound (POCUS) training. This early, hands-on ultrasound experience strengthens both inpatient management and perioperative decision-making skills.

Call Structure

The PGY-1 call system is designed to provide meaningful clinical exposure while supporting resident education and well-being.

  • Two months of night call during the Hospitalist rotation
  • Two months of day call during Inpatient Pediatrics and Pediatric Newborn rotations

Clinical Experience & Supervision

Interns function as active members of the patient care team under direct attending supervision. Residents maintain meaningful responsibility for patient management and are never placed in purely observational roles.

The number and diversity of rotations exceed the number of residents, allowing for a comprehensive and individualized training experience tailored to each intern’s educational needs.

Evaluation & Advancement

PGY-1 residents receive monthly evaluations with structured feedback to promote continuous professional development.

Upon successful completion of the Intern Year, residents receive a certificate of completion and advance to the CA-1 year of Clinical Anesthesiology training.

 

OU Anesthesiology 911 - Resident photo (2)639084288569860353

Clinical Anesthesiology (CA-1 to CA-3)

The Clinical Anesthesiology curriculum is a structured, three-year program designed in accordance with requirements from the American Board of Anesthesiology (ABA). Training is progressive, building from foundational skills to advanced consultant-level practice.

CA-1 | Basic Anesthesiology

The CA-1 year focuses on developing core clinical skills, perioperative management, and foundational anesthetic knowledge.

  • Primary rotations on Adult Anesthesia Services at OU Health
  • Introduction to subspecialty training in the latter half of the year
  • Emphasis on airway management, pharmacology, physiology, and intraoperative decision-making

The majority of Basic Anesthesia Training occurs during this year, establishing the framework for advanced practice.

CA-2 | Subspecialty Anesthesiology

The CA-2 year emphasizes focused subspecialty training, allowing residents to refine their clinical judgment across diverse patient populations.

  • Dedicated subspecialty rotations
  • Additional Adult Services time to integrate subspecialty experience into routine practice
  • Increasing autonomy and clinical responsibility

CA-3 | Advanced Anesthesiology

The CA-3 year prepares residents for independent practice through senior-level rotations and leadership development.

  • Advanced ambulatory anesthesia
  • Regional anesthesia and pain management
  • Senior rotations at the Oklahoma City VA Health Care System
  • Perioperative leadership and management

Residents function at a consultant level, managing complex cases with graduated independence.

It is a graded curriculum of increasing difficulty and learning that is progressively more challenging of the resident's academic and clinical skills. 

 Clinical Rotation Distribution (36 Months)

Residents complete 36 months of clinical anesthesiology training, including:

  • Adult Services – 8 months
  • VA Medical Center – 5 months
  • Pediatric Anesthesiology – 4 months
  • Obstetric Anesthesiology – 3–4 months
  • Pain Management & Regional Anesthesia – 3 months
  • Cardiothoracic Anesthesiology – 2 months
  • Neuroanesthesia – 2 months
  • Intensive Care Unit – 2 months (+2 months during internship)
  • Perioperative Management Services – 2 months
  • Ambulatory Surgery – 1 month
  • PACU – 1 month
  • Senior Elective – 1 month

Upon completion, residents meet all ABA clinical requirements for board certification.

Advanced Clinical Research Track

Eligible residents in good academic standing may pursue a six-month Advanced Clinical Research Track after CA-1 year approval.

This experience includes:

  • Collaboration with basic science faculty
  • Development of publishable research
  • Presentation at national scientific meetings

Call Structure

Our call system is designed to maximize clinical exposure while protecting educational time and resident well-being.

Night Float (4 Total Months)

  • 3 Trauma months (one per year)
  • 1 Obstetric month
  • Sunday: 3:00 pm – 7:00 am
  • Monday–Thursday: 7:00 pm – 7:00 am

Weekend Call

Trauma Call (Level I Trauma Center)

  • High-acuity, high-volume experience
  • 3 residents + 1 attending

OB Call (Tertiary Referral Center)

  • High-risk obstetric emergencies
  • 1 resident + 1 attending

Pediatric Call

  • 24-hour home call
  • Guaranteed post-call day
  • One-on-one supervision with fellowship-trained faculty

Liver Transplant Call

  • 24-hour home call
  • Compensation for availability
  • Additional hourly compensation for overnight and weekend transplants