Rotations

University Hospital Main Operating Rooms: In the main operating room suite that consists of 16 operating rooms and various mobile anesthetic sites, the resident will be exposed to a wide variety of trauma, orthopedic, gynecologic, ENT, general surgical, and urologic procedures.

Obstetric Anesthesia: Over 3500 obstetrical deliveries are performed per year. New Mexico arguably has a high rate of Pregnancy Induced Hypertension and complicated deliveries. Under the guidance of the rotation director our residents receive excellent training in epidural anesthesia, continuous spinal anesthesia, combined spinal-epidural anesthesia and general anesthesia for cesarean section. An active (maternal/fetal medicine) service provides exposure to maternal-fetal transfusions in utero and other specialized procedures.

Pediatric Anesthesia: A thriving pediatric surgical caseload and exceptional pediatric anesthesiology faculty provide for an outstanding experience on this rotation. The resident will take care of pediatric patients ranging in age from neonates to teenagers. A significant amount of pediatric regional anesthesia techniques are utilized.

OSIS: This outpatient surgical center provides an excellent opportunity for the resident to learn a wide variety of regional anesthesia techniques. This rotation has arguably one of the best experiences in regional anesthesia in the country. Ultrasound guided techniques are utilized in addition to traditional anatomic approaches.

Airway Management: In this rotation the resident masters advanced airway techniques including fiber optic intubation, Bullard laryngoscope, light wands, Shakani intubating stylet, bougies, intubating and Proseal LMAs, airway blocks, and conditions that affect airway management.

Cardiothoracic Rotation: This rotation provides experience in thoracic anesthesia, including the appropriate use of double lumen endotracheal tubes, univent tubes, bronchoscopy, and thoracic analgesic techniques. Cardiac anesthesia for off-pump and on-pump coronary artery revascularization and valve replacements will be administered. The resident is expected to develop basic skills of transesophogeal echocardiography. Major vascular surgery may also be done during this rotation.

Neuroanesthesia: A strong neurosurgical department offers a full range of neurosurgical cases including vascular and nonvascular craniotomies as well as radiologic interventional neurosurgical procedures.

Intensive Care Unit (ICU): Being the only Level One trauma center in the state of New Mexico, our institution sees critically injured patients from not only the state but also the southwest region. Our residents are offered the opportunity to rotate through the Medical, Trauma/Surgical, Neurosurgical, or Pediatric ICUs.

VA: This rotation provides additional experience in cardiac, thoracic and major vascular anesthesia. CA-2 residents do one month rotations here.

Post Anesthesia Recovery Unit: This rotation exposes the resident to the variety of problems that develop immediately after surgery. Didactic and practical management of hemodynamic instability, airway problems, pain management and nausea and vomiting are encountered.

Chronic Pain: This rotation provides a diverse experience to interventional pain management techniques. This rotation exposes the resident to acute and chronic pain problems and offers a variety of medical and surgical techniques for treating pain.  This rotation takes place at both the VA and University hospitals.

Acute Pain: The acute pain service rotation was started in 2007 and educates the residents in acute perioperative pain management. Techniques such as epidural analgesia and peripheral nerve blockade are now commonly employed at our institution.

SRMC: This rotation takes place in our regional county hospital and provides the resident with experience working with private practice providers. CA-1 residents will rotate here after spending a few months in the main OR.

Mobiles: This rotation focuses on training residents in satellite location anesthesia, and will emphasize the additional considerations necessary when performing anesthetics in a location away from the main operating room. CA-3s will rotate for a month in this rotation.

Methodist Hospital: Since 2006, our CA-3 residents have the opportunity to spend a month or more at the Methodist Hospital in Houston, TX. This rotation provides additional experience and advanced training in cardiac anesthesia at the Methodist DeBakey Heart Center, one of the leading cardiothoracic institutions in the country. Learn more about Methodist Hospital.

University of California – San Diego: This month-long rotation elective was established in 2012, offering an additional opportunity to gain experience and advanced training in cardiac anesthesia.