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Anesthesiology Residency

SSM Health/Saint Louis University School of Medicine anesthesiology residency begins with a clinical base year that complies with the Accreditation Council for Graduate Medical Education (ACGME)’s Residency Review Committee requirements. We also provide a comprehensive practice management rotation in the first year.

The clinical base includes at least six months of experience in caring for inpatients in specialties such as internal medicine, pediatrics, surgery, obstetrics and gynecology, neurology, and family medicine. Rotations in critical care and emergency medicine are required. These experiences form the foundation upon which subsequent training in anesthesiology occurs.

Letter from the Program Director

Welcome to the Saint Louis University School of Medicine Department of Anesthesiology — where deep clinical rigor meets a culture of mentorship, innovation and humanism. As program director, I'm proud to oversee a residency that not only prepares physicians for excellence in perioperative care, but also nurtures leadership, intellectural curiosity and compassionate service. 

Our curriculum blends immersive clinical experience across diverse patient populations in a variety of patient settings. From the operating rooms at SSM Health Saint Louis University Hospital to our rotations at SSM Health Clardinal Glennon Children's Hospital and regional facilities, residents develop the technical expertise and situational judgement that define outstanding anesthesiologists. 

But what truly sets us apart is our people. You'll find advisors who challenge and support, faculty who invest in your growth, and a community that values reflection just as much as precision. We take seriously the work of shaping physicians who can thrive in high-stakes environments while leading with humility and empathy. 

Whether your interests lie in critical care, pediatrics, cardiology or pain management, our program offers pathways to explore and excel. We welcome applicants who bring curiosity, resilience and a commitement to advancing health care equity.

Saint Louis University is a Jesuit institution committed to service and scholarship. That mission resonates deeply in our residency, where we train skilled physicians and thoughtful advocates for our patients and profession. 

Thank you for considering the SLU SOM Department of Anesthesiology. I hope you'll take the time to learm more and envision how your story might grow here. 

Warmly,

Liz Cohen, M.D.
Program director

Clinical Anesthesia Training

As residents progress through clinical anesthesia year one and clinical anesthesia year two, they are given increasing levels of responsibility appropriate to their knowledge, skills and emerging clinical judgment.

Clinical anesthesia year one residents concentrate on general anesthesia at SSM Health Saint Louis University Hospital. During the first half of the first year, residents are introduced to pediatric anesthesiology. During the second half of their first year, they are introduced to rotations in critical care service, cardiothoracic heart and neurology.

Clinical anesthesia year two residents are exposed to the many subspecialty areas of anesthesia, and complete rotations in obstetric, pediatric and cardiothoracic anesthesia, as well as pain management and regional anesthesia. Residents in their second year may also spend additional time in an intensive care unit staffed by board-certified critical care-trained anesthesiologists. Residents assume primary responsibility for patients who present with multiple organ failures, trauma-related injury, neurosurgical procedures and organ transplantation.

Residents are responsible for both individual and team projects. The rotation culminates in a capstone project, presented in teams of two residents each, identifying the opportunity to apply sound practice management and quality improvement principles to institutional challenges and issues.

June Orientation and Training for Clinical Anesthesia Year One

Special training to orient incoming residents to the fundamentals of anesthesia practice begins with a comprehensive, month-long orientation in June of the clinical base year. Lectures are combined with one-on-one clinical time in the operating room to encourage residents to read about cases, interact with faculty in the operating room and increase their knowledge base.

Residency Program Features

Didactic Education

Our anesthesiology faculty offers residents continuous guidance and support. In addition to daily coaching and feedback, residents receive monthly evaluations of their clinical skills from attending physicians who have worked with them in the operating room. Our Clinical Competency Committee, composed of attending physicians, meets quarterly to review the progress of each resident. If evaluations indicate that a resident needs assistance, additional help is provided. Interventions may include key word study, assigned reading, simulation exercises and monthly evaluations.

Core Lecture

  • Reflecting an ABA-oriented, two-year curriculum, 60-minute lectures are presented each Wednesday morning before Grand Rounds.

Exams

  • ABA in-training exams annually.

Simulation Training

  • SLU’s Life Support Skills Center is the home of the human patient simulator, difficult airway laboratory, bronchoscopy simulator and other educational tools.

Monthly Seminars

  • Clinical base year seminars are held on the second Wednesday of each month from 2 to 3:30 p.m. The first hour is dedicated to topic-drive presentations, discussions and journal clubs.

Journal Club

  • Journal Club discussions serve to summarize and critique current journal articles in terms of relevance, content, methodology and reliability of results.

Medical Conferences

  • Our residents are encouraged to participate in local, regional and national conferences, and are supported financially by the department.

Grand Rounds

  • Weekly Grand Rounds provide a venue for prominent speakers, representing a cross-section of the specialty, including both local speakers and visiting professors who have distinguished themselves in the field.

Morbidity and Mortality

  • M and M conferences are held monthly during Grand Rounds to provide residents additional education regarding difficult cases, outcomes and related statistics.

Board Preparation

  • A Wednesday morning clinical anesthesia year two and three conference focuses on board preparation with special lectures, review questions and group discussions.

Oral Exam Practice

  • ABA oral-exam practice is held throughout the clinical anesthesia year three. Faculty members serve as board examiners and, in teams of two, conduct practice oral board exams with residents.
Manageable Call Schedule

Residents in our program average four to five calls per month. While on call, the resident is required to be in-house for a 24-hour period. Residents are not required to work on their post-call days. When a weekend call is required, only one weekend day is scheduled. The 80-hour work week is adhered to strictly.

Practice Management Rotation

Structured like a business course for physician executives, the practice management rotation provides residents with an introduction to the fiscal, organizational and administrative aspects of health care. A series of introductory lectures sponsored by the American College of Physician Executives is incorporated into the rotation.

In addition, the rotation emphasizes the concepts embodied by quality improvement theory and the application of these concepts to the physician's practice in the daily health care environment.