The Advanced Clinical (AC) rotation is based in the University Hospital. During the AC rotation, residents learn to evaluate and manage patients undergoing a broad range of surgical, diagnostic, and therapeutic procedures. Many of these patients need advanced monitoring, so our AC residents gain additional expertise placing and using the information from arterial, central venous and pulmonary artery catheters, and transesophageal echocardiography (TEE).

TEE during liver transplant surgery demonstrating massive intra-atrial thrombus

The patients often have severe or multisystem disease or may be undergoing procedures of a complex nature, such as patients undergoing liver transplantation, major vascular or cancer surgery, or patients who are victims of trauma.

Post-induction photo showing pediatric patient after being mauled by wolf-dog mix.

This is a challenging and rewarding rotation that contributes significantly toward preparing the resident to practice as a consultant in anesthesiology capable of independent practice.

Richard L. Applegate II, MD directs this rotation.