FAQ

Frequently Asked Questions

Length of Our Accreditation Cycle

Our last site visit was in the old ACGME accreditation system in 2013 when we received a 5-year  accreditation cycle which is the maximum cycle length allowable by the ACGME. We received no citations during that review. Our program transitioned into the New Accreditation System (NAS) in July of 2014, in the Green zone. Our next Self Study visit is scheduled for 2024.

Work Hours and Calls

Work Hours

  • Average 55 hours/week
    • Hours can range from 45 - 70 hours/week depending on the rotation
    • Rarely exceed 60 hrs/week on non-ICU rotations
  • 2-3 weekends off a month when not in the ICU
  • When not on call, residents are typically relieved from the OR by 4:30pm

Types of OR call

  • Senior Call: 2pm - 7am (total 17 hrs). The resident is "post call" after their shift and is off for the remainder of the day.
  • Junior Call: 11am - 7am (total 20 hrs). The resident is "post call" after their shift and is off for the remainder of the day.
  • Specialty Call: home call taken by residents rotating on Cardiac, Thoracic, or Pediatric anesthesia. Resident on specialty call comes to work at the regular time (~6:00am), completes his or her assigned cases, helps to finish any specialty cases, and then goes home and stays on pager call for the remainder of the 24 hours. The resident is on regular duty the following day unless called back to work past 9pm, in which case the next day is off.
  • Home Call: Resident comes to work at the regular time (~6:00 am) and gets sent home around 9pm when the number of cases in the OR comes to a minimum. The resident is on "home call" at this point and can be called back to work until 6:30am if needed (this seldom occurs). The resident is "post call" after this shift and is off for the remainder of the day.
  • Late Call: Resident comes to work at the regular morning time (~6:00 am) and gets sent home around 7pm. The resident is on regular duty the following day.
  • Weekend OR calls:
    • Senior and Junior  call residents work a 24-hour shift that starts at 6:30 am. The Specialty resident comes in at 6:30 am and typically works no later than 5pm or until the daytime OR cases are complete at which point the resident gets to go home and stays on pager call for the remainder of the 24 hours. The resident is on regular duty the following day unless called back to work past 9pm, in which case the next day is off.
    • The Home call resident takes call from home for the 24-hour shift.

A Resident's Typical Day in the OR

TimeActivity Description
06:00 - 06:45 Arrive to hospital, set-up OR for the day, meet patient
06:45 - 07:15 Educational lecture
07:15 - 07:30 Prepare to bring patient to OR by 07:30
07:30 - 16:30 In the OR doing cases

Breaks/Lunch: Residents are provided a 15 minute morning break and a 30 minute lunch break each day

Relief Policy: Every effort is made to relieve residents by 4:30pm, except on certain subspecialty rotations. When a resident in the OR works past 4:30pm, this time is documented and once 10 hours of "overtime" has accrued, a resident is given a day off for reading and self-study.

Vacation, Sick Leave, Meeting Day

Vacation

  • 3 weeks off each year (15 working days)
  • No call the weekend before and the weekend after the vacation week, allowing for 9 consecutive days off

Sick Leave

  • 5 sick days/year

Meeting Days

  • 5 days each year for attending national meetings and conferences
  • If presenting an original work at a meeting (research, case report, etc.), the department will subsidize the meeting expenses up to $1,000

Salary and Benefits

  • Resident salaries at UNC are listed on the Graduate Medical Education site here: 

    http://www.uncmedicalcenter.org/uncmc/professional-education-services/office-of-graduate-medical-education/benefits-for-residents/

  • Costs of health/dental insurance at UNC are listed here on the Graduate Medical Education site:http://www.uncmedicalcenter.org/uncmc/professional-education-services/office-of-graduate-medical-education/benefits-for-residents/
  • For those residents that do their PGY-1 (Clinical Base Year) at UNC, fees for the USMLE Step 3 exam are covered by the department
  • All residents receive an I-Pad when starting the CA-1 year for use during residency
  • $2,000 education fund is allocated to each resident for the duration of their residency for purchasing books, educational resources, and attending approved meetings
  • For residents presenting original research, case reports or technical exhibits, Travel Awards up to $1,000 are available for each meeting
  • The American Board of Anesthesia (ABA) Written Exam fees (Part 1 or the new Basic and Advanced exams) are covered by the department for those residents scoring above the 30th percentile on their In-training Examination
  • Annual resident training license renewal fee ($125) is covered by the department
  • American Society of Anesthesiologists annual membership dues ($25) are paid for by the department annually for each resident
  • Residents will be reimbursed for the cost of the Basic Perioperative Transesophageal Echocardiography board examination if the resident passes the examination.

Food Allowance

Each resident is given money on a card that they can use at various cafeterias in the hospital, as well as Starbucks (which is open 24/7). The amount of money placed on the card is proportional to the amount of hours worked by a given resident. Overall, residents generally accrue enough money on their card to cover all of their meals on call, with some to spare.

Clinical Experience

Each resident will far surpass the minimum number of cases required by the ACGME and can expect to do more than 1,200 cases during their three years of Anesthesiology training

                      Anesthesia Case Number 2016

Total Cases 59,699
General Anesthetic 52,660
Regional Anesthetic 4,060
MAC Anesthetic 2,979
Pediatric Surgeries 11,181
Anesthesia-assisted, non-surgical deliveries 2,204
Anesthesia-assisted C-sections 958
Other OB Cases 388
Cardio-Thoracic Surgeries 3,009
Neurosurgeries 2,326
Total Organ Transplants: 166
    Kidney 98
    Lung 13
    Heart 11
    Liver 44
Outpatient Surgeries 38,638
Total Pain Clinic Visits 11,493
Total Pain Outpatient Clinic Procedures 4,737
Inpatient Acute Pain Visits 9,268
    Total Acute Pain Rounds 5,829
     Total Acute Pain Obs/Critical Care Cases 2,863
     Acute Pain Consultations 576
Inpatient Acute Pain Procedures (outside OR) 2,924

Recent Graduate Destinations

Class of 2017

 

Cardiothoracic Fellowship
University of Pittsburgh Medical Center
Duke University
Baylor Scott & White Health

Critical Care Fellowship
Vanderbilt University

Pain Fellowship
University of California San Diego (UCSD)
UNC Hospitals

Pediatrics Fellowships
University of Washington, Seattle Children's Hospital
UNC Hospitals

Obstetrics Anesthesiology Fellowship
Wake Forest University

Faculty Position and MHA Student
UNC Hospitals

Faculty Position
Omaha, Nebraska
UNC

Private Practice
Henderson, NC
Columbus, OH


Class of 2016

Master's Health Administration/Attending Program
UNC Hospitals

Obstetrics Fellowship
UNC Hospitals
The Ohio State University Medical Center

Pediatrics Fellowship
UNC Hospitals
Children's Hospital of Philadelphia

Private Practice
Greensboro, NC
Asheville, NC
Alamance, NC
Houston, TX

Regional Fellowship
UNC Hospitals

Class of 2015

Cardiovascular Anesthesia Fellowship
Cleveland Clinic

Chronic Pain Fellowship
University of California, Los Angeles

Obstetric Anesthesia Fellowship
University of North Carolina Hospitals
Wake Forest Baptist Medical Center

Pain Fellowship
Duke Hospital
Wake Forest Baptist Medical Center

Pediatric Anesthesia Fellowship
Cincinnati Children's Hospital Medical Center
University of North Carolina Hospitals

Regional Anesthesia Fellowship
University of North Carolina Hospitals

Private Practice
Clearwater, FL
Las Vegas, NV
Austin, TX
Houston, TX

Class of 2014

Cardiothoracic Anesthesia Fellowship
Beth Israel Deaconess Medical Center
Wake Forest Baptist Medical Center

Pain Fellowship
Duke University Medical Center
University of North Carolina Hospitals

Pediatric  Anesthesia Fellowship
University of North Carolina Hospitals

Obstetric Anesthesia Fellowship
Stanford University Medical Center
Vanderbilt University Medical Center
University of North Carolina Hospitals

Critical Care Medicine Fellowship
Vanderbilt University Medical Center

Regional Anesthesia Fellowship
University of North Carolina Hospitals

Private Practice
Roanoke, VA
Suffolk, VA
Columbus, OH


Resident Origins

Our current residents come from the following medical schools:

Albany Medical College

Baylor College of Medicine

Brody School of Medicine

Chicago Medical School at Rosalind Franklin University of Medicine and Science

Creighton University School of Medicine

George Washington University School of Medicine

Indiana University School of Medicine

Loyola University of Chicago, Stritch School of Medicine

Medical College of Virginia

Medical University of South Carolina College of Medicine

New York Medical College

Southern Illinois University School of Medicine

Texas A&M Health Science Center

Texas Tech University School of Medicine

Tufts University School of Medicine

University of Alabama at Birmingham School of Medicine

University of Arizona College of Medicine

University of Colorado School of Medicine

University of Florida College of Medicine

University of Illinois College of Medicine

University of Kentucky College of Medicine

University of North Carolina at Chapel Hill

University of Oklahoma College of Medicine

University of Rochester School of Medicine

University of Texas School of Medicine @ San Antonio

University of Utah School of Medicine

University of Virginia School of Medicine

University of Washington School of Medicine

Virginia Commonwealth University School of Medicine

Wake Forest School of Medicine

West Virginia University School of Medicine

Wright State University Boonshoft School of Medicine

Relationship Between Anesthesia and Surgery

Our department is very well respected by our surgical colleagues, who greatly value the care we provide to our patients.  We have four faculty members in our department that serve as Intensivists in our SICU and CTICU, further strengthening this relationship with our surgeons. Our residents also rotate through various ICU settings where they form friendships with surgical attendings and residents which carries into the OR setting. We are proud of the collegial relationship we maintain with our surgeons, nursing and ancillary colleagues. Over the course of your training, you will develop great working relationships with your surgical peers at UNC.

Role of CRNAs in the Department

We have >80 Certified Registered Nurse Anesthetists (CRNAs) in our department that help support our educational and clinical mission. This allows our residents great flexibility with elective rotations and opportunities outside of the OR environment. The relationship between CRNAs, faculty, and residents is very collegial and collaborative. We mutually support each other in our joint mission of excellent patient care and quality education. Student Nurse Anesthetists (SRNAs) from Duke rotate through our department. They are  always paired with our CRNAs, and are never supervised by residents.

Role of Fellows in the Department

We currently offer 4 fellowships through our department. Pain Medicine, Pediatric Anesthesia, Obstetric Anesthesia, and Regional Anesthesia. The fellows in these groups serve a primarily supervisory role, and do not limit the learning and procedural opportunities or our residents. Pain fellows, along with attendings, teach residents to perform pain interventions at our Spine Center. Pediatric fellows perform their own cases and have little interaction with our residents. The Obstetric and Regional fellows serve as instructors and mentors for residents during their obstetric and regional rotations. The vast majority of procedures on these rotations (spinals, epidural, nerve blocks) are performed by residents.

Off-site Rotations

With the exception of international electives, 2-week adult out-of-the OR elective, a 1-month rotation at UNC Hillsborough, and those individuals pursuing the Health Policy elective at George Washington University--all clinical rotations are at the main hospital or ambulatory surgical center on UNC's main hospital campus.