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What is the length of your accreditation cycle?

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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.

How much time do residents get for vacation? For meetings?

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  • 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

What are the fringe benefits?

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  • Resident salaries at UNC are listed on the Graduate Medical Education site here
  • Costs of health/dental insurance at UNC are listed here on the Graduate Medical Education site
  • 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.

Is there a food allowance?

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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.

What is the case volume at UNC? How many cases will residents have done by the time they graduate?

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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

Required Mean at UNC % of required
Total Cases 1,427
Cardiac 20 56 280
C-section 20 70 350
Epidural 40 200 500
Intracerebral 20 40 200
Intracerebral (open) 11 37 336
Intrathoracic (non-cardiac) 20 38 190
New pain evaluation 20 75 375
Peripheral nerve block 40 165 413
Spinal 40 120 300
Vaginal delivery 40 113 283
Vascular major vessels 20 72 360
Life-threatening pathology 20 76 380
Patients < 3 months 5 11 220
Patients < 3 years 20 68 340
Patients < 12 years 100 161 161

What is the relationship between anesthesia and surgery?

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Our department is very well respected by our surgical colleagues, who value greatly the care we provide to our patients. We have four faculty members in our department who 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 carry 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.

What is the role of CRNAs in the department?

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We have >80 Certified Registered Nurse Anesthetists (CRNAs) in our department who 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.

What is the role of fellows in the department?

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We currently offer 4 fellowships through our department: Pain Medicine, Pediatric Anesthesia, Obstetric Anesthesia, and Regional Anesthesia. The fellows in these groups primarily serve in a 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, epidurals, nerve blocks) are performed by residents.

Do residents have to travel to many different hospitals for rotations?

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With the exception of international electives, a 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.