Rotations & Clinical Experience
Cooper Anesthesiology Residency
Rotations & Clinical Experience
Your training pathway, at a glance. Select any rotation to explore the experience.
Your Path Through Residency
From clinical foundations to advanced anesthesiology.
PGY-1
Clinical foundations
CA-1
Core anesthesiology
CA-2
Advanced subspecialties
CA-3
Senior & individualized training
CA-3 elective opportunities
PGY-1 concludes with Anesthesiology. Other rotation sequences may vary by individual schedule. Interventional Pulmonology and EM Ultrasound are separate rotations. Rotation durations are not shown. Updated PGY-1 draft; new rotation descriptions await departmental review.
PGY-1
Clinical Base Year (PGY-1)
The Clinical Base Year (CBY) fulfills ACGME specialty-specific requirements while directly preparing residents for anesthesiology training. The Clinical Base Year is thoughtfully designed to provide experiences directly relevant to anesthesiology and perioperative medicine while fulfilling specialty-specific ACGME requirements. This foundational year prepares residents for the three subsequent years of clinical anesthesiology training.
Our PGY-1 residents complete 13 rotations, each lasting four weeks, with an emphasis on perioperative care. These diverse experiences help residents develop essential clinical skills and begin applying them to their emerging practice as anesthesiologists. The final rotation of the PGY-1 year is Anesthesiology, allowing the entire class to engage in a 4-week pre-orientation rotation in the OR to ensure that residents are well prepared to begin their clinical anesthesiology training on July 1.
PGY-1
Medicine
Residents develop a strong foundation in internal medicine through the evaluation and management of hospitalized patients with a broad range of medical conditions. This experience builds the clinical reasoning and medical knowledge essential for perioperative care.
PGY-1
Surgery
Residents gain firsthand experience caring for surgical patients, developing an understanding of surgical decision-making, perioperative workflows, and postoperative complications. This foundation strengthens collaboration with surgical teams throughout residency.
PGY-1
ICU
Residents build early expertise in the care of critically ill patients, including assessment of shock, respiratory failure, and sepsis. The rotation introduces the principles of resuscitation, invasive monitoring, and multidisciplinary critical care.
PGY-1
Emergency Medicine
Residents develop skills in rapid assessment, stabilization, and management of undifferentiated patients in the emergency department. Exposure to acute illness and trauma builds confidence in airway management and emergency decision-making.
PGY-1
Anesthesiology
Residents begin their anesthesiology training with foundational experiences in the operating room, preoperative assessment, and perioperative care. Residents are paired with senior residents during this rotation so they can gain familiarity with setting up a room, airway management, anesthetic techniques, and patient safety.
CA-1
CA-1 Year Overview
Residents begin with a two-month OR orientation, paired one-to-one with attendings and senior residents for close supervision. They have no call responsibilities during this period as they build comfort and confidence in the OR. The first month includes a focused intraoperative curriculum plus daily didactics on anesthesiology fundamentals.
CA-1 residents rotate across general surgery, orthopedics, ambulatory surgery, acute pain medicine, trauma, the preop clinic, PACU, OB, and ICU, with progressively increasing autonomy.
CA-1
Operating Room
Residents start the year with an orientation period. During this time they will be paired with senior residents and also spend several days 1:1 with an assigned attending mentor in order build core anesthesiology skills through hands-on experience across a broad range of surgical specialties. Dedicated faculty teaching and progressive responsibility help residents develop confidence.
CA-1
Obstetrics
Residents develop foundational skills in labor analgesia, neuraxial anesthesia, cesarean delivery, and maternal-fetal assessment. The rotation provides essential experience caring for both routine and urgent obstetric patients.
CA-1
Neuro
Residents are introduced to the principles of neuroanesthesia through intracranial, spine, and cerebrovascular procedures. Training emphasizes cerebral perfusion, intracranial pressure management, and anesthetic considerations for neurosurgical patients.
CA-1
ICU Intern
Residents serve as members of the critical care team, developing skills in the assessment and management of critically ill patients. The experience builds a foundation in mechanical ventilation, hemodynamic support, resuscitation, and multidisciplinary care.
CA-1
Pain
Residents learn the fundamentals of acute and chronic pain management, including patient assessment, multimodal analgesia, and introductory interventional techniques. This rotation builds an understanding of pain care that extends across the perioperative setting.
CA-1
Regional
Residents develop foundational ultrasound and regional anesthesia skills through exposure to peripheral nerve blocks, neuraxial techniques, and postoperative pain management. The rotation provides an early opportunity to build proficiency in techniques used throughout clinical practice.
CA-1
Preop & PACU
Residents gain experience evaluating patients before surgery and managing recovery after anesthesia. This rotation emphasizes perioperative risk assessment, safe emergence, recognition of postoperative complications, and effective communication with surgical teams.
CA-1
Difficult Airway
Residents gain concentrated experience with advanced airway techniques, including video laryngoscopy, flexible bronchoscopy, and awake intubation. Exposure to complex airway pathology builds confidence in managing both anticipated and unexpected airway challenges.
CA-2
CA-2 Year Overview
Our CA-2 residents take the next step in training by focusing on subspecialties within Anesthesiology— pediatric, neuro, and cardiothoracic anesthesiology, critical care, obstetric anesthesiology, non-operating room anesthesia (NORA), and acute/chronic pain medicine — building clinical judgment and independence. Residents also rotate through Cooper's ambulatory centers for outpatient-focused care.
CA-2s also become more active participants in the didactic curriculum. Education continues with Tuesday Grand Rounds, subspecialty conferences, board review, journal club, simulation, and mock orals, with daily mobile-based competency feedback.
CA-2 is also when residents begin exploring fellowship interests, mentors, and scholarly activity, with individualized guidance on application timelines.
CA-2
Cardiac
Residents are introduced to the anesthetic management of patients undergoing cardiac surgery, developing foundational skills in invasive monitoring, hemodynamics, and cardiopulmonary bypass. Working with cardiac anesthesiologists provides early exposure to the complexities of cardiovascular physiology.
CA-2
Vascular
Residents gain experience caring for high-risk patients undergoing vascular procedures, including carotid, aortic, and peripheral vascular surgery. Training emphasizes patient optimization, hemodynamic management, invasive monitoring, and collaboration with multidisciplinary teams.
CA-2
ICU Senior Resident
Residents advance their critical care skills by taking on greater responsibility for the management of complex medical and surgical ICU patients. The experience emphasizes independent clinical decision-making, advanced resuscitation, and leadership within the interdisciplinary team.
CA-2
Obstetrics Senior Resident
Residents progress to managing high-risk obstetric patients, including those with hypertensive disorders, hemorrhage, and urgent operative deliveries. Increased responsibility develops expertise in advanced neuraxial techniques, crisis management, and multidisciplinary communication.
CA-2
CHOP CA-2
Residents spend three months at Children’s Hospital of Philadelphia, gaining broad exposure to pediatric anesthesia across a wide range of ages and surgical complexity. Training with pediatric anesthesiology faculty develops skills in pediatric airway management, vascular access, and age-appropriate anesthetic care.
CA-2
Thoracic
Residents develop specialized skills in thoracic anesthesia, including one-lung ventilation, lung isolation, and fiberoptic bronchoscopy. The rotation provides experience managing patients undergoing complex non-cardiac thoracic surgery from preoperative assessment through postoperative care.
CA-2
NORA
Residents develop advanced skills in anesthesia and sedation outside the operating room, including endoscopy, interventional radiology, cardiac catheterization, and electrophysiology. Training emphasizes remote-location safety, procedure-specific planning, and coordination with procedural teams.
CA-2
Pain Ambulatory
Residents expand their pain management expertise through outpatient evaluation and treatment of acute, chronic, and complex pain conditions. The rotation emphasizes multimodal analgesia, interventional procedures, and longitudinal patient-centered pain care.
CA-3
CA-3 Year Overview
CA-3 residents return to the general OR as seniors, managing increasingly complex cases with greater autonomy — trauma and difficult airway management, regional anesthesia, neuroanesthesia, thoracic/vascular anesthesia, critical care, TEE, and pediatric anesthesia at CHOP. Electives allow further focus in regional anesthesia, critical care, echocardiography, OB, pediatric anesthesia, or research.
Residents take on OR leadership, junior-resident teaching, and multidisciplinary decision-making, with continued formative feedback. By graduation, residents are expected to function independently across the full scope of anesthesiology practice.
CA-3
CHOP CA-3
Residents return to Children’s Hospital of Philadelphia for advanced pediatric anesthesia training, managing increasingly complex cases with greater independence. The experience builds on prior pediatric training and prepares residents to confidently care for children across a broad range of surgical specialties.
CA-3
Neuro CA-3
Senior residents independently plan and manage complex neuroanesthesia cases, including intracranial, cerebrovascular, spine, and neurointerventional procedures. Training emphasizes advanced cerebral physiology, neuroprotection, and leadership in the operating room.
CA-3
Advanced Airway
Residents further refine advanced airway management through challenging clinical cases and specialized airway techniques. This experience builds expertise in complex airway planning, bronchoscopy, awake intubation, and management of difficult airway emergencies.
CA-3
Complex OR
Residents manage some of the most challenging cases in the operating room, integrating advanced physiology, complex anesthetic planning, and independent decision-making. The rotation prepares residents for the clinical responsibilities of an attending anesthesiologist.
CA-3
Independent Study
Residents pursue individualized scholarly or clinical interests through a structured period of independent study. This opportunity supports research, education, quality improvement, and focused clinical development aligned with each resident’s career goals.
CA-3
Leadership
Residents develop the communication, teamwork, and organizational skills needed to lead perioperative and multidisciplinary teams. The experience prepares graduates to contribute effectively to department operations, education, and quality improvement.
CA-3 Electives
Ambulatory Surgery
Residents gain advanced experience in high-volume outpatient anesthesia, emphasizing efficiency, individualized anesthetic planning, multimodal analgesia, and safe discharge. The rotation provides opportunities to demonstrate independence and mentor junior residents.
CA-3 Electives
NORA
Residents develop advanced skills in anesthesia and sedation outside the operating room, including endoscopy, interventional radiology, cardiac catheterization, and electrophysiology. Training emphasizes remote-location safety, procedure-specific planning, and coordination with procedural teams.
CA-3 Electives
Cardiac and Heart Failure CA-3
Residents build advanced expertise in cardiac anesthesia and the management of patients with complex cardiovascular disease, including heart failure and mechanical circulatory support. The rotation emphasizes sophisticated hemodynamic management, echocardiography, and multidisciplinary care of high-acuity cardiac patients.
CA-3 Electives
Electrophysiology
Residents gain specialized experience providing anesthesia for complex electrophysiology procedures, including ablations and device-related interventions. The rotation emphasizes arrhythmia physiology, hemodynamic management, and close collaboration with electrophysiologists in a procedural environment.
CA-3 Electives
Simulation
Residents participate in high-fidelity simulation training designed to strengthen crisis management, teamwork, and clinical decision-making. Scenarios reinforce the management of rare but high-stakes anesthetic emergencies in a safe, supportive learning environment.
CA-3 Electives
AI Development
Residents explore the application of artificial intelligence to anesthesiology through opportunities to develop and evaluate innovative clinical or educational tools. This experience encourages creativity, technological literacy, and the use of emerging technologies to improve patient care.
CA-3 Electives
Epidemiology and Statistics
Residents develop practical skills in study design, epidemiology, biostatistics, and critical appraisal of medical literature. The rotation provides a foundation for conducting meaningful research and applying evidence-based medicine to clinical practice.
CA-3 Electives
Independent Study
Residents have dedicated time to pursue individualized scholarly, educational, or clinical interests. This flexible experience supports professional growth and allows residents to develop expertise aligned with their future career goals.
CA-3 Electives
Board Runner
Explore the coordination of daily operating room activity from an anesthesiology perspective. The experience emphasizes prioritizing cases, anticipating staffing and resource needs, communicating schedule changes, and balancing efficiency with patient safety under appropriate supervision.
PGY-1
Interventional Pulmonology
Residents gain exposure to bronchoscopy and the evaluation of patients undergoing pulmonary procedures. The rotation builds familiarity with airway anatomy, respiratory disease, and procedural care relevant to anesthesiology.
PGY-1
Radiology
Residents develop foundational skills in reviewing diagnostic imaging, with an emphasis on anatomy and findings relevant to perioperative care. This experience strengthens clinical assessment and communication with radiology and procedural teams.
PGY-1
EM Ultrasound
Description pending departmental review.
PGY-1
Pain Management
Description pending departmental review.