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The effect of the extended (3-year) anesthesia curriculum on anesthesia subspecialty education
J G Reves1, P Newfield, T W Striker
1Department of Anesthesiology Duke Heart Center, Duke University Medical Center, Durham, NC.
Abstract:
The purpose of this study was to determine the effect of lengthening the anesthesia residency by the American Board of Anesthesiology on the education of anesthesia subspecialists. A survey of anesthesia residency programs was conducted from 1987 to 1991. The most frequent subspecialty practice in the clinical anesthesia (CA) 3 year is cardiovascular anesthesia. However, the percentage of CA3 residents spending extended time (greater than or equal to 6 months) in subspecialty education has significantly decreased. For example, the percentage of CA3 residents spending 12 months in subspecialty education has decreased 83%. There appears to be a slight increase in the number of CA4 or PGY5 residents (fellows) electing subspecialty practice. It is concluded that the 3-year curriculum has produced a negative impact on the education of anesthesia subspecialists.
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