A Day in the Life

Rick Tennant, DO – Chief Resident 2019-2020

My typical OR day as a CA-3 (PGY-4) resident at UF-Jacksonville

  • ~6:30 a.m.: Arrive at hospital, set up OR, and see my patient
  • 7:30 a.m.: First case starts; Transport patient to OR, administer anesthetic under supervision of attending anesthesiologist, airway management and often invasive line placement.
  • ~9:30 a.m.: Short morning break
  • ~12:00 p.m.: Lunch break
  • ~4:00 p.m.: Relief from OR begins, look up patients for next day, discuss plan with attending, go home

"One of our best senior rotations is “Night AIC.” When on this rotation my responsibility is leading the team as the real anesthesiologist in charge or AIC (of course under indirect supervision from the faculty attending in house)."

"I wake up around 5:30 p.m. to have breakfast and plan to report to the OR front desk around 6:45 p.m. for sign-out. While getting myself ready at home I check the schedule from my laptop so I can estimate the situation in the OR before I come in, and I always show up a bit early as it may take some time to get acquainted with what is going on in the OR."

"The sign-out is done as a group having the day team, myself, and the night attending together to prevent miscommunication. I make sure I know the CRNAs and the tech working with me for the night. Once I am done with the sign-out, if time permits, I go to the OB floor right away to learn the situation there. There is another group sign-out with the OB team at 8 p.m."

"During the night I carry the AIC phone and the APS (acute pain) pager. I am in charge of everything that comes up during the night including calls for emergency intubation outside the OR. If there is a case, I will get called from either the OR front desk, the OB CRNA, or directly from the surgery team. I will then communicate with the CRNA and help them set up the room and supervise them during the case. Regardless of how busy or quiet, I will make my attending aware of the current situation and will make sure that my team gets enough time for break."

"The work stretches from 7 p.m. to 7 a.m. but it is not always busy. I usually have time to study, work my research project or even watch Netflix. Although this rotation spans from Saturday night through Thursday night, it leaves me 3 days off for the weekend so I can spend some time getting sunlight at the beach to get myself ready for the next rotation on Monday morning."

"The goal of this rotation is to prepare residents for working in the real world. Transitioning from a trainee to a provider who supervises is a new challenge that definitely requires new skill sets. It has given me confidence that I will be a strong independent Consultant in Anesthesiology."

"Many things make our program unique and superior to other programs, my personal top reasons are:"

  1. Intense 2-month orientation period: As a junior resident, you will feel well prepared to be alone in the OR following orientation. As a senior resident, you will learn to teach/supervise junior residents and teach didactic lectures which also helps to solidify knowledge.
  2. Academic Wednesdays: Generally, no clinical responsibility. Attend grand rounds, lectures by faculty, keyword presentations by residents, and often a workshop or simulation. These days offer time to work on quality improvement/research projects, allow for time for independent study, or to go to a doctor or dentist appointment.
  3. Small size: Get to know other residents and attendings well. This creates trust and allows for more autonomy in training. Also we get to know surgical teams well. Anesthesiology has a good relationship with the surgical services.
  4. Jacksonville: The beaches are great. The hospital is a level one trauma center. I am well prepared for any trauma or critical patient.
  5. Acute pain service: Very busy regional anesthesia service. I feel well trained with ultrasound and landmark based regional anesthesia.
  6. Internal Moonlighting: Able to internally moonlight on the weekends if in good academic standing.