Ambulatory Anesthesia Rotation
Residents in anesthesiology have rotations in ambulatory anesthesia
at several points during their training. These rotations are designed
to provide residents with opportunities to develop practice patterns
which they will carry beyond residency. Using the model of a
freestanding ambulatory surgical center affords us the opportunity to
expose residents to the issues and opportunities typical of a community
based anesthesia practice. Issues relating to "production pressures,"
practice management, and economics encountered in the practice of
anesthesia are confronted. The rotations are structured to permit the
resident to deal with and understand these issues rather than to isolate him or her
from them.
During ambulatory rotations, residents will care for patients in Orthopedics, Otolaryngology, Gynecology, Urology, General Surgery, Plastic Surgery, and Ophthalmology. Particular emphasis is given to the care of pediatric patients and to the use of regional anesthesia for surgery and for postoperative pain management. Approximately half of the pediatric surgical patients cared for in the Medical Center are treated at the Outpatient Surgery Center.
UVa Outpatient Surgery Center
Rotations in ambulatory anesthesia are based in the UVa Outpatient Surgery Center, a modern, freestanding facility located two blocks from University Hospital. This multispecialty ambulatory surgical facility is available for use by any surgical specialty and operates under the shared medical direction of Dr. George Politis, Associate Professor of Anesthesiology and Pediatrics, and Dr. Ashley Shilling, Assistant Professor of Anesthesiology.
The Outpatient Surgery
Center has six operating rooms and a two-phase post anesthesia care
unit. As a unit of the UVa Medical Center, the Center cares for a broad
range of patients. Approximately half of these patients represent
general medical-surgical practice from the local area and half are
referred from outside our immediate area. The referral area covers a
large geographic area including central and western Virginia and West
Virginia.

