University at Buffalo - The State University of New York
Skip to Content

Anesthesiology Residency Program

Mark Lema, MD, PhD

“Our anesthesiology residency provides you with a broad range of didactic and clinical training experiences, giving you the skills and knowledge you need to thrive in any career path you follow,” says Mark J. Lema, MD, PhD, program director and chair.

We are committed to excellence in resident education, clinical care and research. The extensive training offered by this program prepares each resident to successfully pursue future goals, whether they be in teaching, clinical care or research.

Training in anesthesiology at UB is designed to provide resident physicians with a broad range of experiences that will enable them to function as competent consultants in a private or academic setting. Focused in this fashion, the department combines broad clinical experience with a comprehensive didactic schedule.

Physicians accepted into the residency program will become an integral component of a department that aspires to achieve excellence in teaching, clinical care and research. Unique and diverse training opportunities abound.

Educational Mission

The educational program is committed to stimulating and developing the intellectual and technical capabilities of every resident.

Didactic Teaching

During lectures, basic science material is presented and then applied in selected case management discussions. Faculty members believe that problem solving is central to the practice of anesthesiology.

Throughout each of the three years of training, there are required weekly didactic lectures based primarily on the American Board of Anesthesiology (ABA) content outline. Residents convene at UB’s Farber Hall for the lectures. In addition, each hospital's Department of Anesthesiology sponsors various weekly educational conferences designed to augment the resident’s knowledge.

Faculty members, community practitioners and anesthesiology residents gather for the Visiting Professor lecture series, which hosts six nationally recognized professors per year.

In addition, University Professor Rounds, Core Master Sessions, Journal Club,and Mortality/Morbidity Conferences are held monthly. The Can-Am Anesthesia Conference is held every May at historic Niagara Falls, Canada, and is sponsored by the University at Buffalo, Western Ontario University and McMaster University.

Simulation in Anesthesia

The anesthesia simulator and mock OR at UB has been designed to teach all levels of anesthesiology residents how to manage rare but critical events that transpire during the preoperative, perioperative and postoperative period. Rare critical event scenarios are presented in a simulated environment to give residents the unique opportunity to respond to crisis situations and develop the appropriate skills to manage them.

Human errors are a leading cause of adverse anesthesia events that lead to poor patient outcomes and may play an important role in surgical errors as well. Fortunately, critical, life-threatening events do not present themselves often in anesthesia.

This, however, leads to the problem that even the most experienced anesthesiologists have often not managed these rare critical events during their careers. Simulation can fill a gap in educational training, allowing residents to practice and perfect their crisis management skills.

Crisis management training utilizing computer-driven simulators has been employed for many years in aviation, the nuclear power industry and various other industries. Anesthesiology has often emulated the airline industry in its development of safety regulations and is now developing anesthesia simulators for crisis management and other basic skills.

These simulators are finding their way into various anesthesia residencies across the country, and UB is proud to have added one to our arsenal of training modalities.

Clinical Training

Having completed one clinical base year — to include Ward Medicine, Cardiology, MICU, Emergency Medicine, Pain Medicine and Anesthesiology (Pre-op/PACU) — the successful UB applicant embarks upon the first months of the CA-1 anesthesiology year. It is spent in a one-on-one tutorial relationship with a faculty member, learning the essentials of safe anesthesia.

This tutorial training is complemented by an intensive didactic lecture series that covers the basics of anesthesia over a two-month curriculum.

For the balance of the first six months, the resident progresses through increasing levels of challenge in patient care, gaining expertise in the fundamentals of preoperative medical evaluation, intraoperative management and post-anesthetic care.

Our CA-1 residents are provided with a stipend of $325 to help defray the costs of purchasing educational materials and are reimbursed up to $775 for the Staged Exam (basic).

Over the next 24 months, the resident is exposed to more complex cases as well as specialty areas of anesthesiology.

During this period, the resident completes rotations outside of the operating room, providing an opportunity to function as a consultant for pain medicine, critical care and perioperative care.

As an adjunct to the resident’s education, each physician is given one week per year to attend a regional or national conference in anesthesiology. Conference expenses, electronic device licenses and other educational materials are reimbursed in the CA-2 and CA-3 years, up to $1,000 and $2,000 respectively. CA-3 residents are also reimbursed up to $775 for the cost of the Staged Exam (advanced).

Residents are encouraged to become active members of the medical community in general and the anesthesia community specifically. The department pays each resident’s professional dues to the AMA, MSSNY, MSCE, ASA and NYSSA as a demonstration of the importance of joining and participating early in issues that will affect one’s clinical practice.

Schedules

PGY-1

In the first year of residency, there is predominantly a night float system during all obstetrics rotations. During the holiday season, we switch to a call system so residents can have time off. While doing special or outside rotations, a call system is also employed.

PGY-2 through PGY-4

We use a call system with seven overnight calls in four weeks. On average, most residents get two full weekends off a month.

Work Hours

The program follows the NYS 405 Work Hours Regulations and the ACGME Work Hours Rules.

Residency Program Director

Lema, Mark

Mark Lema, MD, PhD

Professor and Chair

University at Buffalo, 252 Farber Hall Buffalo, NY 14214-8001

Phone: (716) 829-6107; Fax: (716) 829-3640

Email: mlema@buffalo.edu

Training Program Administrator

Christopher Maloney

Training Program Administrator

Department of Anesthesiology

77 Goodell St., Buffalo, NY 14203

Phone: (716) 829-6104; Fax: (716) 829-3640

Email: cmaloney@buffalo.edu