The PGY-4 (CA-3) year consists of the following rotations:

Surgical Neuroscience Intensive Care Unit: 2 blocks Regional Anesthesia/Pain Medicine: 1 block
Advanced Clinical Anesthesia: 1 block Nights (Trauma): 1/2 block x 2
Day Call Team Leader (3911): 1/2 block x 2 OR Anesthesia Subspecialty: 1 block
Transition to Independent Practice: 1 block  

Electives can consist of any combination of the following:

Senior Obstetrical Anesthesia Des Moines Cardiac Center
Any Anesthesia Subspecialty Echocardiography
Research Ambulatory Surgery Center

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