Johns Hopkins Medicine - ACCM: Clinical Base Year Information
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Clinical Base Year Information

The Department offers approximately 25 positions for clinical anesthesia training each year. Although we do not have an integrated internship, we do offer up to 8 categorical positions in conjunction with Mercy Medical Center/University of Maryland (program 1242040C0) and Johns Hopkins University/Sinai Hospital (program 1242040C1), both preliminary year programs in internal medicine. Candidates who match to one of these programs will spend their first year at Mercy or Sinai in internal medicine and their subsequent 3 years at the Johns Hopkins Hospital Department of Anesthesiology. We also offer advanced positions (program 124040A0) in the match for candidates wishing to pursue internships at programs separate from the Johns Hopkins system. Candidates matching through the advanced positions will matriculate at Johns Hopkins following the clinical base year (internship) of their choosing.

The ACGME determines the requirements for clinical base year for anesthesiology residents. The full ACGME requirements can be found here on page 2 of the document. In short, the requirements are as follows:

  1. 12 months total training.
  2. At least six months of caring for inpatients in internal medicine, pediatrics, surgery, surgical sub-specialties, obstetrics and gynecology, neurology, family medicine, or any combination of these.
  3. At least one, but not more than two, months each of critical care and emergency medicine.
  4. No more than one month may be taken in anesthesiology.

The purpose of the CBY is to give the resident a sound foundation in medicine upon which he or she will build his or her anesthesiology skills. The ACGME requires that the CBY program submit quarterly evaluations and a summative evaluation at the end of the CBY to the anesthesia program before starting anesthesiology training. It is the responsibility of the resident to ensure that this information is transmitted to Hopkins.

In addition, though it is not required, we strongly recommend that USMLE Step 3 be completed prior to starting anesthesiology training.

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