UC Irvine : School of Medicine : Health Affairs

Dual Degree Programs

Residents have the opportunity to work toward both their training and certification in anesthesiology and a masters degree through work during residency and the addition of a PGY-5 fellowship year.

A resident on one of these tracks completes CA-1 and CA-2 clinical requirements. In the CA-3 year, residents in the MPH or MS track complete 6 months of advanced clinical anesthesia. Provided they have met all ACGME case requirements and have had a satisfactory clinical performance, residents then enter a six month research elective under the mentorship of a faculty in the appropriate school for which a degree is anticipated. For the MBA track, residents are required to complete a nine month research/coursework elective in the CA-3 year. Rotation schedules are be adjusted to ensure completion of ACGME case requirements and program clinical requirements prior to beginning the 9 month elective.

Upon completion of the CA-3 year, residents in these tracks remain as Clinical Instructors in the Department of Anesthesiology and Perioperative Care. As Track Fellows, they receive 80% dedicated time for coursework and continued research in their respective schools, with 20% of their time clinical. This allows for completion of the masters degree by the end of the year.

Masters in Public Health Track

Residents interested in receiving a Masters in Public Health (MPH) while completing their residency will be able to do so through the University of California, Irvine MPH Degree program. This program, led by Dr. Ogunseitan, Professor of Public Health and Social Ecology, has as its distinctive mission the creation of a motivated cadre of public health professionals prepared to implement effective strategies for reducing the burden of disease and disability in culturally-diverse communities. The program is designed for future practicioners who are primed to lead and work collaboratively on accurate assessments of health risk factors and management of evidence-based prevention strategies. The MPH degree is based in and administered by the Program in Public Health in the College of Health Sciences.

The MPH degree emphasizes problem-based learning in public health by applying interdisciplinary approaches and methods in local, state or national public health agencies and health care organizations, where public health practitioners are expected to make a difference. As recommended by the Associations of Schools of Public Health, the MPH curriculum covers breadth and depth in five core areas: biostatistics, environmental health, epidemiology, health policy and administration, and social and behavioral health. The MPH currently requires that students specialize in one of three concentrations, namely Epidemiology and Biostatistics, Environmental and Occupational Health, or Cultural Diversity and Health.

A total of fourteen courses are required to complete the MPH degree. Of these, 8 courses must be completed by all students. In addition, 3 courses are required for each emphasis area, and the remaining 3 courses are electives. The common requirements are: an introductory overview course (Foundations of Public Health); one course in each of the five competency areas: biostatistics, epidemiology, environmental health sciences, health policy and management, and social and behavioral health; one graduate seminar course; and a practicum course.

The Anesthesiology & Perioperative Care - MPH degree is designed to be completed in two academic years at normal pace, and will be undertaken in conjunction with residency training. The resident would begin work toward an MPH degree in the last 6 months of the CA-3 year. The resident would, under mentorship of faculty participating in the School of Public Health, develop and carry out an epidemiologic research study. The project requires approval from the Department of Anesthesiology & Perioperative Care’s Research Oversight Committee. This committee would also monitor the resident’s progress. The resident will participate in appropriate coursework necessary for satisfactory performance of the project during this time.

Upon successful completion of the residency, the participant would then continue for one year as a Clinical Instructor/Advanced Degree Fellow in the Department of Anesthesiology & Perioperative Care. It is anticipated that the fellow would be 80% academic to complete MPH requirements and 20% clinical.

Sample Schedule for Resident on Masters of Clinical Science or Masters of Public Health Track:

	CA-1	CA-2	CA-3
Jul	OR	TV	Pain
Aug	OR	Cardiac	Cardiac
Sep	Preop	Cardiac	SICU
Oct	PACU	Pain	Neuro
Nov	OB	OB	OR
Dec	OR Ambulatory	SICU	OB
Jan	VA-Geriatrics	PICU	Res*
Feb	SICU	Peds	Res
Mar	Pain	Peds	Res
Apr	Peds	Regional	Res
May	Regional	TV	Res
Jun	Neuro	Pain	Res

* Research and appropriate coursework toward MPH

Typical Track (for comparison)

Sample Schedule of Routine Clinical Track:

	CA-1	CA-2	CA-3
Jul	OR	TV	Pain
Aug	OR	Cardiac	Cardiac
Sep	Preop	Cardiac	SICU
Oct	PACU	Pain	Neuro
Nov	OB	OB	OR
Dec	OR Ambulatory	SICU	OB
Jan	VA-Geriatrics	PICU	*
Feb	SICU	Peds	*
Mar	Pain	Peds	*
Apr	Peds	Regional	*
May	Regional	TV	*
Jun	Neuro	Pain	*

Biomedical and Translational Masters in Science Degree

Residents interested in receiving a Masters in Science (MS) while completing their residency will be able to do so through UC Irvine’s Biomedical and Translational Science MS program (MS-BATS). Biomedical and Translational Science is a new complementary approach that combines the use of biological science for medical developments (biomedical) with translational science to move basic research out of the laboratory into clinical practice. The MS-BATS program is a multi-departmental program that prepares Physician Investigators for cutting edge interdisciplinary research on fundamental biological mechanisms and their translation to the cure of human diseases.

The MS-BATS program is a new (2010 is the expected start date for the inaugural class), broadly based didactic training program that prepares young researchers for independent careers as Physician Investigators. MS-BATS offers comprehensive didactic training in the fundamental skills required for conducting high-quality clinical and translational research. This flexible, 36-unit Master's degree program is comprised of a multidisciplinary series of courses and colloquia. The program emphasizes strong quantitative training as well as critical thinking skills and practical strategies for addressing the complex challenges of collaborative clinical and translational research, with the overall goal of enabling trainees to compete successfully for peer-reviewed research funding.

A MS-BATS provides advanced training in experimental study to effectively bridge the gap between clinical medicine and basic sciences, and translate scientific discoveries into practical applications that benefit society. This is done through individual laboratory research, lectures, seminars and journal clubs. In addition, through an individual advisory/mentoring system, the program provides guidance and advice about the practicalities of pursuing a career at the interface of science and medicine.

Physician investigators carry out one or more translational research project under the direct supervision and mentorship of a UC Irvine School of Medicine faculty member. This mentored, independent research project is complemented by a rigorous core curriculum in Biomedical and Translational Investigation, which provides training in the essentials of clinical and translational research, including the responsible conduct of research, biostatistics, regulatory and ethical issues, as well as standards for conducting clinical studies ("Good Clinical Practice").

A resident in the MS track would complete 30 months of clinical rotations, (CA-1 to CA-3 years). The last 6 months of the CA-3 year, the resident would develop a research project under mentorship of a faculty participating in the BATS program. Some training coursework would be included during this elective time.

Upon completion of the CA-3 year, the resident would enter an MS fellowship as a clinical instructor in the department. 80% time would be devoted to coursework and continued research toward the masters in science degree, which would be completed at the end of the fellowship year. 20% time would be clinical.

Sample Schedule for Resident in MS Degree Track:

	CA-1	CA-2	CA-3
Jul	OR	TV	Pain
Aug	OR	Cardiac	Cardiac
Sep	Preop	Cardiac	SICU
Oct	PACU	Pain	Neuro
Nov	OB	OB	OR
Dec	OR Ambulatory	SICU	OB
Jan	VA-Geriatrics	PICU	Res*
Feb	SICU	Peds	Res
Mar	Pain	Peds	Res
Apr	Peds	Regional	Res
May	Regional	TV	Res
Jun	Neuro	Pain	Res

*Research and appropriate coursework toward MS

Typical Track (for comparison)

Sample Schedule of Routine Clinical Track:

	CA-1	CA-2	CA-3
Jul	OR	TV	Pain
Aug	OR	Cardiac	Cardiac
Sep	Preop	Cardiac	SICU
Oct	PACU	Pain	Neuro
Nov	OB	OB	OR
Dec	OR Ambulatory	SICU	OB
Jan	VA-Geriatrics	PICU	*
Feb	SICU	Peds	*
Mar	Pain	Peds	*
Apr	Peds	Regional	*
May	Regional	TV	*
Jun	Neuro	Pain	*

Masters in Business Administration

The Department of Anesthesiology & Perioperative Care will offer residents the opportunity to complete a full MBA degree through UC Irvine’s Paul Merage School of Business. The Merage Health Care Executive MBA program is specifically designed for health care professionals who want to expand their business expertise. The MBA program merges the medical and healthcare industries with business education in a unique learning environment that is highly collaborative and focuses on the critical elements of strategic innovation, information technology and analytic decision-making.

Program participants gain the fundamentals of management and a thorough understanding of the economic, political, and social dynamics that have reshaped the global healthcare industry. Residents in the Merage MBA program will interact with trainees from the intersecting worlds of pharmaceuticals, medical devices, managed care, insurance, health care services, and health care policy.

Based in the Merage Center for Health Care Management and Policy, the MBA program focuses on important health care issues from financial, marketing, organizational, technological, legal, and economic perspectives. The MBA curriculum is carefully structured to expose students to a full range of business disciplines. The courses are designed to address the daily challenges of health and medical industry professionals, with distinguished speakers as an integral part of the program, and include a variety of elements: case studies, lectures and team projects.

The required core curriculum provides basic analytical tools and concepts for business decision-making, takes an in-depth look at the key functional areas of business from the general management perspective, and deepens and enhances understanding of the management of complex organizations. Classes address economics, statistics, accounting, finance, marketing, information systems, business strategy, and management and organizational behavior, as well as public policy and the nature of managed care.

The goal of MBA program for UC Irvine’s Anesthesiology & Perioperative Care residents is for you to become effective senior managers and leaders possessing

In-depth knowledge of business concepts and tools and their application to real-world scenarios
Analytical skills for evaluating information, solving problems and making decisions
The ability to use information strategically
Understanding of the economic, political and social dynamics that are changing the health care industry and health care business models
Personal effectiveness in leadership, communication, teamwork and stewardship of business ethics

Residents will complete 27 months of clinical anesthesia in the CA-1 to CA-3 year. Upon satisfactory completion of this training, the resident will enter a 9 month track elective. This will consist of a research project under mentorship of faculty within the Paul Merage School of Business and oversight from the Department of Anesthesiology and Perioperative Care’s Research Oversight Committee. During this time, resident would participate in the structured MBA curriculum. One day a week would remain advanced clinical training in the OR.

The resident would then spend a PGY-5 year as an MBA Track Fellow. The resident would be a clinical instructor within the Department of Anesthesiology with 80% time dedicated toward MBA curriculum and 20% clinical. This would culminate in acquisition of Masters in Business Administration at the end of the fellowship year.

Sample Schedule for Resident on the MBA Degree Track:

	CA-1	CA-2	CA-3
Jul	OR	TV	Cardiac
Aug	OR	Cardiac	Regional
Sep	Preop	Cardiac	OR/**
Oct	PACU	Regional	MBA***
Nov	OB	SICU*	MBA
Dec	Peds	OB	MBA
Jan	Regional	Neuro	MBA
Feb	Pain	Pain	MBA
Mar	OR	Peds	MBA
Apr	Neuro	Peds	MBA
May	VA-Geriatric	PICU	MBA
Jun	Ambulatory	Pain	MBA/**

Typical Track (for comparison)

Sample Schedule of Routine Clinical Track:

	CA-1	CA-2	CA-3
Jul	OR	TV	Pain
Aug	OR	Cardiac	Cardiac
Sep	Preop	Cardiac	SICU
Oct	PACU	Pain	Neuro
Nov	OB	OB	OR
Dec	OR Ambulatory	SICU	OB
Jan	VA-Geriatrics	PICU	*
Feb	SICU	Peds	*
Mar	Pain	Peds	*
Apr	Peds	Regional	*
May	Regional	TV	*
Jun	Neuro	Pain	*

Typical Track

Sample Schedule of Routine Clinical Track:

	CA-1	CA-2	CA-3
Jul	OR	TV	Pain
Aug	OR	Cardiac	Cardiac
Sep	Preop	Cardiac	SICU
Oct	PACU	Pain	Neuro
Nov	OB	OB	OR
Dec	OR Ambulatory	SICU	OB
Jan	VA-Geriatrics	PICU	*
Feb	SICU	Peds	*
Mar	Pain	Peds	*
Apr	Peds	Regional	*
May	Regional	TV	*
Jun	Neuro	Pain	*

* This can be combination of clinical elective (s) and or research elective

* PGY-1 year would be structured to provide credit for 1-2 mo. of critical care. 2 mo. SICU would then be OR.
**Coursework begins 9/15 and ends 6/11. Advanced OR during first 2 weeks Sept and last 2 weeks of June
* **Elective schedule: 2-4 hours course work Mon-Thurs. Fridays in OR doing supervised advanced cases.

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