Chief Residents' Letter

Dear Applicant: 

Welcome to the Riverside University Health System (RUHS) Department of Anesthesiology. We appreciate your interest in our residency program and we are excited to share with you the highlights of our program. Anesthesia is a difficult, but exciting field and you will be forever learning something new. Wherever you choose to pursue your anesthesiology training it should be with a program that challenges you and gives you the tools to have a great career in anesthesiology. I hope by the end of this letter you will consider RUHS to be that program. 

Our program is relatively small with 20 residents (5 per class). We have 11 operating rooms with 1 available for trauma and 1 available as a negative pressure room. Our attending department is also relatively small with a mix of full-time core and part-time attendings. Though our numbers may be small, our experience is nothing short of exciting. Pair a difficult, but exciting case with a good level of autonomy you will learn at an accelerated pace. Not only does this structure provide diverse and invaluable clinical experience, but also personalized educational training. 

We are a categorical program. The intern year is solely at our home institution and is mostly focused on medical rotations. Interns rotate on anesthesia several times throughout the year and are not only learning basic and clinical anesthesia, but also ultrasound and perioperative care. These rotations also give the interns an opportunity to be a part of the program, which otherwise would not be available at advanced programs. The CA-1 (Clinical Anesthesia-1) year is also solely at our home institution. During the year, there are specific rotations in neuroanesthesia, trauma, and obstetrics (OB). The transition from intern to CA-1 year is difficult anywhere, but due to the early anesthesia exposure we receive as interns the learning curve becomes less steep. Our program is affiliated with Cedars-Sinai and Children's Hospital of Los Angeles (CHLA). As a CA-2, we spend the majority of our year at these outside hospitals for cardiothoracic anesthesia and cardiac surgical intensive care at Cedars-Sinai and pediatric anesthesia at CHLA.  

During our senior (CA-3) year, we are mostly at our home institution except for our pain rotation at Cedars-Sinai. This year there are six chief residents each with a specific responsibility. On a day-to-day basis, we have a senior managing the operating room schedule and the residents who are staffing the day. That senior is also responsible for all the regional and pain procedures. A senior is also typically assigned to cover the OB department and difficult cases. Our program is structured so that we get constant exposure to both regional and OB anesthesia throughout the year. The majority of our OB patients are high-risk. Senior residents also participate regularly in didactics and intraoperative teaching as a junior attending.  

This well-rounded approach to training has helped our residents secure fellowship positions at top programs across the nation in the fields of critical care, cardiac anesthesia, pediatric anesthesia, regional anesthesia, and pain medicine. For those looking for private practice opportunities, our graduates are represented in competitive markets across the nation, with more than half of our alumni practicing in southern California.  

Outside of the hospital, we're centrally located between larger cities such as Los Angeles and San Diego, and we're less than an hour away from either the beach or the mountains. Whether it's surfing, skiing, or exploring the newest restaurants, whatever adventures you're looking to experience, they're just a short drive away. 

Regardless of where you go, residency is challenging, but a great cohort and a great working environment with great prospects make it that much easier. Thank you for taking the time to learn more about our program and we look forward to meeting you. 


Dr. Roxanne Favis – Chief of Education
Dr. Jonathon Gaston – Chief of Simulation & Perioperative Care
Dr. Steven Loo – Chief of Research
Dr. Ryan Stradleigh – Chief of Quality Improvement
Dr. Pauline Wong – Chief of Wellness
Dr. Adam Yuan – Chief of Scheduling

Chief Residents, 2020-21
Department of Anesthesiology
Riverside University Health System