During the CA-3 year, you will return to the general OR as a senior resident to provide anesthesia and intensive care with increasing autonomy. Specialty rotations include adult cardiac (at Kaiser San Francisco), TEE, thoracic and vascular surgery, regional anesthesia, ZSFG night team leader, and critical care. Whenever possible, senior residents care for patients undergoing the most complex procedures, such as liver transplant and heart and lung transplants. CA-3s have three months of “Selectives” with an array of options including pediatric cardiac, regional anesthesia at the Orthopaedic Institute, and additional training in OB, pediatrics, neurosurgery, etc. As residents have become increasingly involved with the UCSF Pathways Program, some now participate in several months of intensive study in Health Professions Education, Global Health, the interactions between Health and Society, etc. Residents participating in Innovative Residency Tracks (as Critical Care or Research Scholars) may extend their training into a “CA-4 year” as they acquire specialized additional skillsets. Residents with strong research interests can consolidate their clinical training into 2.5 years to participate in 6 months of research during their final year under the guidance of a faculty research mentor.