Anesthesiologist onboarding at a glance

Week one covers orientation, safety and shadowing. Days 1–30 build vocabulary and supervised practice on core procedures; days 31–60 move to independent work with competency sign-offs; days 61–90 focus on full productivity, cross-training and a credential plan.

Before day one

Confirm start date, schedule, pay and supervisor in writing
Verify required credentials: Board certification (ABA), State medical license (as applicable)
Prepare equipment and access: anesthesia machines; patient monitors; video laryngoscopes; ultrasound
Assign a buddy or preceptor
Enroll the new hire in Anesthesiologist training so foundations are covered before or during week one

Week one: orient and protect

Workplace tour, emergency procedures and incident reporting
Complete machine and drug checks
Use time-outs before procedures
Prevent medication errors with labeling
Follow infection control
Shadow an experienced anesthesiologist through a full shift
Training modules 1–3: role foundations, a day on the job and essential vocabulary (15 terms)

Days 1–30: learn

Goal: perform core tasks safely under supervision.

Supervised practice: conduct a preoperative evaluation
Supervised practice: run an operating room crisis
Supervised practice: place an ultrasound-guided nerve block
Training modules 4–7: duties, step-by-step tasks, tools and safety
30-day check-in: confidence, questions and early wins

Days 31–60: contribute

Goal: handle a regular workload independently.

Evaluate patients before anesthesia: independently
Plan and give anesthesia: independently
Manage airways and breathing: independently
Monitor vital signs during surgery: independently
Competency sign-offs completed (see checklist below)
Training final knowledge check and certificate of completion
60-day check-in

Days 61–90: own

Goal: full productivity and a growth plan.

Meet productivity and quality targets for the role
Begin cross-training on a secondary task
Agree on a credential goal (for example, Board certification (ABA))
Discuss the career path: Resident → Attending Anesthesiologist → Fellowship-Trained Specialist
90-day review

Competency checklist

Skill or task	Trained	Observed	Signed off
Conduct a Preoperative Evaluation
Run an Operating Room Crisis
Place an Ultrasound-Guided Nerve Block
Anesthesia pharmacology
Airway management
Critical care
Regional anesthesia

How to measure onboarding success

Days until the new hire works without a preceptor
Competency sign-offs completed on time
Documentation or charting error rate
90-day retention

How Anesthesiologist training maps to this plan

Introduction to the Anesthesiologist Role
A Day on the Job
Essential Anesthesiologist Vocabulary
Core Duties and Responsibilities
Common Tasks, Step by Step
Tools, Equipment and Technology
Safety, Compliance and Professional Standards
Skills Employers Look For
Launching Your Anesthesiologist Career
Final Knowledge Check

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Anesthesiologist Onboarding Plan (30-60-90 Days)