Program Description

The Anesthesia Remediation & Reentry Program’s (ARRP) aim is to put non-practicing or non-boarded anesthesiologists back to work by closing gaps in their knowledge and skills through development and execution of individualized remediation plans carefully developed and undertaken at selected ARRP-affiliated hospitals.

Employing unique, innovative methods, the four-phased program aims to reintegrate anesthesiologists who fall into one of four cohorts:

Cohort 1: Been working in a narrow-scope setting (e.g., GI center)
Cohort 2: Taken time off from medicine and anesthesia altogether
Cohort 3: More complicated or mandated supervisory needs
Cohort 4: Board certification challenges

Remediation Plan – Four Phases

Enrollees go through 4 phases of supervision: observation, assistance, close direction, and general supervision.

Phase 1 period involves observing qualified anesthesiologists deliver anesthesia, asking questions and reacclimating to the operating room.

In Phase 2 enrollees help qualified anesthesiologists care for their patients.

Throughout the Phase 3 and Phase 4, the enrollees are caring for their own patients with progressively more autonomy.

Modeled after ACGME programs, ARRP has strong educational and governance components. It provides vast, supervised hands-on experiences on a wide array of hospital anesthesia cases.

Upon completion, enrollees will acquire renewed general, regional, and monitored anesthesia capabilities. Remediation is mapped to participant-specific gaps in knowledge/skills, compliance/documentation, or other relevant areas. The plan is paced to be completed in about a year.


Each anesthesiologist’s curriculum will be tailored to the individual’s experience, knowledge, and skills and in line with the enrollee’s professional goals. The program’s structure, extensive screening process and calibrated supervision ensure highly competent clinicians and a culture of safety and quality.

Launch Timeline

While launch schedules vary from hospital to hospital, facilities can expect the program to be up and running anywhere from three (3) to six (6) months.

Mutual Benefits

Program enrollees not only replace expensive temporary anesthesia providers, but they frequently continue working at your facility after graduation. The results—lower staffing costs, more working providers, and a reliable clinical talent pipeline.


Affiliate hospitals subsidize the program through start up and maintenance fees they pay ARRP. Often these are more than offset by avoidance of recruitment and locums costs. Participants pay a fee, after they leave the program.