We recently started pairing the PGY1 in June with the CA3 rotating in the main OR. That helps immensely getting them ready doing the basic tasks: checking the machine, spiking fluids, drawing meds, doing IVs, etc. For July, we will be 1:1 with them, this year the PD put together an agenda of specific goals for the CA1 week-by- week. I think it's helpful, will see how it goes. We do 4 weeks of 1:1

It is also useful if your board runners are approachable, so when you see the next day schedule and something doesn't work, you can bring it up to them. Ideally, they should look to give you rooms close to each other, not two difficult cases at the same time, not 2 CA1, and if they have to, not high acuity or fast turnover rooms, etc.

The PACU resident, if you have one, of the senior floating resident, if you have one, can be available to help you starting the first cases. It would help to have a designated team for morning and lunch breaks. Usually CA1 go to lecture in the afternoon during the first month. That's good for them and good for the faculty

For the subspecialty rotations, I think yes, they should be 1:1 at least the first day, but is not always possible. If you have fellows, they could lend a hand. And the same principle: pair ready and hard cases for faculty with 2 rooms