CA-3 LEVEL GOALS AND
COMPETENCIES
CA-3 level rotations in OB
anesthesia may occur at Shands at UF (Dr. Froelich) or Shands at Jacksonville
(Dr. Murphy). In addition to those competencies mastered in the core
rotation, you will also:Patient Care Skills
-
Develop technical skills and judgment which lead to independent conduct of complex obstetric cases.
In addition, for residents choosing six months of time in OB anesthesia, we will provide an opportunity for the resident to learn effects
of anesthesia on the neonate through scheduled time in the neonatal intensive
care unit.
-
Be able to instruct (under the direct
supervision of a obstetric anesthesia attending) a junior resident in the
basics of an ASA I or II obstetric case. This is particularly relevant
to those aiming toward an academic career or a job that entails teaching
other care givers. The resident will never substitute for the attending.
-
Independently perform (with minimal attending
supervision) a preoperative evaluation, anesthetize, and care for
postoperatively an ASA I obstetric
patient for a surgical procedure such a exploratory laparotomy or cesarian
section.
-
Demonstrate competence in use of the fiberoptic bronchoscope in the obstetric difficult airway.
-
Manage
complex obstetrical problems, such as a pregnant patient with congenital
heart disease or the patient with severe preeclampsia, with minimal intervention
by the attending anesthesiologist.
-
Administer neuroaxial blocks for regional
anesthesia and/or postoperative pain both in normal patients and in patients
with complex problems such as heart disease or preeclampsia with minimal
direct attending physician supervision.
MEDICAL KNOWLEDGE:
(See also
General Competencies)
In addition to those outlined for the basic
rotation in Obstetric Anesthesia, the resident will:
- Develop a body of knowledge built
on but beyond that learned in the CA1 and CA2 rotations. In particular
we will emphasize the physiological basis of obstetric anesthesia.
-
Develop a knowledge base to assist in
management of
complex obstetrical problems, such as a pregnant patient with congenital
heart disease or the patient with severe preeclampsia
SYSTEMS-BASED PRACTICE
- See general competencies section
- Participate in the administrative
aspects of an obstetric anesthesia service - by giving in-service presentations
for nurses, and by consulting with obstetricians and neonatologist.
The faculty responsible for these rotations
are: Shands at UF: Dr. Froelich; Shands at Jacksonville, Dr.
Murphy.