ROTATION: Pediatric Anesthesia (P) 
TYPE: Elective
DURATION: 1 month to 3 months
FACULTY:  Craig Weldon, MD
PREREQUISITES: CA-3 level in good standing

CA-3 LEVEL GOALS AND COMPETENCIES

In addition to those outlined for the basic rotation in Pediatric Anesthesia, the resident will develop the following competencies:  

PATIENT CARE SKILLS:

• Independently perform a preoperative evaluation, anesthetize, and care for postoperatively ASA I pediatric patients for surgical procedures such a herniorrhaphy or tonsillectomy.  
• Develop technical skills and judgment which lead to independent conduct of complex pediatric cases.  
• Consistently successfully insert invasive monitors such as central venous cannulas (internal jugular approach) and arterial lines.  
• Administer neuroaxial blocks for regional anesthesia and/or postoperative pain. 
• Demonstrate competence in use of the fiberoptic bronchoscope in the pediatric difficult airway.
• Be able to instruct (under the direct supervision of a pediatric anesthesia attending) a junior resident in the basics of an ASA I pediatric 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.  

MEDICAL KNOWLEDGE:   (See also General Competencies)

• In the areas outlined above, develop a body of knowledge built on but beyond that learned in the CA1 and CA2 rotations.  
• Gain a greater understanding on the pathophysiology of the surgical and medical diseases of children and how they impact on anesthetic management (e.g. complex neonatal surgical diseases, including congenital heart disease, other congenital abnormalities, especially those involving the airway)
   

 

RETURN TO INDEX FOR GOALS AND OBJECTIVES
Revised 2/2003