GENERAL GOALS:
In addition to all goals and
objectives stated for General VA OR Rotation, the following also apply:
This rotation is intended as a transition to practice rotation. While
faculty will always be immediately available for consultation and assistance,
residents are expected to function at an independent consultant level for all
types of anesthesia cases (which may be any type at the discretion of the
rotation director) assigned to them by the rotation director.
Preoperative evaluations and planning will be either done or assessed by the
resident independently. Residents will still present cases to
attendings, but it is expected that the attending physician should not have to
ask for more preoperative information or have significant input into the
anesthetic planning. Residents are expected to function at an
independent consultant level in all aspects of anesthesia practice -
preoperative evaluation, intraoperative management, and postoperative care.
While faculty are immediately available for consultation and assistance, it is
expected that in most cases, faculty will have only an observational role.
PATIENT CARE SKILLS:
The CA-3 resident on this rotation will develop:
- Consultative
independent level performance of preoperative evaluation and development of
anesthetic plan
- Consultative independent level performance of
intraoperative management - including choice and
management of technique,
performance of all necessary anesthesia related procedures, placement
and monitoring of invasive
monitors, communication and interaction with the surgical and nursing
teams
- Consultative independent level management of postoperative
care - shows appropriate judgment
for extubation and appropriate
recovery care (including level of care - i.e. PACU or ICU), pain
management, management of
anesthetic, surgical, and medical postoperative complications
MEDICAL KNOWLEDGE
- See basic General OR Rotation
- Anesthesia related knowledge to support
independent consultant level practice
Interpersonal and Communication Skills,
Professionalism, Practice-Based Learning, Systems-Based Practice:
Evaluation to Determine Goal
Achievement
- You are
evaluated every week by all attendings who worked with you using our online
evaluation
system. The
attending physicians complete a Departmental Resident Evaluation Form,
which are
reviewed quarterly by the Clinical Competence Committee and
continuously by the program director. Your advisor informs
you of any problems identified, and serious problems will be discussed
with you immediately after they occur.
- You
will complete a Departmental Online Rotation Evaluation Form.
- The Program Director will evaluate the results of the In-Training
Examination for the American Board of Anesthesiologists (ABA) in general
and for areas of departmental weakness. Consistent
weaknesses may result
in adjustment of the above goals.
Teaching Resources to Accomplish the
Objectives
- Approximately 4000 patients per year,
primarily patients >45 years of age from the following surgical
services:
- General surgery
- Neurologic surgery
- Ophthalmologic Surgery
- Orthopedic Surgery
- Otolaryngology
- Plastic surgery
- Urologic surgery
- Vascular surgery
- Cardiothoracic surgery
- Textbooks:
- Miller RD, ed. Anesthesia,
5th ed.
- Kirby RR, Gravenstein N, eds. Clinical
Anesthesia Practice, 2nd ed.
- Barash PG, ed. Clinical
Anesthesia, 4th ed.
- Faculty
- Otto Albuschat, MD
- Charles Gibbs, MD
- Robert R. Kirby, MD (Chief)
- Emilio Lobato, MD
- Segudina Saga-Rumley, MD (Pain
Management)
- Raymond
Schultetus, MD
- Cheri A. Sulek, MD
- Felipe Urdaneta, MD
- Dr. Kirby is the faculty member responsible
for the rotation.
RETURN
TO INDEX FOR GOALS AND OBJECTIVES
Revised 7/2005
|