ROTATION: Regional Anesthesia (REG)
TYPE: Elective
DURATION:One month
FACULTY:  David Mackey, MD  
PREREQUISITES: CA-3 level in good standing

CA-3 Rotation Information

CA-3 residents completing the Regional Anesthesia Rotation, in addition to the competencies described for the core rotation, must also demonstrate:

PATIENT CARE SKILLS:

• Independently select patients for regional anesthesia, recognizing patients that will do better either with general anesthesia or with a combined regional / general technique
• Independent rational selection of regional anesthesia technique and choice of local anesthetic for particular patient encounters. 
• Properly and efficiently and independently perform blocks for operations on the extremities
  • Upper: axillary, interscalene, and infraclavicular brachial plexus blocks; less commonly, median nerve and ulnar nerve blocks
  • Lower: psoas compartment, femoral, obturator, lateral femoral cutaneous, popliteal, sciatic and ankle blocks 
  • Intravenous regional anesthesia
• Properly and efficiently and independently perform continuous neuraxial blockade including
  • Lumbar, thoracic, and cervical (rarely) epidural anesthesia
  • Continuous or single-shot subarachnoid block
• Ability to independently assess adequacy of regional anesthesia before the start of surgery, and demonstrate appropriate plans for supplementation of inadequate blocks. 
• Independently provide effective anxiolysis and sedation of patients by both pharmacologic and interpersonal techniques. 
• Independently select appropriate monitors for specific patient encounters, and document performance of regional anesthetic adequately. 

MEDICAL KNOWLEDGE: (See also General Competencies)

• Depth of knowledge of topics listed above in the core rotation should support independent practice and be able to assist the resident to defend his / her choices in management techniques and choice of medications

PROFESSIONALISM, INTERPERSONAL AND COMMUNICATION SKILLS, PRACTICE-BASED LEARNING and SYSTEMS-BASED PRACTICE:  See core rotation descriptions and General Competencies

Dr. Mackey is the faculty member responsible for this rotation.