Anesthesiology PGY 1

Goals

The Department of Anesthesiology will provide a learning environment for the management and care of a patients undergoing general anesthesia. Clinically, residents will address anesthesia administration pre-operatively, develop clinical judgment on managing this issue, and learn skills to address the use of anesthesia. Careful post-operative care and follow up will be emphasized.

Objectives

Medical Knowledge:

Basic knowledge of pharmacology, physiology and clinical use of local anesthetics including the different esters and amides.
Basic knowledge of upper and lower airway anatomy: in operating room suite verbal discourse
Basic knowledge of induction agents
Basic knowledge of muscle relaxants
Basic knowledge of opioids (duration, dose
Basic knowledge of ventilator management
Basic knowledge of fluid management

Patient Care:

Obtain the ability to professionally perform a pre-operative evaluation and consent for anesthesia
Obtain the ability to classify the airway
Obtain the ability to mask ventilate a patient after induction
Obtain the ability to perform and gain competency in non-complex endotracheal intubation
Obtain the ability to perform an intravenous catheterization
Obtain the ability to perform invasive monitoring, using sterile technique (Central venous access, arterial catheterization)

Practice Based Learning and Improvement:

Demonstrate ability to analyze performance of the day's procedures / anesthetics given and suggest areas for improvement.
Improve their skill and efficiency in the anesthetic management over the course of the rotation.
Demonstrate facility in using electronic databases, literature retrieval services, and computer-based diagnostic reasoning programs to facilitate decision-making in the surgical setting
Develop an attitude of responsibility for the patients on the recovery room, and in so doing develop the skill of self-assessment with the goal of continuous improvement in practice management style.
Understand the importance of significantly reading and discussing medical literature pertinent to patients on the service.
Complete the Personal Learning Project as outlined in the PBLI curriculum

Interpersonal Skill and Communication:

Communicate an organized, accurate, and detailed evaluation to the faculty anesthesiologist and the recovery room nurse.
Develop the ability to communicate with attending anesthesiologists, surgeons, and nursing staff the critical information needed to provide safe perioperative care.
Be able to communicate with patients and families effectively, such that their natural apprehension surrounding anesthesia and surgery is allayed.
Discuss patient's fears regarding general anesthesia

Professionalism:

Treat all patients and families with respect and compassion, and interact appropriately with all staff.
Display respect, compassion, and integrity in dealing with patients and all member of the healthcare team, and display sensitivity to age, gender, culture, and disability
Identify and assist with the psychological stress of patients with chronic pain disease such as RSD it affects their personal life, their family life, and their socioeconomic environment.
Complete the Professional in Surgery curriculum for the current month

System Based Practice:

Contribute to smooth functioning of the operating room and recovery room.
Be able to work effectively within the structure of the operating room and its environs while respecting the roles and contributions of all who work there.
Demonstrate understanding of medical delivery systems as they relate to both inpatient and outpatient resources.
Work well with multidisciplinary teams, coordinating care and effectively working with anesthesiologists, nurse anesthetists and other providers in a team setting.
Complete the SBP curriculum as scheduled.

Schedule Coordinator: Dr. Lazar

Prior to beginning the rotation, residents must complete the on-line moderate sedition learning module located on the RCRMC hospital website under educational services: http://rcrmc.org/home

Didactics:

Monday: Anesthesia conference 6:40 am
Tuesday: Anesthesia conference 6:40 am
Wednesday: General Surgery:
ACS Weekly 6:30 – 7:30 am
Basic Science 7:30 - 8:30 am
Thursday: General Surgery Skills Lab 7:00 – 9:00 am
Friday: Anesthesia conference 6:30 am