Special Rotations

Airway Management

Airway Management ImageAs one of the first departments in the country with a dedicated airway management rotation, our residents report graduating with confidence to face difficult airway management situations.  During the month, residents have the opportunity to train on the Air Man patient simulator.  This allows the scenarios of the difficult airway algorithm to be explored in a relaxed educational setting.  Typically residents obtain more than sixty fiberoptic intubations during this rotation. We also provide training in use of Bullard laryngoscopes, light wand and other rigid intubating devices.  Experience with airway exchange catheters, intubating stylets and fiberotpic intuabtion through laryngeal mask airways is provided.  

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Blood Bank

blood BankThe clinical base year rotation in transfusion medicine and evidence based medicine is designed to provide a detailed and thorough introduction to the practice of transfusion medicine and the ability to be able to expertly critique current medical literature with an emphasis on statistical analysis.

PACU

The overarching goal of this rotation is to provide the clinical experience for the care of patients recovering from general, regional and monitored anesthesia for all types of surgeries and procedures requiring anesthesia. There are two PACUs – major and annex. There are approximately 40 to 60 admissions to both PACUs together in a typical day, with many in the afternoon and early evening.

Most patients receiving an anesthetic recover in the PACU except for post-op cardiac, NICU and some critically ill patients, whom are transferred directly to their respective intensive care units. It is not unusual to have intubated or other medically complex patients in the PACU. From time to time the PACU will board SICU patients and may require the PACU resident’s assistance in their complex management. Always consult with the primary surgical team in this situation.

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PREOP

During the CA-1/CA-2 years the resident working in the Preoperative Anesthesia Evaluation Clinic will develop the skills necessary to obtain a focused history and physical examination and begin to understand the impact of comorbid conditions on planned surgical procedures. They will learn how different disease states are evaluated and optimized to minimize operative risk. They will learn how to manage medications in the perioperative period. They will learn to order and interpret tests. They will learn how to develop and communicate anesthetic and postoperative analgesic plans to patients.

During the CA-3 year any resident working in the Preoperative Anesthesia Evaluation Clinic will refine the skills necessary to obtain a focused history and physical examination and advance their understanding of the impact of comorbid conditions on planned surgical procedures.

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Research

The goal of the research track is to train an independent anesthesiologist who is capable of conducting clinical or basic research.

Rationale:  Anesthesiologists who can conduct clinical research are needed to develop new methods of anesthetic care, test new drug protocols, determine safety, efficacy, and quality of care.  These are anesthesiologists who bring innovation as well as publish papers expanding our understanding of anesthesiology.

Objectives:
 CA-3 residents in this track will spend up to six months in a clinical or basic research laboratory.  Under the guidance of a trained investigator.
Residents who have completed the Research Track will be expected to be able to independently design, gain approval for and conduct a research project if it is uncomplicated and not dependent on complicated technology.

Resident As Supervisor

This month-long elective rotation will provide CA3 residents with an exposure to and understanding of supervisory responsibilities in an operating room setting. During this rotation the resident will be responsible for the oversight and supervision of residents and CRNAs in the operating room environment. The supervising resident will assume progressively increasing supervisory responsibilities, including numbers of residents/CRNAs supervised and complexity of cases supervised. Residents will gain knowledge in Operating Room Management.

The rotation will adhere to ASA and ABA practice guidelines. It will follow all the requirements of the Accreditation Council for Graduate Medical Education (ACGME) including those regarding educational competencies.

 

Safari Goals & Objectives

Endoscopy ProcedureAnesthesiology residents at the CA-2 (PGY3) level are assigned to a one-month rotation that focuses on the provision of anesthesia at hospital locations outside of the operating room, eg. MRI, endoscopy, angiography. Upon completion of the Remote Site Anesthesia rotation, the anesthesiology resident will be able to:

  • Evaluate patients for remote site anesthesia procedures and determine if they are appropriate candidates to undergo anesthesia at that location.
  • Evaluate remote site locations to determine if they possess the resources and equipment necessary to provide safe anesthesia care.
  • Provide anesthesia care to adult and pediatric patients at a variety of remote site locations.