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IMMC Anesthesiology Residency
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Didactic Program

Didactic Program

New Clinical Anesthesia residents are paired with a single staff anesthesiologist for a week at a time, for three consecutive weeks.  An orientation lecture series runs for the first two weeks and is focused on basic and practical information including the nuts and bolts of an anesthesia machine and monitoring equipment, airway assessment and management and simulator training of routine inductions.

The CA-1 lecture series beings in July and runs daily for one month.   These faculty presentations serve as both a review and a solid framework for the practical experience and techniques the new resident has amassed in their first three months of clinical work.

Lectures and Morning Conferences

Lectures and morning conferences generally take place at 6:00 AM every morning  for one hour (Monday, Wednesday, Thursday, and Friday) and on Tuesday lectures generally run from  6:30 AM to 8:00 AM.

Class

Monday

Tuesday

Wednesday

Thursday

Friday

CA-1

X

X

 

X

X

CA-2

 

X

X

X

X

CA-3

 

X

X

X

X

DIDACTIC PROGRAM

During your residency you will be responsible for attending our departmental morning lectures.  Resident academic activities are held from 6:00-6:50 AM on Monday, Wednesday, Thursday and Friday, and on Tuesday from 630-8:00.  Mock Orals are held every Monday and Thursday from 5:00 to 6:00 PM.  Grand Rounds are held on Tuesdays from 6:30 – 8:00 AM.  Below is an outline of these lectures/academic activities: 

Introductory Lecture Series

The introductory lectures, which take place during the first four weeks in July, are designed specifically for the new CA-1 residents to provide basic information pertaining to anesthesia. The introductory lecture series is repeated each summer for all residents and faculty, but focuses on the needs of new residents.

Anesthesiology Lecture Schedule

The anesthesiology lecture schedules are made up of "lecture blocks" addressing subspecialties of anesthesia such as: cardiovascular, ambulatory, neuroanesthesia, OB, pain medicine, pediatrics, intensive care, pharmacology, etc. All of these subspecialty lecture blocks are incorporated into the lecture schedules over a two-year course, and repeats itself every two years. This normal lecture schedule will resume in August beginning with the Respiratory block.

Problem Based Learning Discussion (PBLD)

Various faculty members will be assigned as moderators for PBLD. PBLD exercises are designed to help you learn to use literature and computer resources for active learning about a particular topic. Assignments will be made for the first PBLD meeting for each particular problem. You will receive a handout a few days before PBLD exercises and are responsible for reading the material and using the references provided in order to prepare for the discussion. Reference packets will be available for preview from textbooks in the anesthesia library, internet resources, and your advisor.

Short PBLD

A challenging case is selected from the surgical schedule. The patient’s associated medical problems and his/her anesthetic management is discussed and attending anesthesiologist guides the discussion.

Key Words

Usually one or more topics will be assigned to a resident for key word presentation.  The resident will prepare the key word for presentation after final touch up with his/her advisor.

Practice Questions/Answer

Once a week, residents will gather questions and answers (with assigned attending) and present these questions and answers to other residents. This is done to help prepare for the In-Training Examination/Written Examination. As the exam date gets closer, the frequency of these sessions may increase to twice per week.

Chart Review

Approximately 2 times per month, residents will be conducting chart reviews on their peers in order to ensure proper documentation and to teach/learn proper techniques for adequate record keeping of anesthetic administration.

Mock Oral

To prepare for ABA Oral Examination we conduct Mock Oral on various days from 5:00 PM to 6:00 PM, during the year and are conducted by the faculty members of each division (Cardiac Anesthesia, Vascular Anesthesia, Neuroanesthesia, Regional Anesthesia, Critical Care, Pediatric Anesthesia, Obstetric Anesthesia, PACU, Ambulatory Anesthesia). A case will be developed emphasizing teaching points and a public Oral Board style examination will be given. MOCK ORAL is intended to prepare senior residents for ORAL BOARD Examination and to increase their success. The residents will be given the opportunity to see the responses of an examiner to resident answers/answer styles, strategies, etc. Residents will see what strategies/approaches to the oral examination are effective and which ones lead to problems. Dr. Khorasani coordinates Mock Oral educational activity.  Generally each senior resident will receive 8 MOCK ORALs which are conducted in the Anesthesia Conference Room.

Case Discussion Conferences (M&M)

This is another important educational modality for the entire staff of the department.  The conference is organized and presented by the attending anesthesiologist who supervised the case being discussed with the resident who is also involved in the care of the patient.  By having the case presented and discussed by the entire anesthetic team, we have much more intimate knowledge of the case that is being presented. The Chairman of the Education Committee schedules cases on a rotating basis so that all subspecialties of anesthesia are covered on a regular basis. The cases are referred to the Chairman of the Education Committee by various methods, which include self-referral, referral from other clinical departments, referral from Hospital-Wide Quality Assurance, and more frequently, from our Departmental Oversight Committee. On occasion, these conferences are utilized to present rare and unusual cases that do not necessarily have a morbidity or mortality associated with them. One to two cases are discussed at least one session per month. Case Discussion is a forum of ideas and cases of significant clinical teaching value. These are not lectures; questions and discussions are encouraged and are necessary in order for these conferences to be effective. Case Discussions are moderated by various faculty members, and residents will frequently be asked to participate either by presenting cases or presenting a brief review of literature relevant to the presented case.

Grand Rounds Conferences

  1. Residents Grand Rounds Presentation: ACGME Program Requirements mandate an Academic Assignment for the CA-3 residents. An Academic Project may be fulfilled by a grand rounds presentation by a resident. Residents may select a topic for his/her presentation after consultation with his/her advisor. A copy of this Ground Rounds presentation will remain in the resident file. A handout is required for this Academic Assignment and the resident may use any audiovisual modality for his/her presentation. Resident Ground Rounds Conferences are held on Tuesday at 6:30 AM. On the average, there is one presentation per month.
  2. Faculty Grand Rounds Conferences/Visiting Professor/Invited Guest Speakers: These Grand Rounds presentations cover various clinical and scientific aspects of Anesthesiology and are periodically presented by faculty who are experts in specific areas of anesthesia subspecialties. Usually, four to five times a year, the Department of Anesthesiology and Pain Management invites a well-known academic lecturer for presentation to the anesthesiology staff at the Advocate Illinois Masonic Medical Center. The topic of each presentation can be found on the monthly schedules.

Journal Club Conferences

Journal Club conferences are moderated by various faculty members. A topic(s) is assigned by a division/section attending staff pertaining to his/her area of interest to a resident.  The selected topic should be a forum of ideas or cases of significant clinical teaching value. These are not lectures; questions and discussions are encouraged and are necessary in order for these conferences to be effective. Journal club conferences are moderated by various faculty members, and the residents will frequently be asked to participate either by presenting a topic or presenting a brief review of literature relevant to the presented to topic.  On the average, there is one journal club presentation per month.

Departmental Breakfast Meeting

Two meetings per year are scheduled wherein the strengths and weaknesses of the program are discussed with an open dialog between the faculty and the residents. The outcome of these meetings is used to improve the education program and patient care in the department. 

ACLS Courses

The Department of Anesthesiology is the only department in the Advocate Illinois Masonic Medical Center which has 100% compliance with ACLS certification by the end of first year of training. The ACLS courses and are held 2 to 3 times per year.

Airway Laboratory

Adjunct to the departmental anesthesiology library, a dedicated space is allocated for the Anesthesia Airway Laboratory. This laboratory is equipped with multiple manikins for the practice of airway management, both for direct laryngoscopy as well as fiberoptic-assisted intubation. Different sizes and shapes of endotracheal tubes, airways, including different sizes and shapes of LMA, laryngoscopes, oral and nasal airways, bronchial models, different sizes and models of fiberoptics, including video-assisted devices are present for the anesthesia resident to gain the required skills for airway management. A computerized airway model is also available to enhance the resident’s expertise in airway management. Residents are encouraged to use this lab as a tool to increase their expertise in airway management.

Patient Anesthesia Simulation

Initiated to provide Learning Opportunity for General Competencies and directed towards the new anesthesia resident with little or no previous clinical anesthesia experience. It designed to ease the transition from theoretical anesthesia training to real clinical patient care and anesthesia delivery.  The workshop focuses on set-up and preparation for:  

  1. Anesthetic induction
  2. Laryngoscopy
  3. Anesthetic emergence
  4. Extubation
It also includes identification and management of several associated life-threatening complications. During the Introductory Lecture Series, the residents have the opportunity to work with Dr. R. Salem on a one-to-one basis to understand the basic principles of administration of anesthesia in a relaxed, controlled, interactive environment. Instructions using anatomical models in conjunction with clinical teaching/experiences of faculties will improve the competency of the new incoming residents in patient care, Practice-Based Learning and Medical knowledge. New residents have the opportunity to participate in three sessions in this laboratory. The new residents will be given a pre, mid, and final test to assess their rate of improvement.

Quality Assurance/Improvement Conference(QA/I)

On one designated Thursday every two months, a case discussion will be directed towards quality assurance issues. Quality and resource management issues summarizing our quality assessment activities, opportunities and strategies for improving care, risk management activities, and the impact of economic constraints on the quality of care, are discussed at this conference.

Oversight and Risk Management

It is part of quality assurance and Improvement. Any morbidity or mortality that occurs in the operating room or within 24 hours of surgery needs to be reported by filling out a form and submitting it to the Office of the Chairman of the Department of Anesthesiology and Pain Management. This is then sent to the oversight committee where measures to avoid similar incident in the future are discussed.

Clinical Controversies (Pro-Con Discussion)

Pro-Con discussions are designed to argue controversial issues in anesthesia.  As a moderator of the discussion, one faculty member is assigned to choose the topic, initiate the discussion, and keep the debate on track.  In addition, two residents are selected to argue the different viewpoints about the particular anesthesia treatment strategy.  In order to formulate their hypothesis, residents are encouraged to search relevant literature, browse internet resources, discuss the topic with advisor, and ultimately prepare his/her opinion in the form of a 15 min presentation.  This form of educational activity facilitates analytical thinking and gives residents and faculty the opportunity to discuss and review challenging topics in anesthesia.

Clinical Forums

Specifically designed to allow open discussion between faculty members and residents in regards to clinically significant practice variations. Topics for these forums are suggested by the residents themselves and subsequently chosen by the Chief Resident. After assigning topics the specific resident who suggested to the topic is asked to obtain a few journal articles from the literature that relate the practice involved. All residents then read the articles and contemplate the associated issues before the conference. The Clinical Forum experience itself involves a panel of faculty members openly discussing a practice of clinical relevance and then answering questions from the resident audience. In this way the residents are able to formulate their own opinion in regards to various practical considerations in the day to day practice of anesthesiology. This conference acts synergistically with basic science and standard lecture based educational activities to produce a pragmatic clinical foundation. As an example, a given conference might include the following topics: “LMA’s and positive pressure ventilation?” “Nebulized lidocaine versus transtracheal injection for awake fiberoptic intubation?” “Heparinized arterial-line bags or simple saline?” Often there are no right or wrong answers to these issues, simply variations in practice paradigms that merit the kind of open debate to which the conference aspires.


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