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Anesthesiology Rotation Goals & Objectives

Pediatric Anesthesiology Rotation

Academic Year 2016

I. Goals and objectives

  1. Patient Care
    1. Demonstrate competence in the preoperative evaluation and assessment of the pediatric patient.
    2. Understand the basics of anesthesia care for neonates, infants, children, and adolescents.
    3. Understand and manage the postoperative pediatric patient including managing issues regarding the airway, hemodynamics, pain, and vomiting.
    4. Develop skill in placement of routine monitors.
    5. Develop skill in achieving vascular access in the pediatric patient of all sizes.
    6. Develop skill in airway management for all types of pediatric patients including those with difficult airways.
    7. Demonstrate competence with routine equipment such as the face mask, and laryngoscope (Mac, Miller, Phillips, Wis-Hippel).
    8. Understand the indications and contraindications of regional anesthesia including caudals, epidurals, peripheral nerve blocks, and peripheral nerve catheters.
    9. Understand the concerns regarding anesthetizing the pediatric patient in remote locations.
    10. Appreciate and develop skill in managing the psychosocial dynamics of families and children having surgery.
  2. Medical Knowledge
    1. Understand developmental anatomy and physiology of the pediatric patient. Particularly as it relates to the premature and full term neonate.
    2. Understand common pediatric pathology and its associated pathophysiology, especially common pediatric medical problems that affect perioperative care.
    3. Understand prematurity and how it affects the perioperative care of pediatric patients.
    4. Understand simple and complex syndromes and how they may affect the perioperative care of the pediatric patient.
    5. Understand the pathology and pathophysiology of the various end-stage organ system failures and their impact on perioperative care.
    6. Understand developmental pharmacology of commonly used anesthetic agents and medications.
    7. Understand airway management for simple and complex pediatric airways.
    8. Understand issues of blood conservation for pediatric patients including autologous blood, blood salvage, normovolemic hemodilution, and hypotensive anesthesia.
  3. Professionalism
    1. Attend recommended conferences.
    2. Read the provided chapters.
    3. The fellow should dress and present themselves as a consultant in anesthesiology. This includes adhering with the University dress code and displaying identification at all times.
    4. Demonstrate respect for pediatric patients and their families.
    5. Demonstrate respect for other health care providers and all hospital employees.
    6. Maintain patient and family confidentiality.
  4. Communication and Interpersonal Skills
    1. Demonstrate effective communication with patients, families, and other health care providers.
  5. Practice Based Learning
    1. Read all required readings.
    2. Demonstrate the ability to identify gaps in anesthesiology knowledge and seek additional information.
  6. System Base Practice
    1. Learn to utilize information technology (cerner and stentor) and system resources to optimize the perioperative care of the pediatric patient.
    2. Learn to utilize information technology (cerner, stentor, medline/pubmed) and system resources to expand knowledge.
    3. Learn to optimize patient care by consulting and communicating with physicians and consultants (pediatrics, hematology, child life).
    4. Learn and understand the operating room system and how to interface with the staff and environment.
    5. Learn and become involved with anesthesiology and medical resources outside the hospital (e.g. Society of Pediatric Anesthesiology).
    6. Understand the role of the anesthesiologist and their interaction with other care sites such as the PACU, PICU, CICU, NICU, cath lab, and radiology.