Anesthesiology, Perioperative and Pain Medicine

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Q&A with Stanford Anesthesia's Residency Director

September 2014

Fall 2014 Education Update

Here are some bullet points to update you on Stanford Anesthesia Education activities:

Record Libero daily lecture series:
The daily lectures series for residents in the Multispecialty division which began in July 2013 and offered 3 times each day has helped improve the MSD “overall teaching quality of rotation scores” as rated by the residents from 3.88 out of a maximum of 5 to 4.26 out of 5. CA2 residents Dr. Scotto and Borg are working with Dr. Tanaka to help write up a manuscript. Dr. Tanaka is trialing recording the lectures every day and web archiving for residents on other rotations but not clear how often would be watched.

VA ICU rotation:
The residents do 7-9 overnight calls per 4 wks (q3-4) and there have been no duty hr violations. When the resident is on call gain they gain more supervisory time with an intern as they care for the ICU patients.

Faculty Teaching Scholars:
This academic year there are 4 faculty teaching scholars who are awarded non-clinical time to develop their skills in teaching and education theory and to develop an education project.
Dr. Jung Hong from the Palo Alto VA presented his project related to developing a private practice curriculum that includes basic information on disability/malpractice insurance/financial planning/ home buying/proper case documentation. Dr. Hong will serve as a resource for interested senior residents to help with this transition. The project planned is to possibly create web based content based on input from recent graduates in private practice as to what is most useful. Currently, Dr. Hong is in the beginning stages of creating surveys for those in private practice.

A second faculty teaching scholar is Dr. Ethan McKenzie who is further developing the ENT teaching curriculum and formalizing the content to co-inside with the new milestones. There will be an eventual webpage including topics to teach to residents, targeted how to’s, intubation (fiberoptic for example) videos, links of evaluations to the resident’s medhub portfolio, and pre & post test questions.

Trauma Rotation Update:
The new trauma anesthesia rotation has rotation director Dr. Chris Painter. He is building curriculum including use of milestones for assessment.

The Faculty Advisor will have increased formal responsibilities including meeting with resident serving as the Semi-Annual Meeting with Program Director:
Each resident has a faculty advisor to counsel and guide the resident through the residency processes, procedures, and now the key learning milestones. Going forward the plan is to have each faculty have one resident per year PGY2, 3 and 4 of training, unlike now where some faculty have just one resident. Having 3 residents per attending will allow the faculty to more easily evaluate milestone progression, and report back to the clinical competence committee. The medhub instrument template for the meeting is being redone with the expectation that the mtg between advisor and resident will occur at least twice a year. The committee discussed ideas for formalizing when the meetings between resident and faculty advisor should occur. Any resident is also free to ask to meet with any of the program directors at any time.

ACGME Milestones:
The 30 different rotations in the residency have milestones based evaluations and curriculum which is available on medhub and sent to each resident before a rotation starts. The program directors are meeting with Dr. Steve Howard chair of the CCC to further determine how dashboard of milestones will be best utilized.

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