Anesthesiology, Perioperative and Pain Medicine

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Q&A with Stanford Anesthesia's Residency Director

February 2015

Education Committee Meeting Highlights

Some highlights from the Education Committee Meeting

Announcements: Dr. Meredith Kan has been appointed Rotation Director of the Orthopedic Anesthesia elective. Dr. Tanaka welcomed Dr. Sheila Pai Cole as the newest member of the Education Committee. He also welcomed the newly named chief residents for 2015-16: Drs. Quentin Baca, Chris Clave & Amanda Kumar.

Publishing on Ether: Nicole Green from the Stanford Anesthesia Informatics and Media Lab (http://aim.stanford.edu/) updated the group on the education resources available at http://ether.stanford.edu/.
If anyone is interested in adding content or other functions to website please contact her.

Clinical Base Year: 8 categorical anesthesia interns complete a preliminary medicine year at Stanford. Every year some changes are made to improve the educational experience. Based on input from this yr’s interns several items were discussed and the following were agreed on for next year:
• replacing the 2 week geriatrics rotation with a 2 week elective (for example, TEE, acute pain, QI, Research, or perioperative medicine based on preference of intern)
• preferentially have the Anesthesia interns scheduled on rotations which are more relevant (e.g. Cardiology or Pulm consult) than others which may be less relevant (e.g. Rheumatology) when on non-call rotations.
• determine if it is possible that no jeopardy (cover for other intern unexpected absences) be allowed during the 4 week Anesthesia rotation
• add a faculty advisor (attending to be named this Spring) to act as another resource for interns beyond Drs. Tanaka, Harrison, Chu and the ImPRINT resident leaders.

Stanford Anesthesia Senior Resident Teaching Scholar: This is a resident leadership position in the Department of Anesthesiology with main goal to enhance the educational experience for residents and medical students. The appointment is for 12 months. Dr. Louise Wen was voted to be the Stanford Anesthesia Senior Resident Teaching Scholar for 2015-16, following in the footsteps of Dr. Chris Miller this year.

PRIME Scholars: Last year four Stanford Anesthesia residents were awarded PRIME (Peer Support and Resiliency In MEdicine Scholarship) funding to promote trainee wellness and resiliency. Drs. Lindsay Borg and Louise Wen updated the committee on their PRIME scholarship projects.
Dr. Borg surveyed all the Stanford housestaff across all departments for their mental health care needs. She now has the data and is currently analyzing it to identify barriers and potential solutions to access this care. She aims to publish the results working with her faculty advisor Dr. Mickey Trockel.

Dr. Wen’s project included attending a mindfulness and wellness course and bringing back the skills learned to the anesthesia interns. Four of the eleven sessions this year with the interns are wellness focused.

The two other awardees Drs. Chris Miller and Adam Was will update the committee later this Spring.

Transesophageal Echocardiography (TEE) Training: The residency would like to aim to have graduating residents have the knowledge and skills to pass the Basic exam (http://www.echoboards.org/content/basic-pte%C2%AE). It will be up to the individual resident to decide if they want to actually take the basic exam currently offered every two years and the next one is in 2016. Senior residents Drs. Sliwa and Potter presented 1) results of the needs assessment resident survey on TEE, and 2) their work under the mentorship of some of the cardiac anesthesia faculty to develop a web based TEE curriculum so it can be accessed by residents as needed. They will return in June to update committee on curriculum.

Medical Student Clerkship in Anesthesia at Stanford: Dr. Marianne Chen updated the committee on the medical student rotation. Some of the upcoming modifications to rotation include: 1) more formal first day orientation, 2) changing the student final evaluation to a mock oral type exam with an attending or senior resident, and 3) reinstating “Lunch and Learn” sessions were students present a topic to other students with faculty mentor present.


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