PATIENT CARE AND TECHNICAL SKILLS
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Objectives
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Instructional Strategies
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Assessment of Competence
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Milestones
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1. Formulate airway strategies based on the predictors of difficult and impossible mask ventilation, and their association with difficult DL/tracheal intubation
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- Syllabus study
- Direct patient care experience
- Didactic teaching in the OR
- Role modeling by the attending
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- Pretest/ Posttest
- Direct observation
- Rating/ Evaluation by attending
- Self-assessment and reflection
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PC 1
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2. Appraise the findings of the preoperative endoscopic airway examination (PEAE) in at least 3 patients
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- Syllabus study
- Direct patient care experience
- Didactic teaching in the OR
- Role modeling by the attending
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- Direct observation
- Rating/ Evaluation by attending
- Self-assessment and reflection
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PC 1
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3. Select and prepare difficult airway equipment according to defined airway management strategies
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- Syllabus study
- Didactic teaching in the OR
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- Pretest/ Posttest
- Individual interviews
- Rating/ Evaluation by attending
- Self-assessment and reflection
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PC 1
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4. Identify major preoperative concerns in head and neck anesthesia patients during a preoperative visit, and record in EPIC note
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- Syllabus study
- Direct patient care experience
- Didactic teaching in the OR
- Role modeling by the attending
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- Pretest/ Posttest
- Direct observation
- Individual interviews
- Rating/ Evaluation by attending
- Self-assessment and reflection
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PC 1
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5. Define and perform the technique of moderate controlled hypotension
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- Syllabus study
- Direct patient care experience
- Didactic teaching in the OR
- Role modeling by the attending
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- Pretest/ Posttest
- Direct observation
- Individual interviews
- Rating/ Evaluation by attending
- Self-assessment and reflection
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PC 2
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6. Illustrate in practice basic pharmacokinetic principles of opioid infusions and total intravenous anesthesia
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- Syllabus study
- Direct patient care experience
- Didactic teaching in the OR
- Role modeling by the attending
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- Direct observation
- Rating/ Evaluation by attending
- Self-assessment and reflection
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PC 2
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7. Appraise and perform the techniques of anesthetic management for head and neck cancer surgery
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- Syllabus study
- Didactic teaching in the OR
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- Pretest/ Posttest
- Individual interviews
- Rating/ Evaluation by attending
- Self-assessment and reflection
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PC 2
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8. Demonstrate anesthetic management for H&N cancer surgery with free flap reconstruction
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- Syllabus study
- Direct patient care experience
- Didactic teaching in the OR
- Role modeling by the attending
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- Pretest/ Posttest
- Direct observation
- Individual interviews
- Rating/ Evaluation by attending
- Self-assessment and reflection
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PC 2
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9. Demonstrate anesthetic management for transoral robotic surgery (TORS)
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- Syllabus study
- Direct patient care experience
- Didactic teaching in the OR
- Role modeling by the attending
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- Pretest/ Posttest
- Direct observation
- Individual interviews
- Rating/ Evaluation by attending
- Self-assessment and reflection
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PC 2
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10. Discuss anesthetic implications and perform anesthetic management for major OSA surgery and orthognatic surgery
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- Syllabus study
- Direct patient care experience
- Didactic teaching in the OR
- Role modeling by the attending
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- Direct observation
- Individual interviews
- Rating/ Evaluation by attending
- Self-assessment and reflection
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PC 2
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11. Employ safe anesthetic techniques for patients with associated OSA
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- Syllabus study
- Direct patient care experience
- Didactic teaching in the OR
- Role modeling by the attending
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- Pretest/ Posttest
- Direct observation
- Individual interviews
- Rating/ Evaluation by attending
- Self-assessment and reflection
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PC 2
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12. Formulate anesthetic management plan and conduct anesthesia for elective maxillofacial and dental surgery
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- Syllabus study
- Direct patient care experience
- Didactic teaching in the OR
- Role modeling by the attending
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- Pretest/ Posttest
- Direct observation
- Individual interviews
- Rating/ Evaluation by attending
- Self-assessment and reflection
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PC 2
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13. Summarize and demonstrate in practice principles of anesthetic management for otologic, neurotologic, and skull base surgery
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- Syllabus study
- Direct patient care experience
- Didactic teaching in the OR
- Role modeling by the attending
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- Pretest/ Posttest
- Direct observation
- Individual interviews
- Rating/ Evaluation by attending
- Self-assessment and reflection
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PC 2
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14. Discuss anesthetic implications and demonstrate anesthetic management for functional endoscopic surgery, intranasal, and pituitary surgery
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- Syllabus study
- Direct patient care experience
- Didactic teaching in the OR
- Role modeling by the attending
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- Pretest/ Posttest
- Direct observation
- Individual interviews
- Rating/ Evaluation by attending
- Self-assessment and reflection
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PC 2
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15. Define and demonstrate anesthetic techniques for facial cosmetic and nasal surgery
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- Syllabus study
- Direct patient care experience
- Didactic teaching in the OR
- Role modeling by the attending
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- Pretest/ Posttest
- Direct observation
- Individual interviews
- Rating/ Evaluation by attending
- Self-assessment and reflection
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PC 2
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16. Identify and demonstrate essential principles of anesthetic management for thyroid surgery
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- Syllabus study
- Direct patient care experience
- Didactic teaching in the OR
- Role modeling by the attending
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- Pretest/ Posttest
- Direct observation
- Individual interviews
- Rating/ Evaluation by attending
- Self-assessment and reflection
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PC 2
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17. Prepare and properly position NIM EMG endotracheal tubes for thyroid surgery
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- Syllabus study
- Direct patient care experience
- Didactic teaching in the OR
- Role modeling by the attending
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- Pretest/ Posttest
- Direct observation
- Individual interviews
- Rating/ Evaluation by attending
- Self-assessment and reflection
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PC 2
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18. Summarize and demonstrate principles of anesthetic management for the laryngologic and laser airway surgery
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- Syllabus study
- Direct patient care experience
- Didactic teaching in the OR
- Role modeling by the attending
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- Pretest/ Posttest
- Direct observation
- Individual interviews
- Rating/ Evaluation by attending
- Self-assessment and reflection
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PC 2
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19. Prepare and properly position a laser endotracheal tube for airway laser surgery
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- Syllabus study
- Direct patient care experience
- Didactic teaching in the OR
- Role modeling by the attending
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- Pretest/ Posttest
- Direct observation
- Individual interviews
- Rating/ Evaluation by attending
- Self-assessment and reflection
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PC 2
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20. Discuss and demonstrate safe use of different jet ventilation modalities
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- Syllabus study
- Direct patient care experience
- Didactic teaching in the OR
- Role modeling by the attending
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- Pretest/ Posttest
- Direct observation
- Individual interviews
- Rating/ Evaluation by attending
- Self-assessment and reflection
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PC 2
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21. Demonstrate a technique of apneic intermittent ventilation (AIV) for laryngologic surgery
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- Syllabus study
- Direct patient care experience
- Didactic teaching in the OR
- Role modeling by the attending
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- Pretest/ Posttest
- Direct observation
- Individual interviews
- Rating/ Evaluation by attending
- Self-assessment and reflection
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PC 2
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22. Appraise and employ a technique of high-flow nasal oxygen insufflation (THRIVE) for laryngologic surgery
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- Syllabus study
- Direct patient care experience
- Didactic teaching in the OR
- Role modeling by the attending
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- Pretest/ Posttest
- Direct observation
- Individual interviews
- Rating/ Evaluation by attending
- Self-assessment and reflection
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PC 2
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23. List and illustrate the principles of safe use of different SGAs with positive pressure ventilation for elective H&N surgery in at least 5 patients
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- Syllabus study
- Direct patient care experience
- Didactic teaching in the OR
- Role modeling by the attending
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- Pretest/ Posttest
- Direct observation
- Individual interviews
- Rating/ Evaluation by attending
- Self-assessment and reflection
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PC 2
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24. Formulate a plan for intraoperative and postoperative pain management for different head and neck surgical procedures
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- Syllabus study
- Direct patient care experience
- Didactic teaching in the OR
- Role modeling by the attending
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- Pretest/ Posttest
- Direct observation
- Individual interviews
- Rating/ Evaluation by attending
- Self-assessment and reflection
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PC 3
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25. Formulate a plan for a multimodal analgesia for selected H&N surgical procedures
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- Syllabus study
- Direct patient care experience
- Didactic teaching in the OR
- Role modeling by the attending
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- Pretest/ Posttest
- Direct observation
- Individual interviews
- Rating/ Evaluation by attending
- Self-assessment and reflection
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PC 3
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26. Appraise and describe a technique of staged extubation using the Cook airway exchange catheter
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- Syllabus study
- Direct patient care experience
- Didactic teaching in the OR
- Role modeling by the attending
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- Pretest/ Posttest
- Direct observation
- Individual interviews
- Rating/ Evaluation by attending
- Self-assessment and reflection
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PC 4
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27. Discuss, choose and perform smooth extubation techniques after head and neck surgery
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- Syllabus study
- Direct patient care experience
- Didactic teaching in the OR
- Role modeling by the attending
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- Pretest/ Posttest
- Direct observation
- Individual interviews
- Rating/ Evaluation by attending
- Self-assessment and reflection
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PC 4
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28. Communicate to the attending the risks and benefits of 5 different airway management devices and techniques
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- Syllabus study
- Direct patient care experience
- Didactic teaching in the OR
- Role modeling by the attending
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- Pretest/ Posttest
- Direct observation
- Individual interviews
- Rating/ Evaluation by attending
- Self-assessment and reflection
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PC 4
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29. Formulate management plan of the laser-induced airway fire
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- Syllabus study
- Direct patient care experience
- Didactic teaching in the OR
- Role modeling by the attending
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- Pretest/ Posttest
- Direct observation
- Individual interviews
- Rating/ Evaluation by attending
- Self-assessment and reflection
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PC 5
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30. Demonstrate on a mannequin selected advanced airway management techniques at the end of the rotation
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- Syllabus study
- Direct patient care experience
- Didactic teaching in the OR
- Role modeling by the attending
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- Pretest/ Posttest
- Direct observation
- Individual interviews
- Rating/ Evaluation by attending
- Self-assessment and reflection
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PC 5
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31. Recall, break down, and illustrate the intubating LMA Fastrach intubation using the up down, Chandy 1 and Chandy 2 maneuvers in at least 5 patients in under 5 minutes each
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- Syllabus study
- Direct patient care experience
- Didactic teaching in the OR
- Role modeling by the attending
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- Pretest/ Posttest
- Direct observation
- Individual interviews
- Rating/ Evaluation by attending
- Self-assessment and reflection
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PC 8
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32. Appraise and place iGel, AirQ and LT (laryngeal tube) SGAs in at least 1 patient each
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- Syllabus study
- Direct patient care experience
- Didactic teaching in the OR
- Role modeling by the attending
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- Pretest/ Posttest
- Direct observation
- Individual interviews
- Rating/ Evaluation by attending
- Self-assessment and reflection
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PC 8
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33. Articulate to the attending and perform the LMA Unique, FLMA, LMA Proseal/Supreme insertion techniques in at least 5 patients
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- Syllabus study
- Direct patient care experience
- Didactic teaching in the OR
- Role modeling by the attending
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- Pretest/ Posttest
- Direct observation
- Individual interviews
- Rating/ Evaluation by attending
- Self-assessment and reflection
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PC 8
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34. Demonstrative safe and effective use of the steering and channeled techniques of video laryngoscopy in at least 5 patients
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- Syllabus study
- Direct patient care experience
- Didactic teaching in the OR
- Role modeling by the attending
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- Pretest/ Posttest
- Direct observation
- Individual interviews
- Rating/ Evaluation by attending
- Self-assessment and reflection
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PC 8
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35. Describe and display the airway exchange techniques, including the use of the Aintree catheter in at least 5 patients
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- Syllabus study
- Direct patient care experience
- Didactic teaching in the OR
- Role modeling by the attending
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- Pretest/ Posttest
- Direct observation
- Individual interviews
- Rating/ Evaluation by attending
- Self-assessment and reflection
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PC 8
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36. Demonstrate the techniques of placement of rigid fiberoptic stylets such as Bonfils and Levitan in at least 1 patient each
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- Syllabus study
- Direct patient care experience
- Didactic teaching in the OR
- Role modeling by the attending
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- Pretest/ Posttest
- Direct observation
- Individual interviews
- Rating/ Evaluation by attending
- Self-assessment and reflection
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PC 8
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37. Articulate to the attending the signs of tracheal placement of the gum elastic bougie, and place it electively to facilitate intubation in at least 2 patients in under 2 min each
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- Syllabus study
- Direct patient care experience
- Didactic teaching in the OR
- Role modeling by the attending
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- Pretest/ Posttest
- Direct observation
- Individual interviews
- Rating/ Evaluation by attending
- Self-assessment and reflection
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PC 8
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38. Perform asleep flexible fiberoptic intubation in 5 uncomplicated patients in under 5 min each
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- Syllabus study
- Direct patient care experience
- Didactic teaching in the OR
- Role modeling by the attending
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- Pretest/ Posttest
- Direct observation
- Individual interviews
- Rating/ Evaluation by attending
- Self-assessment and reflection
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PC 8
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39. Formulate a plan and safely perform an awake flexible fiberoptic intubation
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- Syllabus study
- Direct patient care experience
- Didactic teaching in the OR
- Role modeling by the attending
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- Pretest/ Posttest
- Direct observation
- Individual interviews
- Rating/ Evaluation by attending
- Self-assessment and reflection
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PC 8
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40. Explain and perform a combined video laryngoscopy/fiberoptic intubation technique in at least 3 patients
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- Syllabus study
- Direct patient care experience
- Didactic teaching in the OR
- Role modeling by the attending
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- Pretest/ Posttest
- Direct observation
- Individual interviews
- Rating/ Evaluation by attending
- Self-assessment and reflection
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PC 8
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41. Formulate a plan and safely perform a retrograde intubation in at least 1 patient
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- Syllabus study
- Direct patient care experience
- Didactic teaching in the OR
- Role modeling by the attending
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- Pretest/ Posttest
- Direct observation
- Individual interviews
- Rating/ Evaluation by attending
- Self-assessment and reflection
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PC 8
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42. Discuss and safely perform a technique of nasal intubation
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- Syllabus study
- Direct patient care experience
- Didactic teaching in the OR
- Role modeling by the attending
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- Pretest/ Posttest
- Direct observation
- Individual interviews
- Rating/ Evaluation by attending
- Self-assessment and reflection
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PC 8
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43. Demonstrate application of high-flow nasal oxygen insufflation (THRIVE) intraoperatively and during difficult airway management
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- Syllabus study
- Direct patient care experience
- Didactic teaching in the OR
- Role modeling by the attending
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- Pretest/ Posttest
- Direct observation
- Individual interviews
- Rating/ Evaluation by attending
- Self-assessment and reflection
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PC 8
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44. Perform a technique of the preoperative endoscopic airway examination (PEAE) in at least 3 patients
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- Syllabus study
- Direct patient care experience
- Didactic teaching in the OR
- Role modeling by the attending
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- Pretest/ Posttest
- Direct observation
- Individual interviews
- Rating/ Evaluation by attending
- Self-assessment and reflection
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PC 8
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45. Discuss and demonstrate a technique of light wand-guided tracheal intubation
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- Syllabus study
- Direct patient care experience
- Didactic teaching in the OR
- Role modeling by the attending
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- Pretest/ Posttest
- Direct observation
- Individual interviews
- Rating/ Evaluation by attending
- Self-assessment and reflection
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PC 8
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46. Select and fully prepare the equipment for a flexible fiberoptic intubation on the main OR and ASC teaching carts. Same for the video tower fiberoptic set up in ASC.
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- Syllabus study
- Direct patient care experience
- Didactic teaching in the OR
- Role modeling by the attending
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- Pretest/ Posttest
- Direct observation
- Individual interviews
- Rating/ Evaluation by attending
- Self-assessment and reflection
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PC 9
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47. Prepare and operate Monsoon high frequency jet ventilator with the LaserJet catheter
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- Syllabus study
- Direct patient care experience
- Didactic teaching in the OR
- Role modeling by the attending
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- Pretest/ Posttest
- Direct observation
- Individual interviews
- Rating/ Evaluation by attending
- Self-assessment and reflection
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PC 9
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48. Prepare and operate Optiflow (high-flow nasal oxygen) unit
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- Syllabus study
- Direct patient care experience
- Didactic teaching in the OR
- Role modeling by the attending
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- Pretest/ Posttest
- Direct observation
- Individual interviews
- Rating/ Evaluation by attending
- Self-assessment and reflection
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PC 9
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49. Appraise and demonstrate the use of the hypnotic monitoring (Sedline, BIS) intraoperatively
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- Syllabus study
- Direct patient care experience
- Didactic teaching in the OR
- Role modeling by the attending
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- Pretest/ Posttest
- Direct observation
- Individual interviews
- Rating/ Evaluation by attending
- Self-assessment and reflection
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PC 9
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50. Justify and perform the superior laryngeal and transtracheal nerve blocks during awake intubation
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- Syllabus study
- Direct patient care experience
- Didactic teaching in the OR
- Role modeling by the attending
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- Pretest/ Posttest
- Direct observation
- Individual interviews
- Rating/ Evaluation by attending
- Self-assessment and reflection
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PC 10
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