CA-I, CA-II and CA-III residents have protected time for education during each rotation. Education days vary in format and include traditional lectures, hands-on workshops, problem-based learning modules, simulation, practice questions and boards preparation. In addition, formal oral board preparation sessions with attendings (several of whom are official oral boards examiners) occur annually.
The CA-I curriculum focuses on the basic sciences including pharmacology and physiology. Also included in this series are small-group workshops with skills stations on topics such as anesthesia machine checks and troubleshooting, difficult airway management, techniques for single-lung ventilation, and pediatric and adult resuscitation.
The CA-II curriculum emphasizes subspecialty areas of anesthesiology. A combination of ABA questions, textbook questions, evidence-based questions, clinical case conferences and PBL sessions are also used to facilitate learning.
The CA-III curriculum includes a variety of guest speakers who give career seminars on the medico-legal aspects of anesthesiology, career planning, contracts, retirement plans and benefit packages. During this year, there is also substantial time dedicated to preparation for the written, oral, and practical board exams.
Individual clinical rotations have their own lecture series and didactic programs.
Residents have access to a multitude of online learning opportunities. All residents receive a Microsoft Box account which comes preloaded with many textbooks, question banks and current, relevant peer-reviewed journal articles. In addition, residents have free access to both the Stanford-based Learnly online modules which cover almost all of the ABA Basic Exam content, and the IARS Open Anesthesia Self Study Plus question bank.
Journal clubs are held at the subspecialty and division levels. Both the presenters and the attendees critique the article for its scientific merit and pertinence. In addition, residents in the Scholars program and those who choose an extended research rotation organize the session and present articles for discussion. Faculty mentors provide assistance and mentoring. Attendance is voluntary, but highly recommended as the skills assimilated by attending journal club are critical to the practice of evidence-based medicine.
This conference occurs weekly and focuses on the broader scope of medical care that is provided by the anesthesiologist. It covers current topics within and outside of anesthesiology. Both members of the department and visiting faculty present at this conference.
Morbidity & Mortality Conference
This conference is held once a month during Grand Rounds. Cases in which there was significant morbidity, mortality, or the potential for morbidity or mortality are presented by the Chief residents, ASAP residents and members of the CA-III residency class. The residents presenting the cases are never those personally involved in the care of the patient being discussed. Following the presentation, a moderated discussion occurs which concentrates on the clinical case management and addresses system issues which contributed to the adverse event rather than the assignment of blame. This conference is considered peer-reviewed and closed to clinicians outside the department. In addition, strict confidentiality is maintained and cases are not discussed outside the conference setting.
These conferences are held approximately three to four times per year combining traditional morning lecture and Grand Rounds time. This allows extended time for special presentations, workshops, and interactive learning. Ethics, career planning, physician burnout and communication continue to be a focus of these ongoing sessions.