Anesthesiology

Goals:

• To become facile in the use of medications and regional techniques in the management of acute pain
• To ensure that those fellows untrained in anesthesiology gain competency in basic principles of airway management, resuscitation, and sedation

Objectives:

• To become certified in BLS/ACLS (if not already done)
• To learn/review techniques in basic airway management, including a minimum of mask ventilation in 15 patients and endotracheal intubation in 15 patients*
• To directly administer sedation in 15 patients*
• To administer neuraxial analgesia, including a minimum of 15 thoracic or lumbar interlaminar epidural injections or catheters*
• To document involvement with the assessment and management of 50 patients with acute pain (ACGME IV.5.A.2.c)
• To demonstrate judgment regarding the appropriate indications and contraindications for the spectrum of regional techniques for analgesia and/or anesthesia
• To review the ASRA consensus statement for anticoagulation and regional techniques
• To safely perform a range of regional techniques, including peripheral nerve blocks and catheters, for analgesia and/or anesthesia
• To manage adverse events related to peripheral and neuraxial catheters, maintained longitudinally in inpatients with acute pain
• To demonstrate understanding of the pharmacology of local anesthetics and opioids, including relative potencies, expected duration of effect, side effects, and dose-limiting toxicities

*If not previously trained in anesthesiology, ACGME IV.A.5.a.1.i-v.