The OHSU
Department of Anesthesiology and Peri-Operative Medicine has implemented a
dynamic educational curriculum for our residents to develop the skills and
knowledge base required for consultants in anesthesiology and to prepare for
the certification process of the American Board of Anesthesiology. Our
curriculum is based on the six ACGME Competencies (http://www.acgme.org/Outcome/)
and is integrated into each clinical rotation, teaching session, and our
didactic series.
Our didactic series is part of a spiral curriculum. The series is based on
a single main textbook, and topics are revisited throughout the three-year
program with a progressively more complex approach as residents gain
experience and competence. The Chair seminar starts the week and is an oral
board based conference with a stem question based on the topic of the week.
Residents are given a stem question and the Chair acts as an examiner.
During the remainder of the week, residents are relieved from their duties
by faculty to attend a lunchtime conference by class level. These
conferences are based on a single chapter of the text and all three classes
cover this chapter during the same week. In this way, each resident
explores each topic three times during his or her residency in a formal
conference format.
In addition to the didactic series, the department holds a series of Journal
Clubs once per month. These sessions are held at 5 pm and dinner is
provided. Each session has an assigned topic, faculty moderator and several
designated resident presenters. The topics include study design,
statistical analysis, controversies in practice, evidence based medicine,
and practice management.
The
department has a weekly conference held on Monday mornings attended by all
members of the department. The operating rooms begin one hour later than
the rest of the week to allow all members to attend. This conference is an
M&M conference with cases chosen for their educational value. There is a
faculty moderator who ensures case discussions meet the goals/objectives of
the conference, and that it is a positive learning experience for all
members of the department. In addition, approximately once per month the
Monday session is devoted to a Grand Rounds presentation allowing for
presentations from recognized national and international leaders in
education, clinical care and research in anesthesiology and related
disciplines.
In addition
our department holds a weekly research conference with topics relevant to
research areas within the department. There is also a yearly formal oral
board practice session designed to simulate the American Board of
Anesthesiology’s oral examination. Residents take an simulated examination
with two examiners under test conditions. Immediately after the session,
feedback is given to help the resident prepare to succeed in the actual
exam.
Our
residents also participate in simulator sessions at our simulation center (www.ohsu.edu/simulate/contactus.html).
These sessions are used during orientation of new residents, as well as in
training of advanced residents in managing critical events, learning
interdisciplinary team management, as well as ACLS training.
Our
clinical education is based on 13 four week blocks per year. The first year
is devoted to basic clinical anesthesia with general subspecialty
experiences beginning in the fourth month. The second year is primarily
subspecialty based. Our core subspecialty rotations are neuroanesthesia,
regional anesthesia, pain management, obstetric anesthesia, cardiac
anesthesia, Preadmission Testing, PACU, vascular anesthesia, airway and
pediatric anesthesia. In addition residents do two months of critical care
divided between the Surgical ICU and the Cardiothoracic ICU.
Anesthesiologists from our department are very active participants in both
units. Each rotation has a competency based, clearly stated curriculum with
clear goals/objectives, teaching and assessment methods and designated study
materials. In addition, each first year resident spends two weeks in our
basic science laboratories under the supervision of our research director to
gain an overview of basic science research.
The third
year (CA3 year) is designed to provide advanced training in specific areas.
The residents meet with their advisers to design a customized experience to
meet the specific needs and interests of the resident. A resident can
choose to emphasize a specific subspecialty or can choose a broad spectrum
of experience. Residents can also choose to a six month research tract to
perform basic science or clinical research under the guidance of a faculty
mentor.
The
OHSU Department of Anesthesiology and Peri-Operative Medicine is an
outstanding environment to learn, train and work. We are committed to
providing the finest education to our residents, fellows, and students in a
supportive, creative and innovative environment.
Department Curriculum
