Didactics

A solid understanding of the scientific foundation of anesthesia is essential for quality patient care and for achieving board certification. Therefore, the didactic aspect of our program is given a high priority.

 

Learning Opportunities

 

  1. Rush University Human Patient Simulator Laboratory: provides individualized and group training sessions focused on basic training and crisis management. Residents go through weekly simulations as well as before the beginning of each specialty rotation that requires unique skills.

  2. Morning conference: Morning didactic sessions are held from 6:20 a.m. - 6:40 a.m., and focus on specific basic and advanced anesthesia topics as delineated by the ABA, presentations in a problem-based learning format, and multiple-choice questions. CA2s and CA3s attend conferences on Mondays and Fridays and CA1s attend conferences on Tuesdays and Thursdays.

  3. Curriculum-based lectures are given by teaching staff on Wednesday mornings, 6:30 a.m. - 7 a.m.

  4. Grand rounds/visiting professor series are held on Wednesday mornings, 7 a.m. - 8 a.m.

  5. Morbidity/Mortality (M & M) Conferences are held once per month on Wednesday, 7 a.m. – 8 a.m.

  6. Mock oral board exams are practiced throughout the year under the supervision of faculty members who are oral board examiners for the American Board of Anesthesiology (ABA). There are three Rush faculty members who are current or prior ABA oral board examiners. 

  7. Journal club

Weekly- Electronic journals that are deemed impactful to anesthesia practice are sent for personal review.

Bi-monthly- Journal club and dinner provided by the department gives the residents and faculty members the opportunity to review and discuss journal articles in a collegial atmosphere. Articles are chosen with the intent to spark a lively discussion on the ever-evolving state of anesthesia practice.

  1. Specialized Seminars and Workshops in Our State-of-the-Art Simulation Center:

Difficult Airway Workshop:  During the CA-1 year, all residents begin an intense, well-structured training program in difficult airway management that includes fiberoptic intubation, supra-glottic airway device placement, double lumen and bronchial blocker placement, and advanced airway management. Residents have the opportunity to receive certification in fiberoptic intubation (FOI) after successful completion of 50 supervised procedures and most perform between 75 to 100 procedures before graduation. FOI training marks the completion of our airway management milestone, signaling competency in advanced airway management. Also, residents will receive training on performing surgical airways and retrograde intubations.

Regional Anesthesia Workshop: During the CA-1 year, the regional and pain faculty members lead a regional workshop that includes an overview of the basic anatomy of the upper and lower extremities and hands-on simulation of peripheral nerve blocks before residents begin their Regional 2 rotation.

Vascular Ultrasound and PoCUS Workshop: Faculty certified in Point-of-Care-Ultrasonography conduct workshops to train residents to perform FAST exams, lung ultrasound and abdominal ultrasound exams.  

Transthoracic Echocardiography Workshop:  Faculty facile in TTE conducts workshops for residents interested in performing Echo exams. 

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Resources

Rush Library/Clinical Key: Residents have access to electronic versions of most anesthesia texts including Miller’s Basics of Anesthesia, Miller’s Anesthesia, Barash’s Clinical Anesthesia, and Stoelting’s Anesthesia and Co-Existing Diseases.

Paperback textbooks: CA-1 residents are given a copy of West’s Respiratory Physiology.

TrueLearn: Prepare with anesthesia board questions specifically crafted by board-certified anesthesiologists to mirror those tested on ABA anesthesia exams.

Anesthesia Toolbox: Residents have access to a collaborative project of over 60 academic programs to develop and share educational resources for anesthesia education. Multi-media peer-reviewed content, Wiki cases, and rotation curricula are just some examples Anesthesia Toolbox has to offer.

IARS Program-Supported-in-Training: Residents receive IARS membership that includes the Program-Supported-In-Training (PSIT) membership. PSIT provides benefits such as IARS on Demand, IARS360, SelfStudyPLUS, The Scholars’ Program, and access to over 1,000 OpenAnesthesia podcasts and videos just to name a few.

 

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Resident Evaluation

 

  1. CA-0 residents are evaluated by the supervising attending physicians throughout each rotation. Residents’ performance and their education are closely monitored and evaluated by ACGME standards.

  2. CA-1, 2, and 3 residents:

  • Each resident is evaluated by the supervising attending staff based on: 1) The level of patient care they provide; 2) medical knowledge base; 3) interpersonal communication skills; 4) professionalism and ethics; 5) practice-based learning and improvement; 6) system-based practice in compliance with ACGME requirements. The evaluations become part of the resident’s permanent file, to which she/he has access.

  • Periodically other members of the healthcare team, including nurses, resident peers, and a variety of support staff, are asked to complete a global (360 degree) evaluation of the resident.

  • Standardized Anesthesia Knowledge Tests (AKT) at 1, 6, and 24 months.

  • Yearly ABA/American Society of Anesthesiologists in-training exam.

  • Participation in mock oral exams.

  • A formal review of all residents’ performance takes place 3-4 times per year. A semiannual training and evaluation report are submitted to the ABA at the mid-point and end of each academic year.

Individualized simulation sessions in the Rush University Simulation Laboratory are videotaped and reviewed with each resident.

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Requirements for Completion 

 

  1. Throughout the three years of clinical anesthesia training, the residents are required to maintain a score of 25th percentile or above for all AKT and in-training ABA examinations.

  2. Residents are required to pass the Basic Anesthesia Exam.

  3. Residents are required to register for and take the USMLE Step 3 exam by the end of their PGY2 year.

  4. Maintaining and updating an accurate ACGME case log is the responsibility of every resident.

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