Grand Rounds are an integral component of the resident medical education program. The objective of the lecture series is to update residents, faculty, medical students and other healthcare personnel on developing trends and techniques in the medical practice of anesthesiology. These lectures draw from learning experiences based on both diagnosis and treatment. Invited speakers address the wide spectrum of general and subspecialty topics and often introduce new and interesting developments. You can find a current schedule for the Grand Rounds Lectures here.
Morbidity and Mortality
The monthly Morbidity and Mortality (M&M) conference is a hallmark of anesthesiology residency education. This conference has been used traditionally to teach and assess the ACGME General Competencies of patient care and medical knowledge. The format of the weekly M&M conference has evolved so that it enables faculty to teach and assess residents also in terms of the ACGME General Competencies of practice-based learning and improvement, professionalism, interpersonal and communication skills and systems-based practice. Case selection is at the discretion of the faculty moderator. A preparation period, which is usually a minimum of one week, enables the resident primarily involved in the care of the patient to thoroughly review the case and prepare his/her presentation. At the conference, the resident/faculty presents the patient's history and discusses the complication or death, not only in terms of the patient care provided (traditional M&M model), but also analyzing the case in terms of health-care systems problems that may have contributed to the patient's morbidity and/or mortality; patient safety issues; communication problems with the patient, family, or other health-care workers; and ethnic or ethical issues related to the care provided. Again, not only is the patient care critiqued, but also systems problems, communication problems and ethical dilemmas. In this forum faculty, residents, medical students and other healthcare providers analyze and discuss the patient's outcome including factors leading to the complication and/or mortality, opportunities for systems improvement, patient safety or communication problems, ethnic or ethical issues, what the resident would do different in his/her practice and references consulted for this case.
Journal club conferences provide a forum for residents, faculty and medical students to describe the methodology, results, conclusions, significance and limitations of the published material which may influence the medical practice of anesthesiology. If applicable, students may wish to suggest possible future studies in the area. Residents and faculty are encouraged to present at a level such that a non-specialist researcher can appreciate the material. Articles may be selected which are significant not only because it could change clinical practice, but also because they could change the way new therapeutics are developed, targeted, produced or administered.
Additional Didactics and Subspecialty Conferences and Lectures
Multiple education ventures designed to provide residents with a focus educational experience. Each subspecialty division is given the responsibility to expose rotating residents to the material contained in the ABA Content Outline.
Mock Oral Examinations
Structured collection learning exercises which provide real-life practice opportunity for the ABA oral examination process. Oral examinations allow faculty to assess clinical performance and the learning progress of individual residents. Practice oral exams add to other methods of evaluation by affording faculty insight into the resident trainees' clinical reasoning, problem-solving ability, communication skills and clinical judgment. It is the goal of this tool to track resident performance and document performance improvement with accumulating educational and clinical experience. Probing their knowledge in greater depth, gauging communication skills and assessing whether a resident can gather data completely to solve a clinical problem within the context of a case-based oral practice examination can yield insight into the examinee's clinical judgment. A monthly faculty- facilitated (Dr. Whitten) discussion forum is provided for residents at all levels of training. Individual CA-3's will be given three formal mock oral examinations during their year of training. Individual CA-2's will be given one formal mock oral examination during their year of training. CA-2's and CA-1's not participating in formal examinations will participate in demonstration mock oral examinations administered in a group format.
Featured Teaching Case of the Week (E-Learning Initiative)
An on-line method to provide residents problem-based learning exposure. Residents are required to log onto the departmental website and download the case and initial questions. Throughout the week residents are encouraged to use the case to guide independent study, faculty discussion, medical student and peer-to-peer interaction. Discussion points (with references) are provided for the initial questions as well as a supplemental set of questions.
Topic of the Day (E-Learning Initiative)
A popular technology intensive tool utilized to expose residents to one anesthesiology topic contained within the American Board of Anesthesiology Content Outline. Every day each resident receives the ‘Topic of the Day' via a text page. Residents discuss the topic with faculty during the day. At the conclusion of the clinical day, discussion points (with references) are posted to the department website. Resident logon frequency and time expenditure online is monitored for validation purposes.
Scenario based interactive simulation designed to teach all cognitive aspects of the medical practice of anesthesiology, plus pharmacology and physiology. The simulation is implemented on a small computer and is integrated with a detailed model and real physiologic compartments. The faculty facilitator has the ability to control every aspect of anesthetic administration, including selecting and injecting drugs. Individual courses allow the inexperienced clinician to practice anesthesia induction, routine and difficult airway management, ACLS, anesthesia crisis management and decision making. The programs are utilized to supplement "real patient" experiences of our CA-1 residents.
Web-based Q & A (E-Learning Initiative)
An on-line question and answer program designed on test knowledge similar to that of the In-training examination (ITE) which cover topics from American Board on Anesthesiology Content Outline. Each trainee is required to complete a monthly test comprised of twenty questions. Each CA-2 and CA-3 resident is also required to complete an additional subspecialty specific test comprised of fifty questions while assigned to a subspecialty rotation (Cardiovascular, Neurosurgical, Pediatric, Critical Care and Pain Management).
Vapor Camp Lecture Series
A limited series of lectures / workshops designed to facilitate rapid clinical anesthesiology specific knowledge accrual for new CA-1 residents. The content of these lectures cover a broad spectrum of topics encountered in the clinical environments of UT Southwestern Medical Center. Faculty members are the predominant presenters. Fellows from the department associated fellowships (Cardiothoracic, Pediatric, Pain and Critical Care) are presenters on a limited basis.
Current Literature Review (E-Learning Initiative) Resident-directed
On-line discussion group designed to encourage residents to use recently published journals as a source to develop life long education skills. Each month a different article (or other scholarly content) is selected by the author/leader, presented and discussed via the departmental on-line discussion forum. Each resident peer group (CA-1, CA-2 and CA-3) has a resident author/leader and each resident in that specific peer is required to offer a comment on the material presented. Each article must have been published within the last ninety (90) days. Each discussion forum has a faculty moderator to facilitate the intellectual discourse. At any given time at least three articles are actively being discussed. Residents are required to contribute to the discussion forum for their specific peer group; however, participation in the other concurrent discussion forums is encouraged. The on-line current literature review is a natural extension of an in-person journal club for the department.
Obstetrical Anesthesia: Daily Morning Conference
Cardiothoracic Anesthesia: Faculty / Fellow weekly lectures
CT/CV Journal Club
Neurosurgical Anesthesia: Video Lecture Series
Neuro-based Mock Orals
Pediatric Anesthesia: Faculty Lecture Series
Pain Management Faculty / Fellows Lectures
Pain Journal Club (monthly)
Critical Care: Daily Teaching Rounds
Multidisciplinary Weekly Teaching Conferences
If you would like more information regarding any of these educational activities, please contact the resident affairs office by emailing [email protected]
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