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Didactic Curriculum


Anesthesia Residency
Educational Schedule Overview 2017 - 2018

 

The text used in the curriculum are:

Clinical Anesthesiology referred to as Lange
Miller's Anesthesia

June/July

Intro/ Pharmacology Basics/ Machine Anatomy
New Resident Orientation
Lange chapters 4-15

Topics:
The Anesthesia Machine
IV Anesthetics/ Analgesic Agents          
Inhalational Agents                           
Pharmacology Principles
Hypotensive Agents
Hypertensive Agents
SNS/Receptors/ Pharmacology
PNS/ Receptors/ Pharmacology
NMB agents/ Cholinesterase Inhibitors/ Anticholinergic Drugs
Breathing Systems
Anesthesia & Anatomy
Laryngospasm/ Bronchospasm
Anaphalactoid/ Anaphylactic Reactions

Learnly
TrueLearn
Resident Wellness
Crises Management/Simulation
Resident Meeting
Department Meeting/ M&M

August

Obstetrics and Pediatrics
Maternal & Fetal Physiology & Anesthesia – Lange Chp 42; Miller Chp 58
Obstetric Anesthesia – Lange Chp 43; Miller Chp 58
Spinal, Epidural, & Caudal Blocks – Lange Chp 16
Pediatric Anesthesia – Lange Chp 44; Miller Chp 59, 60

Topics:
Physiological Changes in Pregnancy
Anesthesia risks in OB patients
General anesthesia in pregnancy
Anesthesia for C-sections
Spinal/ epidural anesthesia
Anesthesia for vaginal delivery
Complications of neuraxial blocks
Anesthesia for complicated pregnancy
Fetal physiology
Pediatric anesthesia
Fetal and neonatal resuscitation
 

Oral Board Review
Grand Rounds – Dr. Keyes
ASA Legislative Conference
Substance Abuse
Bi-monthly Journal Club
Learnly
TrueLearn
Resident Wellness
Crises Management/Simulation
Resident Meeting
Department Meeting/ M&M 
AOCA In-Service Exam (8/5/17)

September

Electrolytes ad Endocrine
Management of Fluid/Electrolyte Disturbances – Lange Chp 28; Miller Chp 46
Fluid Management and Transfusion – Lange Chp 29; Miller Chp 46, 47
Acid-Base Balance – Lange Chp 30; Miller Chp 41,46

Topics:
Fluid and electrolyte disturbances
Potassium imbalance
Disorders of calcium/ phosphorus/ magnesium balance
Acid-base management
Acidosis 
Alkalosis
Perioperative fluid therapy
Transfusions
Sickle cell
Adrenal insufficiency, SIADH, DI
DKA

Research Paper (case) Proposal Due by PGY-2, PGY-3, PGY- 4
Yearly goal due by PGY-2, PGY-3, PGY-4
Quarterly Resident Review

Oral Board Review
Grand Rounds – Dr. Tsao
Learnly
TrueLearn
Resident Wellness
Crises Management/Simulation
Resident Meeting
Department Meeting/ M&M 

October

Trauma
Anesthesia for Trauma Patient – Lange Chp 41; Miller Chp 63
Anesthetic Complications – Lange Chp 47; Miller Chp 24, 28, 29
Cardiopulmonary Resuscitation – Lange Chp 48; Miller Chp 78

Topics:
Trauma primary and secondary survey
Massive transfusion protocol
Transfusion reactions
Panopto lecture – Trauma patient
Airway fires
Emergent/ trauma/ ICU intubations
Anticoagulation
Panopto lecture – Neuro trauma
Burn injuries

Written/ Oral Board Review
Grand Rounds – Dr. Dr. Gonzalez
Learnly
TrueLearn
Resident Wellness
Crises Management/Simulation
Resident Meeting
Department Meeting/ M&M 
ASA Presentations
RUHS Career and Leadership (session 1)

November

Regional/ Local Anesthesia
Anesthesia for Ophthalmic Surgery – Lange Chp 38
Anesthesia for Otorhinolarygologic Surgery – Lange Chp 39; Miller Chp 65
Anesthesia for Orthopedic Surgery – Lange Chp 40; Miller Chp 61
Peripheral Nerve Blocks – Lange Chp 17

Topics:
Local anesthesia biochemistry/ physiology of PNB
Local anesthesia calculations/ toxicity/ max dose
Upper extremity nerve blocks:
Anatomy
How to/ risks of procedure
Lower extremity nerve blocks:
Anatomy
How to/ risks of procedure
Block overview: Stellate gang, retrobulbar, lumber plexus, bier block, etc. 
On-Q and continuous PNB
Thoracic Epidurals
 
Oral Board Review
Grand Rounds – Dr. Margolis 
Learnly
TrueLearn
Resident Wellness – Turkey Trot
Crises Management/Simulation
Resident Meeting
Department Meeting/ M&M 
Interview Days

December

Cardiac/ Cardiothoracic Anesthesia
Resp. Physiology and Anesthesia – Lange Chp 22; Miller Chp 36
Anesthesia for Pts with Resp Disease – Lange Chp 23; Miller Chp 49, 75
Anesthesia for Thoracic Surgery – Lange Chp 24; Miller Chp   49

Topics:
Cardiac conduction system and electrical pathology
Cardiac valves and valvular pathology
Central lines/ arterial lines
PT/ PTT/ ING/ TEG
Coagulation & biochemistry/ pathophysiology
Coagulation disorders
TTE/ Basics of ultrasound
Aprotinin, TXA, Aminocaproic Acid
Cardiac drugs
Heath transplant
Cardiopulmonary bypass
ECMO
Devces: LVAD/ RVAD/ IABP

Grand Rounds
Learnly
TrueLearn
Resident Wellness
Crises Management/Simulation
Resident Meeting
Department Meeting/ M&M 
Interview Days
Research Paper (case) 1st draft Due by PGY-2, PGY-3, PGY- 4
Quarterly Resident Review

January

Pulmonology/ Cardiothoracic Anesthesia
Cardiovascular Physiology & Anesthesia – Lange Chp 19; Miller Chp 32
Anesthesia for Pts with CV Disease – Lange Chp 20; Miller Chp 35, 50
Anesthesia for Cardiovascular Surgery – Lange Chp 21; Miller Chp 50, 52

Topics:
Pulmonary physiology
Pulm HTN Pharmacology
Double lumen tubes
Lung transplant basics
Lung isolation techniques
Ventilator management OR vs. ICU
Pacemakers
Ischemic and pharmacological cardiac preconditioning
Sympathetic blocking for intraoperative pain control
Pulmonary function tests
pH stat vs. alpha stat


Grand Rounds
Learnly
TrueLearn
Resident Wellness
Crises Management/Simulation
Resident Meeting
Department Meeting/ M&M 

February

Renal
Renal Physiology & Anesthesia – Lange Chp 31; Miller Chp 37
Anesthesia for Pts with Renal Disease – Lange Chp 32; Miller Chp 54
Anesthesia for Genitourinary Surgery – Lange Chp 33; Miller Chp 54
ABA ITE - 2/17/18
CHLA Pediatric Conference - mandatory

Topics:
Renal physiology
Renal physiology under general anesthesia
Contrast & NSAIDs & kidney function
Renal protective drugs
Diuretics
Nephrotoxic drugs
AKI/ CKD
General anesthesia and kidney effects
Regional/ neuraxial anesthesia and kidney function


Grand Rounds
Learnly
TrueLearn
Resident Wellness
Crises Management/Simulation
Resident Meeting

Research Paper (case) 2nd draft due by PGY-2, PGY-3, PGY- 4

RUHS Career and Leadership (session 2)

March

Liver & Anesthesia
Hepatic Physiology & Anesthesia – Lange Chp 34; Miller Chp 55
Anesthesia for Patients with Liver Disease – Lange Chp 35; Miller Chp 56 (transplants)
Anesthesia in Endocrine Disease – Lange Chp 36

Topics:
Liver anatomy & physiology
Liver physiology: hepatic synthetic capacity & albumin
Hepatitis & GA, Hepatitis risks in transfusions
Liver transplant
Liver disease/ dysfunction and anesthesia effects
Postoperative jaundice
MELD/ Child-pugh scoring
Liver transplant and electrolyte disturbances
Shock liver & trauma/ post-arrest
Liver dysfunction and laboratory testing
Post hepatic dysfunction
Liver cirrhosis, cirrhosis and NMB


Grand Rounds
Learnly
TrueLearn
Resident Wellness
Crises Management/Simulation
Resident Meeting
Department Meeting/ M&M 

Quarterly Resident Review
RUHS Career and Leadership (session 3)

April

Perioperative Anesthesia
Anesthesia in Neuromuscular Disease - Lange Chp 37
Geriatric Anesthesia – Lange Chp 45; Miller Chp 62
Post Anesthesia Care – Lange Chp 49; Miller Chp 71
Critical Care – Lange Chp 50; Miller Chp 74

Topics:
Geriatric Anesthesia
Substance Abuse (Acute vs Chronic)
Transfusions
Total joints
PONV
Sleep apnea
Aspiration & anesthesia
Multimodal pain management

Oral Board Review
Grand Rounds
Learnly
TrueLearn
Resident Wellness
Crises Management/Simulation
Resident Meeting
Department Meeting/ M&M 

Fatigue Lecture
Bi-monthly Journal Club
Professionalism
Portfolio assignments (CBA, SBP, PBL)

May

Board Review
Neurophysiology and Anesthesia – Lange Chp 25; Miller Chp 38
Anesthesia for Neurosurgery – Lange Chp 26; Miller Chp 53
Anesthesia with Neuro and Psych Disease – Lange Chp 27; Miller Chp 53

Topics:
Basic and Advanced keywords
Research Paper/Project Presentations


Oral Board Review
Grand Rounds – Dr. Kelly
Learnly
TrueLearn
Resident Wellness
Crises Management/Simulation
Resident Meeting
Department Meeting/ M&M 
Airway day
Riverside University Health System Research Symposium
Yearly goal (reflection) Due by PGY-2, PGY-3, PGY-4

June

Pain Management – Lange Chp 18; Miller Chp 44, 72, 73

Annual Resident Review and Exit Interview
Oral Board Review
Grand Rounds – Dr. Kelly
Learnly
TrueLearn
Resident Wellness
Crises Management/Simulation
Resident Meeting
Department Meeting/ M&M 

RUHS Career and Leadership (session 4)