Anesthesiology

Monthly full-day course during Anesthesia rotation

• Airway skills
• Invasive skills (IVs, arterial lines, central lines, spinal puncture)
• Basic scenarios using high fidelity simulation (hypotension due to blood loss, hypoxia due to bronchospasm, etc.)

4 half-day sessions per year with groups of 7-9 residents

• Communication (“speak up”)
• Central line skills, Basic Airway skills
• ACLS
• Anesthesia core skills

CA1

Anesthesia core skills

In the first 2 weeks of Anesthesia training

• Induction
• Intubation
• Management of common and/or critical events (hypoxia, hypotension, tachycardia, bradycardia, machine failure)

Code/Call Readiness skills

After 6 weeks of training, before taking over night call

• Intubation on the floor
• Management of difficult airway scenarios

CA1-3

• Simulation sessions run twice a week with groups of 2-3 residents throughout the year. Scenarios using high fidelity simulation tailored to their level of training.
• Remediation sessions are scheduled as needed to enhance learning plans

Airway workshop

Whole day event with ability to practice with difficult tools at workstations

Central line workshop

Four hour course with hands on stations (practice landmarks and ultrasound technique for internal jugular, subclavian and femoral vein access)

• Six two hour courses with whole class of fellows
• PALS
• Mock Orals

In situ at the VA Medical Center ORs with focus on team training and improvement of systems issues

• Malignant Hyperthermia
• Code in the OR
• Fire in the OR