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Kendall Regional Medical Center
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mins
Pediatric ER
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mins

Curriculum

Our program consists of 36 Months of Clinical Anesthesia following the clinical base or PGY-1 year. The program consists of an organized month long CA-1 Orientation, 21 clinical rotations, and a formal educational curriculum. Our program is designed to meet or exceed all ACGME requirements and prepare our residents for every step in the board certification process from the Basic written exam to the Applied OSCE exam.

Monthly Education Schedule: CA-1 Orientation

Time Sunday Monday Tuesday Wednesday Thursday Friday Saturday
8:00-4:00p 1st Week Institutional Orientation: Kendall Regional Medical Center and Aventura Hospital
8:00-8:50a Kendall Facility Aventura Facility Basic Airway Preop Assessment Anesthesia Machine
9:00-9:50a

and

Informed Consent Room Setup
10:00-10:50a Central line Monitors: EKG and BP Monitors: 02 and CO2
11:00-11:50a Training: Research/EBM 1 Research/EBM 2
1:00-3:00p AKT-0 Lecture and Sim: Preop Sim: Machine Check
Skills Lab Assessment Room Setup
Time Sunday Monday Tuesday Wednesday Thursday Friday Saturday
6:45-8:00a Clinical Duty: Preop Clinical Duty: Preop Clinical Duty: Preop Clinical Assignment Clinical Assignment
8:00-8:50a Meds: Pre-Induction Patient Positioning Emergence & Delay
9:00-9:50a Meds: IV Induction Meds: NMBDs & Rev. Sleep Deprivation
10:00-10:50a Meds: Inhaled agents Fluid & Blood Mgmt Substance Abuse
11:00-11:50a Research/EBM 3 IntraOp Event Mgmt Research/EBM 4
1:00-3:00p Sim: Induction and Sim: Perioperative Sim: Emergence and
Intubation Management Recovery
Time Sunday Monday Tuesday Wednesday Thursday Friday Saturday
6:45-7:30a

Clinical Assignment

Clinical Assignment

Clinical Assignment Clinical Assignment Clinical Assignment
12:00-1:00p Lunch Debrief: Lunch Debrief: Lunch Debrief: Lunch Debrief: Lunch Debrief:

Preop/Room Setup

Induction/Intubation

Maintenance Emergence Wrap-Up
Time Sunday Monday Tuesday Wednesday Thursday Friday Saturday
6:45-7:30a

Clinical Assignment

Clinical Assignment Clinical Assignment Clinical Assignment
9:00-11:00a OSCE Assessment
12:00-1:00p Lunch Debrief: (9:00a-2:00p)
1:00-3:00p Wrap-Up
  • 4 General Anesthesia rotations from basic to advanced, including practice management and supervision of anesthesia
  • The majority of Subspecialty rotations have junior and senior level rotations
  • The rotations are designed for resident assignments to provide progressive challenges in complexity of cases, patient severity of illness, and expectation of increased resident responsibility for managing patient care
  • The resident is expected to function and perform with progression from Direct Supervision, to Indirect Supervision, to Oversight Supervision (conditional independence) from CA1 to CA3 year

Rotation Breakdown

Rotation Length
General OR Rotation 5 months
Advanced Clinical 2 - 3 months
Senior Oversight Adv. Practice (CA2-CA3) 2 months
Practice Management 2 months
Obstetric Anesthesia (CA1-CA3) 2-3 months (req. 2 months)
Pediatric Anesthesia (CA2-CA3) 3 months (req. 2 months)
Neuroanesthesia (CA1-CA3) 3 months (req. 2 months)
Cardiothoracic and Vascular (CA2-3) 4 months (req. 2 months)
Critical Care (CA1-CA3) 4 months (req. 4 months)
KRMC (2 months)
VA Miami (2 months)
Pain Mgmt (CA1-CA3) 4 months (req. 4 months)
Chronic (1 month)
Acute (1 month)
Regional (2 months)
Preop Eval 2 weeks (req. 2 weeks)
PACU 2 weeks (req. 2 weeks)
Trauma/Burns (CA1-CA2) 2 months
Off-Site/Ambulatory Anesthesia (CA) 1 month

Sample Block Schedule
2016-2019 ANESTHESIOLOGY MASTER SCHEDULE

CA 1
Rotation

1

2

3

4

5

6

7

8

9

10

11

12

13

Site

Site 1

Site 1

Site 1

Site 1

Site 1

Site 1

Site 1

Site 2

Site 2

Site 2

Site 2

Site 2

Site 4

Rotation Name

Gen

Gen

Tr/Burn

Preop/Vac

OB

PACU/Vac

Off-Site

Gen

Gen

Neuro

Gen

Pain/Reg

ICU

CA 2
Rotation

1

2

3

4

5

6

7

8

9

10

11

12

13

Site

Site 1

Site 1

Site 1

Site 1

Site 1

Site 1

Site 1

Site 2

Site 2

Site 2

Site 2

Site 3

Site 4

Rotation Name

TR/Burn

AC

Neuro

OB

Pain/Reg

AC/Vac

Pedi

CT

CT

Neuro

AC/Vac

Pedi

ICU

CA 3
Rotation

1

2

3

4

5

6

7

8

9

10

11

12

13

Site

Site 1

Site 1

Site 1

Site 1

Site 1

Site 1

Site 1

Site 2

Site 2

Site 2

Site 2

Site 2

Site 3

Rotation Name

CT

ICU

SOAP

PM

OB/Vac

Pain/Reg

ICU

Pain/Reg

CT

SOAP

PM

AC/Vac

Pedi

Rotations List   Site List

1 = Kendall Regional Medical Center

2 = Aventura Hospital and Medical Center

3 = Palms West Hospital

4 = Miami VA Hospital

ICU

Pain/Reg = Rotation is either in Chronic pain, Acute pain, or Regional Anesthesia (Experiences will be 1 month, 1 month, and 2 months respectively) CT = Cardiac, Thoracic, Vascular

Neuro = Neuroanesthesia

Pedi = Pediatric Anesthesia

TR/Burn = Trauma/Burns, residents will manage pts for procedures required secondary to injuries from Trauma and Burns Off-Site = Anesthesia care for Off-Site and Ambulatory procedures

AC = Advanced Clinical, more complex surgical cases and/or patient pathology, indirect level of supervision

SOAP = Senior Oversight Advanced Practice, more complex cases and more clinical responsibility in creation and implementation of anesthetic plan, The goal of this rotation is to have the resident function with oversight supervision

PM = Practice Management, in addition to doing senior level cases with the increased responsibility and decision making, residents will help run the board and make resident assignments, among other activities that go into managing a practice

*Vacation for CA3 would be in either 1 2wk and 2 1 wk block, or 2 2wk blocks

Consists of the following activities:

  • Orientation
  • Simulation-Based Training
  • Didactic lecture series specific to the CA year
  • Morning Conference Series
  • Morning Daily Report
  • Mock Oral program

Monthly Education Schedule: General

Time Sunday Monday Tuesday Wednesday Thursday Friday Saturday
6:45-7:30a Keyword/Case Disc. Keyword/Case Disc. Keyword/Case Disc. MCS: M&M Question Rev
1:00-2:00p Mock Oral: Group
3:00-4:00p Sim: CA1 CA1 Didactic
4:00-5:00p CA2 Didactic
Time Sunday Monday Tuesday Wednesday Thursday Friday Saturday
6:45-7:30a Keyword/Case Disc. Keyword/Case Disc. Keyword/Case Disc. MCS: Grand Rounds Question Rev
1:00-2:00p Mock Oral: CA1
3:00-4:00p Sim: CA2 CA2 Didactic
4:00-5:00p CA3 Didactic
Time Sunday Monday Tuesday Wednesday Thursday Friday Saturday
6:45-7:30a Keyword/Case Disc. Keyword/Case Disc. Keyword/Case Disc. MCS: Journal Club Question Rev
1:00-2:00p Mock Oral: CA2
3:00-4:00p Sim: CA3 CA3 Didactic
4:00-5:00p CA1 Didactic
Time Sunday Monday Tuesday Wednesday Thursday Friday Saturday
6:45-7:30a Keyword/Case Disc. Keyword/Case Disc. Keyword/Case Disc. MCS: Dept/Res MTG Question Rev
1:00-2:00p Mock Oral: CA3
3:00-4:00p Sim: Multi-Level Exam Prep
4:00-5:00p Exam Prep

Didactics

Rotation Number

CA-1

CA-2

CA-3

2

Business of Anesthesia: Billing and Documentation Business of Anesthesia: EMR and SCIP measures Residents as Teachers: Adult Learning Theory

2

Airway, Head and Neck: Anatomy Cardiac Pathophysiology Residents as Teachers: Fundamental Skills

3

Preoperative Evaluation Cardiac Anesthesia: CABGs and Valves Business of Anesthesia: Financial Planning

3

Basics of Pharmacology Thoracic Pathophysiology Business of Anesthesia: Practice Management

4

Autonomic Nervous System: Anatomy and Pharmacology Anesthesia for Thoracic Procedures Business of Anesthesia: Contracts and Negotiating

4

Anesthesia Machine & Monitor Anesthesia for major vascular procedures Off-Site Anesthesia

5

Anesthetic Gases and Vapors Business of Anesthesia: Fellowships Respiratory Failure

5

Intravenous Anesthetics Neuroanesthesia Mechanical Ventilation

6

Opioids and Benzodiazepines Pediatric Anesthesia Pediatric Congenital Cardiac Conditions

6

Muscle Relaxants and Reversal Agents Obstetric Anesthesia: High Risk Patients Pediatric Pain Management

7

Regional Anesthesia and Local Anesthetics Open Date Open Date

7

Cardiac Physiology Neonatal Anatomy and Physiology Machine and Monitor Review

8

Respiratory Physiology Neonatal Resuscitation Common Anesthetic Medications Review

8

Healthy Physician: Mental Health Healthy Physician: Physical Health Preoperative Assessment Review

9

Obstetric Anesthesia: Pregnancy Chronic Pain Cardiac Anesthesia Review

9

Anesthetic Complications Business of Anesthesia: Practice Models Neuroanesthesia Review

10

GI and Hepatobiliary Systems Healthy Physician: Environmental Hazards ICU Review

10

Renal System and Electrolye balance Robotic Surgery Obstetric Anesthesia Review

11

Hematologic System Ethics: DNR, Patient Beliefs and Values Pediatric Anesthesia Review

11

Endocrine System and Disorders Ethics: Brain Death and Organ Donation PACU Review: Discharge and Complications

12

Neuromuscular Disorders Business of Anesthesia: Employment Process Pain Review: Chronic Pain

12

Basics of Pain Management Business of Anesthesia: Medical Licensure Pain Review: Acute and Regional

13

Patient Safety Preparing for the CA-3 Year Preparing for Practice

13

Open Date Open Date Open Date

Simulation

CA-1

CA-2

CA-3

Multi-Level
Skills Labs Skills Labs Skills Labs Skills Labs
LAST:Intermediate Airway: SGAs, VL, and Bronchoscopes LAST: Lung Isolation: DBLT, Bronchial blockers, and more LAST: Invasive Airway: Crich, Trach, and Retrograde ACRM: Fundamentals
CASE: Lines: Arterial & Central LAST: Invasive Airway: Crich, Trach, and Retrograde CASE: Advanced Ultrasound and TEE
CASE: Fundamentals of Ultrasound CASE: Intermediate Ultrasound and TEE
LAST: Lung Isolation: DBLT, Bronchial blockers, and more
CASE: Epidurals and Spinals
High Fidelity Sims High Fidelity Sims High Fidelity Sims High Fidelity Sims
Intraoperative event management Pediatric Anesthesia Subspecialty Round Robin ACRM: Trauma Management
Airway Management 1 Cardiac Anesthesia ACRM: Malignant Hyperthermia
Airway Management 2 Neuroanesthesia ACRM: Obstetric Hemorhage
ACRM: PACU cardiac arrest
Mock OSCEs Mock OSCEs Mock OSCEs Mock OSCEs
Airway Management Lung Isolation Invasive Airway ACRM: Round Robin
The Healthy Patient: Start to Finish The Complex Patient: Start to Finish The Critical Patient: Start to Finish
Subspecialty Round Robin

Monthly Conference Schedule

Rotation Number

M and M Grand Rounds Journal Club Dept/Res MTG

1

Open Date Open Date Open Date Department Update and Resident Welcome

2

Airway Complication Airway Presentation Airway Management Article Department Update and QA

3

Handoff or Signout Complication Preoperative Evaluation Patient Assessment Article Faculty and Resident only  MTG; QA

4

Cardiac Complication Cardiac Presentation Cardiac Article Department Update and QA

5

Pulmonary Complication Pulmonary Presentation Pulmonary Article Department Update and QA

6

Neuroanesthesia Complication Neuroanesthesia Presentation Neuroanesthesia Article Faculty and Resident only  MTG; QA

7

Pediatric Anesthesia Complication Pediatric Anesthesia Presentation Pediatric Anesthesia Article Department Update and QA

8

Obstetric Anesthesia Complication Obstetric Anesthesia Presentation Obstetric Anesthesia Article Department Update and QA

9

Pain/Regional Anesthesia Complication Pain/ Regional Anesthesia Presentation Pain/Regional Article Faculty and Resident only  MTG; QA

10

Critical Care Complication Critical Care Presentation Critical Care Article Department Update and QA

11

Technology Related Complication Technology Related Presentation Technology Related Article Department Update and QA

12

Trauma Related Complication Physician Health, Occupational Hazard Presentation Physician Health Article Faculty and Resident only  MTG; QA

13

Open Date Open Date Open Date Department Update and QA