Title
Details
F1. Considerations & Consent

Using the anesthetic assessment to generate the anesthetic considerations and management plan including postoperative disposition, and obtaining informed consent, for non-complex patients and non-complex surgery.

Part A

Direct observations (for consent) or by case and chart review by supervisor.

8 Total

3 Direct Observations of Consent

Part B

Reflective Portfolio and debriefing on challenges of consent e.g. JW, DNR protocol - apply any and all CanMeds to the individual experience - submission of short reflective narrative, which is then debriefed with a portfolio facilitator.

1 Portfolio

F2. Management

Providing perioperative anesthetic management for non-complex cases in adult patients.

Part A

Assessed by direct observation and/or indirect observation by supervisor - Collect observations from a large breadth of training experiences including different types of anesthesia and priority of surgery.

20 Assessments

Part B

Multisource Feedback

Suspended

Part C

Resident Logbook

1 Logbook

F3. Procedures

Performing the non-airway basic procedures of anesthesiology.

Part A

Procedural skills - Assessed by direct observation by supervisor.

20 Total

2 Arterial Lines

5 Central Lines

5 Spinals

Part B

Submit logbook of procedures performed. Logbook should demonstrate performance of:

20 Arterial Lines

10 Central Lines

20 Spinals

F4. Airway

Identifying patients presenting with an anticipated difficult airway and preparing for management options.

Part A

Direct observation or chart review and case discussion by supervisor.

5 Observations

F5. Positioning

Managing and coordinating patient positioning during anesthesia care and preventing and recognizing related complications.

Part A

Assessed by direct observation by supervisor.

8 Observations

5 Different Positions

Part B

Reflective Portfolio on disclosure of complications - either an actual critical incident, or a “near miss”.

1 Portfolio

F6. Intraoperative Events

Anticipating, preventing, and managing common or expected intraoperative events and physiologic changes during non-complex cases.

Part A

Assessed by direct observation and chart review by supervisor.

5 Observations

Part B

Reflection on patient safety - either an actual critical incident, or a “near miss”.

1 Portfolio

F7. Transfusion

Assessing the indications for transfusion of blood products and managing side effects and complications.

Part A

Direct observation and case review, and debrief by supervisor.

???

Part B

Completion of Transfusion Medicine Bootcamp.

Completed

F8. Common PACU Issues

Diagnosing and managing common issues in the post-anesthesia care unit (PACU), or the surgical ward.

Part A

Direct observation, or case and/or chart review with a debrief by supervisor. Options for managing acute pain should include at least IV PCA, multimodal analgesia and regional anesthesia.

8 Observations

4 Managing Pain

F9. Resuscitation

Initiating resuscitation and diagnosis of patients with life-threatening conditions in a time-appropriate manner.

Part A

Direct observation, or case and/or chart review with a debrief by supervisor.

3 Observations

F10. Medical & Surgical Conditions

Assessing, diagnosing and managing patients with common medical or surgical presentations in acute care settings, and advancing their care plans.

Part A

Direct observation and/or case review and debrief by supervisor.

8 Observations Total

4 Observations of Assessment, Diagnosis & Management

Staff Observation

Medical Condition

Surgical Condition

2 Observations of Handover

Staff Handover Observation

Part B

Successful completion of off-service ITERs.

Completed

F11. Obstetrical Care

Assessing pregnant patient and providing routing obstetric care or initial medical management for acute medical, surgical or obstetric condition.

Part A

Direct observation or chart review and/or care discussion by supervisor.

3 Observations

1 Routine Assessment

1 Acute Medical, Surgical or Obstetric Condition

Part B

Successful completion of obstetric training experience ITER.

Completed ITER