The 3-year, clinical anesthesia curriculum is provided in 13 blocks (4 weeks per block), incorporating required board certification topics that are designed to train you into qualified anesthesiologist-consultants. The training year starts with a rapid, broad overview of anesthesiology which then expands into focused concentration of major organ systems and anesthetic implications. Your didactic training will also develop your awareness as physicians in dealing with the realities of patient care issues, governmental policies, insurance, business practices, hospital systems, personal growth, and life in general. Each block follows the general format outlined below. Except where noted, didactics are held from 6:30 to 7:00 a.m.
Echo Rounds (1st Monday)
A lecture series designed to prepare the resident for certification in basic echocardiography (optional, requires examination by the National Board of Echocardiography.
Specialty Anesthesia Conferences (1st & 3rd Tuesdays)
With the exception of the 2nd Tuesday which is devoted to Simulation, Tuesdays are reserved for in-depth, didactic sessions for residents in the specialty rotations of OB, cardiothoracic, pain medicine, neurosurgery, and critical care medicine.
Case Conferences (1st & 3rd Wednesdays, 6:30 – 7:oo a.m.) How much you benefit from the curriculum will depend strongly on your participation. Therefore you will be, with faculty mentoring, analyzing patient cases to discuss medical and surgical issues in order to arrive at logical anesthetic plans. You should research and fortify your knowledge base prior to presenting your conclusions to your colleagues and faculty. You will practice your oral examination skills by engaging in lively discussions with your colleagues during these sessions. (In other words, you get to ask questions of your audience.)
Chiefs Conference (1st Thursday)
This session, moderated by the chief residents, provides residents an opportunity to discuss issues as a group and to bring to the attention of the Chairman and Program Directors issues and concerns in clinical or educational systems for review and/or improvement. This also provides a means for the Chairman and Program Director to disseminate information of importance to the residents.
Basic & Advanced Board Prep (Every Friday)
Residents are divided into PGY-2 (basic) and PGY-3 & 4 (advanced) for this ‘keywords’ drill and exercise to familiarize residents on anesthesia terminology and definitions based on the tested ABA content outline.
Problem-Based Learning Discussion (2nd Monday)
Residents come together as a group to engage in a collaborative, interactive discussion regarding anesthetic concerns, goals, preoperative assessment and intraoperative management of a faculty-presented patient case.
Simulation (2nd and 4th Tuesdays)
We are fortunate to have a state-of-the-art simulation skills lab complete with high-fidelity human simulation mannequins, cameras, video-feeds, and observation room. Faculty and residents participate in a scenario designed to allow hands-on participation for various anesthesia technical skills as well as practical application of anesthesia knowledge. The role of surgeon is coveted. As a learning aid, sessions are videotaped and reviewed by faculty observers and participating residents.
ACGME Lecture Series (2nd Wednesday)
Jennifer Peel, Ph.D., Assistant Dean, UTHSCSA Office of Graduate Medical Education, provides lectures on each of learning objectives of the ACGME’s six core competencies, as well as a lecture on Quality Assurance and Complications of Anesthesia.
Practice Oral Boards (3rd Wednesday)
During their PGY-3 and PGY-4 years, residents are provided the opportunity to participate in a peer-observed practice oral board during which two of our faculty examiners will assess the resident’s clinical judgment and decision making, their ability to adapt to changing clinical scenarios and their ability to communicate at the level of an anesthesiology consultant.
Morbidity and Mortality (M&M) Conferences (2nd through 4th Thursdays as announced)
Actual rather than hypothetical patient cases are discussed. The objectives are to improve patient care by learning from critical and “near-miss” perioperative events.
Grand Rounds (2nd through 4th Thursdays as announced)
Guest speakers will present a traditional lecture on timely topics of interest such as the importance of advocacy, medical liability, or clinical focus or research. This session is also available for residents as a practice forum ahead of an invited presentation to a state or national conference.
Lecture on Block Topic (3rd and 4th Mondays)
Each curriculum block has a general topic such as ‘Anesthesia Basics’, ‘Pharmacology for Anesthesia’, etc. This traditional lecture session is devoted to an item from the general topic.
Journal Club (4th Wednesday)
To encourage a life-long habit of staying current with new research and specialty developments, you will be reading current literature. Three of your cohort, with faculty assistance will sift through current and some “landmark” articles for advanced reading on an anesthesia sub-specialty such as pediatric anesthesia or cardiothoracic anesthesia. All residents and faculty will participate in a discussion as to scientific hypotheses, methodologies, conclusions, validity and any clinical applications.
Special Workshops (Saturday Morning as scheduled)
From time to time, weekend workshops are organized to enhance your education. Popular workshops include TEE, Regional Anesthesia, Difficult Airway Management, and Understanding Anesthesia Machines.
Mock Oral Examination (Saturday Morning in February)
Annually, the UTHSCSA and San Antonio Uniformed Services Health Education Consortium (SAUSHEC) conduct a joint oral examination for all enrolled residents and resident alumni (voluntary basis) in order to prepare them for the ABA Part 2 certification examination. Effort is made to simulate the actual oral examination experience with faculty examining residents who are NOT from their program. Feedback is provided immediately post-mock exam and the scoring sheets are also provided to the resident as a study aid.
Textbooks (please review list of textbooks)
Current additions of text books are provided to each incoming resident in either book and/or eBook versions. Books provided are Critical Care Medicine: The Essentials by John J. Marini, A Practical Approach to Obstetric Anesthesia by Brenda Bucklin, MD, Essentials of Cardiac Anesthesia by Joel A. Kaplan, MD, Basics of Anesthesia, Sixth Edition, by Ronald D. Miller, MD, Clinical Anesthesia by Paul Barash, and Anesthesia, 6th Edition by Miller. Residents on subspecialty rotations are encouraged to read textbooks suggested in the subspecialty manual.