Welcome Letter to Pediatric Elective Residents
Dear pediatrics resident,
You are scheduled to do a pediatric anesthesiology elective rotation this year. I would like to welcome you and give you some information that may make your transition a little smoother. On your first day, show up to the main OR desk (west tower 3rd floor) in scrub attire. Please find the GOAT (anesthesiologist in charge) at 0700 and ask for your assignment. On future dates, I would like for you to find your assignment at the front desk in the CCC OR's. The secretaries there should have a sheet with all of the anesthesia assignments. If not, please ask the CCC GOAT. If the assignment hasn't been made, please check with the CCC GOAT. I ask you to show up to the OR at 0700 each day (this allows you ample time to meet your attending and be involved in the preoperative evaluation). And please bring your stethoscope with you each day.
I have created a new airway log for you guys to fill out each day. Please keep a record of the cases that you complete and have your attending for the day evaluate you. This will help me keep track of the number of cases you guys do but also help me with your evaluations. At the end of the rotation, please drop off your airway logs in my mailbox located in the anesthesia offices in Abercrombie (3rd floor).
I ask you to inform me of any schedule changes, back up shifts, or post call times so that I am aware that you will not be present in the OR. I do contact the chief residents if you are scheduled to be here and do not show up!
Attached you will find an anesthesia primer with some important information.
We are excited to have you and hope you find this to be a fruitful experience.
PS. I coordinate this rotation for all of the pediatric residents and fellows. Please call me with concerns/questions.
Carlos L Rodriguez, MD
Assistant Professor
Pediatric Anesthesiology, BCM
Spectra 832-826-4339
Pager 5536
You are scheduled to do a pediatric anesthesiology elective rotation this year. I would like to welcome you and give you some information that may make your transition a little smoother. On your first day, show up to the main OR desk (west tower 3rd floor) in scrub attire. Please find the GOAT (anesthesiologist in charge) at 0700 and ask for your assignment. On future dates, I would like for you to find your assignment at the front desk in the CCC OR's. The secretaries there should have a sheet with all of the anesthesia assignments. If not, please ask the CCC GOAT. If the assignment hasn't been made, please check with the CCC GOAT. I ask you to show up to the OR at 0700 each day (this allows you ample time to meet your attending and be involved in the preoperative evaluation). And please bring your stethoscope with you each day.
I have created a new airway log for you guys to fill out each day. Please keep a record of the cases that you complete and have your attending for the day evaluate you. This will help me keep track of the number of cases you guys do but also help me with your evaluations. At the end of the rotation, please drop off your airway logs in my mailbox located in the anesthesia offices in Abercrombie (3rd floor).
I ask you to inform me of any schedule changes, back up shifts, or post call times so that I am aware that you will not be present in the OR. I do contact the chief residents if you are scheduled to be here and do not show up!
Attached you will find an anesthesia primer with some important information.
We are excited to have you and hope you find this to be a fruitful experience.
PS. I coordinate this rotation for all of the pediatric residents and fellows. Please call me with concerns/questions.
Carlos L Rodriguez, MD
Assistant Professor
Pediatric Anesthesiology, BCM
Spectra 832-826-4339
Pager 5536
Where to report first day:
Main OR Control desk at 7AM, dressed in scrub attire, and request assignment from the Anesthesia GOAT (Anesthesiologist running the schedule)
Below is a procedure log. Please download it, print it, and bring it with you on the first day of your rotation.
Main OR Control desk at 7AM, dressed in scrub attire, and request assignment from the Anesthesia GOAT (Anesthesiologist running the schedule)
Below is a procedure log. Please download it, print it, and bring it with you on the first day of your rotation.
| airway_log.pdf |
Goals:
(1) Acquire a basic understanding of Pediatric Anesthesiology, including the special considerations imposed by pediatric anatomy and physiology.
(2) Understand the rationale for when an artificial airway is necessary, and develop competence in the placement of common airway devices.
(3) Develop an understanding of acute postoperative pain management
Objectives:
Patient care
* Assist the anesthesiologist with all aspects of anesthetic care, including the preoperative assessment, and in the recovery room. This will include procedures such as IV placement, bag mask ventilation, and endotracheal intubation.
* Develop an appropriate post operative pain management plan with the Anesthesiology attending
Medical Knowledge
* Discuss pertinent topics with assigned attendings relating to pediatric anesthesia and common co-existing pediatric diseases
* Attending morning teaching conferences, held Mondays, Tuesdays, Thursdays and Fridays at 6:15am. Attendance at Wednesday conferences is not required.
Practice Based Learning and Improvement
* Attend departmental Quality Improvement meetings
* Actively seek and accept feedback from attendings regarding all aspects of performance
* Maintain a case log
Professionalism
* At all times, conduct him/herself in a manner befitting the medical profession. This includes, but is not limited to, appropriate attire, personal grooming, demonstrating courtesy and empathy with patients and family, and collegial behavior towards other medical and nursing staff
Interpersonal and Communication skills
* Communicate with attending staff regarding any questions regarding the anesthesia plan.
* Be able to perform a basic pre-anesthesia assessment
Systems Based Practice
* Develop an appreciation of how systems are put in place to improve patient outcomes and avoid medical error. Such an example would be the surgical time-out.
Description:
The pediatric anesthesiology elective for pediatric residents is designed to improve resident's skills at airway management, including effective mask ventilation, placement of laryngeal mask airways and endotracheal tubes. These skills will be practiced on a daily basis and will be accompanied by considerable attention to early recognition of the difficult airway and strategies for avoiding common pitfalls. Additionally, residents will have the opportunity to practice IVs and to learn about the perioperative care of pediatric surgical patients. Pain management options are discussed for each patient.
The pediatric resident will NOT be expected to perform as the primary anesthetist, and will not be expected to "learn anesthesiology" in one month! The pediatric resident will never be left alone in the OR with a patient. This elective is designed to be a low-stress, high-yield experience.
This elective is designed to provide one-on-one teaching and feedback with faculty anesthesiologists at Texas Children's Hospital for PGY 2 and 3 residents. The responsibilities will be approximately 6:15AM - 4 PM, and the residents are expected to attend the daily didactic conferences held from 6:15 – 7:00 AM (except Wednesdays). Residents are encouraged to participate actively, and are welcome to stay later if they are interested in the care of a particular patient. There are no call or weekend requirements from the Anesthesiology department, but residents are expected to be available for back-up call and Continuity Clinic as scheduled by the Department of Pediatrics. In the event of unexpected overnight call, the resident is to inform the Anesthesiology department via email the evening before (clrodrig@texaschildrens.org) The resident will be assigned to an operating room each day of the week including days with Continuity Clinic, and will be expected in the OR either in the afternoon after, or morning before a Clinic obligation.
On the first day of their rotation, residents should present to the Main OR Control desk, in West Tower 3rd floor, at 7AM, dressed in scrub attire, and request their assignment from the Anesthesia GOAT. The next day’s assignments may be checked by calling 832-824-5800 (Department of Pediatric Anesthesiology) after 3 pm. Residents are expected to maintain a patient encounter list documenting each procedure and/or anesthesia they perform. This list should include patient identifier (name or MR#), age, diagnosis, procedure performed, and any complications that occurred. In addition, residents should complete a checklist of desired discussions, procedures and types of patient encounters. A copy of both the case logs and checklist of discussions and procedures must be turned in at the end of the rotation.
We recommend this elective for residents planning careers in Emergency Medicine and Pediatric Critical Care Medicine, as well as those residents who will be practicing Primary Care in remote or non-urban areas, without ready access to subspecialists. The number of safe, controlled intubations that we can offer during a one-month elective should considerably increase the skills and confidence level of the graduating resident.
Restrictions on who is eligible for elective: One resident per month
Restrictions on time of year elective offered: None
(1) Acquire a basic understanding of Pediatric Anesthesiology, including the special considerations imposed by pediatric anatomy and physiology.
(2) Understand the rationale for when an artificial airway is necessary, and develop competence in the placement of common airway devices.
(3) Develop an understanding of acute postoperative pain management
Objectives:
Patient care
* Assist the anesthesiologist with all aspects of anesthetic care, including the preoperative assessment, and in the recovery room. This will include procedures such as IV placement, bag mask ventilation, and endotracheal intubation.
* Develop an appropriate post operative pain management plan with the Anesthesiology attending
Medical Knowledge
* Discuss pertinent topics with assigned attendings relating to pediatric anesthesia and common co-existing pediatric diseases
* Attending morning teaching conferences, held Mondays, Tuesdays, Thursdays and Fridays at 6:15am. Attendance at Wednesday conferences is not required.
Practice Based Learning and Improvement
* Attend departmental Quality Improvement meetings
* Actively seek and accept feedback from attendings regarding all aspects of performance
* Maintain a case log
Professionalism
* At all times, conduct him/herself in a manner befitting the medical profession. This includes, but is not limited to, appropriate attire, personal grooming, demonstrating courtesy and empathy with patients and family, and collegial behavior towards other medical and nursing staff
Interpersonal and Communication skills
* Communicate with attending staff regarding any questions regarding the anesthesia plan.
* Be able to perform a basic pre-anesthesia assessment
Systems Based Practice
* Develop an appreciation of how systems are put in place to improve patient outcomes and avoid medical error. Such an example would be the surgical time-out.
Description:
The pediatric anesthesiology elective for pediatric residents is designed to improve resident's skills at airway management, including effective mask ventilation, placement of laryngeal mask airways and endotracheal tubes. These skills will be practiced on a daily basis and will be accompanied by considerable attention to early recognition of the difficult airway and strategies for avoiding common pitfalls. Additionally, residents will have the opportunity to practice IVs and to learn about the perioperative care of pediatric surgical patients. Pain management options are discussed for each patient.
The pediatric resident will NOT be expected to perform as the primary anesthetist, and will not be expected to "learn anesthesiology" in one month! The pediatric resident will never be left alone in the OR with a patient. This elective is designed to be a low-stress, high-yield experience.
This elective is designed to provide one-on-one teaching and feedback with faculty anesthesiologists at Texas Children's Hospital for PGY 2 and 3 residents. The responsibilities will be approximately 6:15AM - 4 PM, and the residents are expected to attend the daily didactic conferences held from 6:15 – 7:00 AM (except Wednesdays). Residents are encouraged to participate actively, and are welcome to stay later if they are interested in the care of a particular patient. There are no call or weekend requirements from the Anesthesiology department, but residents are expected to be available for back-up call and Continuity Clinic as scheduled by the Department of Pediatrics. In the event of unexpected overnight call, the resident is to inform the Anesthesiology department via email the evening before (clrodrig@texaschildrens.org) The resident will be assigned to an operating room each day of the week including days with Continuity Clinic, and will be expected in the OR either in the afternoon after, or morning before a Clinic obligation.
On the first day of their rotation, residents should present to the Main OR Control desk, in West Tower 3rd floor, at 7AM, dressed in scrub attire, and request their assignment from the Anesthesia GOAT. The next day’s assignments may be checked by calling 832-824-5800 (Department of Pediatric Anesthesiology) after 3 pm. Residents are expected to maintain a patient encounter list documenting each procedure and/or anesthesia they perform. This list should include patient identifier (name or MR#), age, diagnosis, procedure performed, and any complications that occurred. In addition, residents should complete a checklist of desired discussions, procedures and types of patient encounters. A copy of both the case logs and checklist of discussions and procedures must be turned in at the end of the rotation.
We recommend this elective for residents planning careers in Emergency Medicine and Pediatric Critical Care Medicine, as well as those residents who will be practicing Primary Care in remote or non-urban areas, without ready access to subspecialists. The number of safe, controlled intubations that we can offer during a one-month elective should considerably increase the skills and confidence level of the graduating resident.
Restrictions on who is eligible for elective: One resident per month
Restrictions on time of year elective offered: None