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The Massachusetts General Hospital Anesthesia Residency Program offers a rich didactic curriculum for residents that includes conferences, lectures and hands-on training.
Grand Rounds are an integral component of resident education in the Department of Anesthesia, Critical Care and Pain Medicine (DACCPM). Grand Rounds feature faculty from Mass General, other Harvard-affiliated hospitals, the Massachusetts Institute of Technology, as well as national and international guest lecturers who are leading scientists and experts in their field.
Designed for residents to explore actual or theoretical cases based on information taken from a number of medical disciplines, Case Conferences are held on Thursday mornings from 8:00 am to 9:00 am. The hour is led by a staff member with resident involvement. The goal is to engage in an interactive discussion with the audience regarding preoperative, intraoperative and postoperative anesthesia care. It provides an opportunity for residents to make key decisions based on the cases that are presented, and to defend their medical reasoning with evidence.
The Morbidity and Mortality Conference is held every two months in place of a Case Conference. This conference provides residents with the opportunity to take part in the department's continuous efforts to improve quality and safety. Theoretical and actual cases are discussed where near-misses could have resulted in less than optimal clinical outcomes. The discussions are bolstered by literature-based evidence, are non-punitive and are aimed at reinforcing the department's adherence and commitment to safety and safe medical procedures.
The Journal Club occurs bi-monthly, providing a format for the residents and faculty to review current literature pertaining to anesthesia practice. The sessions are led by residents and involve extensive review of the evidence prior to discussing the designated article. The goal of the club is to foster evidence-based practice with critical appraisal of the literature
A Board Review lecture series is offered on Thursday mornings for all residents. There is also a series specifically designed for CA-1s preparing for the American Board of Anesthesiology (ABA) Basic Exam, which is held on Friday afternoons. These lectures are presented by DACCPM faculty members and are based on essential keyword topics and questions published by the ABA. The lectures also include strategies for test-taking.
An integrated lecture series of approximately 40 weekly lectures specifically targeted to the CA-1 resident (September - June). Basic topics of anesthetic management are presented by DACCPM faculty and include, but are not limited to, airway anatomy, aspiration, pharmacology and pharmacokinetics, pulmonary anatomy and physiology, cardiovascular physiology, as well as difficult airway management and basic regional anesthesia. These topics are presented in sequence with the goal of building upon a gradually deepening understanding of fundamental concepts.
These weekly lectures by faculty are on topics that are central to becoming a consultant in the field of anesthesia, including vascular access, neuropathic pain, regional anesthesia and coagulation, endocrine diseases, and anesthesia as it is used in transplant surgeries. These are presented at the level of continuing medical education (CME) courses.
The Intensive Care Unit (ICU), pediatric, obstetric, neuro, acute pain, chronic pain, preadmission testing area (preoperative), thoracic and cardiac anesthesia clinical subspecialty rotations conduct didactic lectures in addition to the departmental lectures. The ICU rotation provides residents with a broad array of didactic opportunities. This "micro" level of didactic training facilitates case-related teaching. Teams can follow specific cases from the outset, and team members benefit and learn from discussing clinical care decisions with colleagues.
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