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Medical Residency in Anesthesia

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Title: Ensino e Pesquisa em Anestesiologia Author: FMUSP Last modified by: Jose Otavio Costa Auler Junior Document presentation format: Custom Other titles – PowerPoint PPT presentation

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Title: Medical Residency in Anesthesia


1
Medical Residency in Anesthesia
  • Teaching and Practice Center in Anesthesiology
  • Hospital das Clinicas FMUSP

1
2
ABILITIES AND KNOWLEDGE - R1- 30 places per year
  • Perform pre-anesthetic evaluation of the patient
    and classify the physical status and the surgical
    risk
  • Indicate and prescribe the pre-anesthetic
    medication
  • Knowledge in the the areas of physiology and
    pharmacology of cardiocirculatory, respiratory,
    renal, and nervous systems
  • Knowledge of the inhalational, intravenous,
    local agents and adjuvant drugs
  • Learning the main anesthetic techniques
  • Develop a clinical research project and submit
    it to approval
  • Acquire basic knowledge of intensive care
  • Acquire basic knowledge for pain acute
    treatment
  • Take part in the staff of the CPR program of the
    Central Ins(blue code).

3
ABILITIES AND KNOWLEDGE - R2 Places 30
  • Deepen the knowledge acquired in the first year
    of Medical Residence
  • Perform prophylaxis and treat the post-operation
    pain with the use of specific techniques
  • Be in contact with several surgical specialties
    and their particularities
  • Diagnose and treat any possible occurrences and
    perioperative complications
  • Conclude the collect of data of the research
    projects
  • Acquire full abilities to act in intensive care.
  • Take part in the initial attendance to the
    traumatized patient in the Emergency Care and in
    the CPR staff in the Central Institute

4
ABILITIES AND KNOWLEDGE - R3
  • Deepen the knowledge acquired in the first and
    second years od Medical Residence
  • Emphasize the participation in anesthesia for
    major surgeries and perioperative care in
    patients with high surgical risk
  • Deepen the knowledge in several modalities of
    artificial ventilation
  • Ambulatory of patients with chronic pain
  • Take part in anesthesia for organ transplantation
    and care with organ donors
  • Conclude the research project, present to the
    examining board and send it to the publication.

5
PRACTICAL PROGRAM - R1
  • Obstetric Anesthesia
  • Urgency and Emergency
  • Orthopedics Surgery
  • Otolaryngology /ophthalmology surgery
  • Gastroenterological Surgery and General Surgery.
  • Head and Neck Surgery / Plastic Surgery.
  • Obstetrics anesthesia
  • Surgical and Trauma ICU
  • Post-Anesthesia Recovery
  • Oncologic surgery

6
PRACTICAL PROGRAM- R2
  • Orthopedics.
  • Pediatric Surgery
  • Heart Surgery.
  • Urgency and Emergency Surgeries
  • Obstetric Anesthesia
  • Anesthesia for Urology.
  • Anesthesia for Vascular Surgery.
  • Anesthesia for Gastroenterological Surgery.
  • Anesthesia for Oncological Surgery.
  • Initial attendance to the traumatized patient in
    the Emergency Care
  • Anesthesia for Image, radiological, diagnostic
    and therapeutic procedures.
  • Internship in the Acute Pain Group.
  • ICU Anesthetic Recovery.

7
PRACTICAL PROGRAM R3 Rotation in Specialized
Institutes
  • Transplantation heart, liver, kidney, lung
  • Thoracic Surgery.
  • Obstetric Anesthesia. Congenital Heart Disease.
  • Endoscopy and Outpatient Surgery
  • Pediatric Surgery
  • Hemodynamic and Image diagnose procedures
  • Neurosurgery/Functional Neurosurgery.
  • Oncological Surgery.
  • Optional internship choose 02 Institutes to
    perform the procedures
  • Internship in Pain.

8
PRACTICAL ABILITIES -
  • CPR training
  • Difficult airway training
  • devices, fibroscopy and crico tracheostomy
  • Monitoring
  • central catheter, needling techniques with
    ultrasound
  • Arterial e peripheral accesses
  • Neuro-axis and peripheral nerves access
  • Monitoring of the consciousness state in
    anesthesia
  • Monitoring neuromuscular junction
  • Pumps, monitors, anesthesia machine, ventilators,
    electronic devices , defibrillators
  • ICU and pain clinic routine

9
HOW IT IS MADE
  • Theoretical Program issues by Brazilian
    Society of Anesthesia
  • Class attendance to lectures
  • Number of minimum anesthetic procedures
  • Internship in the Institutes
  • Internship of Abilities
  • Exam Specific competences
  • LINEAR ACQUISITION OF KNOWLEDGE DETERMINED TIME

10
THE GREATEST CHALLENGE
  • EVALUATION OF THE ESTABLISHED COMPETENCE
  • EVALUATION OF THE ACQUIRED KNOWLEDGE

11
CURRENT EVALUATION
  • QUARTELY THEORETICAL EXAMS
  • ANNUAL THEORETICAL EXAMS
  • EVALUATION IN THE INTERNSHIPS

12
Rules of Central Committee FMUSP
  • CHAPTER IV Failures in the Internships
  • Article 10th. The failure in the internship will
    imply on its full replacement.
  • Article 11th. Unjustified absence equal or over
    than 4 (four) days will imply in the internship
    failure.
  • Article 12th. The failure in two internships will
    imply in the exclusion from the Medical Residence
    Program.
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