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General Surgery is not rolling out CBD until July 2020.
Typically anesthesia residents take 1 week of vacation during this rotation. This leaves ~16-17 days on service with 3-4 calls in one block.
Division of General Surgery contacts for anesthesia residents:
- Dr. Mike Ott
- Christine Ward, Program Administrator
EPA REQUEST RULES
EPA REQUEST RULES
Each week, you may request 1 EPA assessment from (1) a surgeon, (2) your senior resident, and (3) a nurse practitioner. N.B. if an EPA requires a certain number of assessments from a staff/consultant.
Residents must communicate beforehand with the Observer/Assessor about which EPA they would like formally assessed. Be aware that the surgeon, senior general surgery resident, and nurse practitioner may not be aware of the EPAs or CBD in general. Take this opportunity to explain and teach about what your needs are while keeping in mind the balance required for a busy clinical practice.
N.B. All residents, whether CBD or not, will adhere to the rules and standards of the department or division of the rotation they are in. That is, if the program completes in-training evaluation reports (ITERs ) at the end of the rotation, then these will also be completed for CBD residents.
ORGANIZING & PRIORITIZING
ORGANIZING & PRIORITIZING
Familiarize yourself with the possible EPAs that can be assessed during your General Surgery rotation. Fortunately, all of these EPAs can be done in other locations as there are no EPAs that can only be done during this rotation. Below are copies of paper-based assessment forms you can print out in the event your Observer does not have ePortfolio access.
Focus on EPAs
- F 2.3
- F 2.5 (can be done by a senior resident)
- F 2.6 (can be done by a senior resident) *RESIDENTS ARE ACHIEVING THIS DURING THEIR EMERGENCY MEDICINE ROTATION
- F 2.14
Be aware that F 2.3 requires 4 observations on the surgical ward, *but this can be done when you are on an anesthesia rotation, e.g. you are on call and asked to see a patient on the surgical ward or you are doing the Acute Pain Service (APS) list during the day and called to assess a patient with one of these issues on the surgical ward and not just a General Surgery patient.
Be aware that EPA C 3.3 is only an Indirect Observation. It is also most likely observed when you are on ICU although one requirement is "at least 1 on ward prior to transfer to ICU".
If your progress is on track, then you can focus on the elective EPAs: F 2.4 and F 2.7.
Diagnosing and managing common (non-life- threatening) complications in the post-anesthesia care unit (PACU), or the surgical ward
Collect 7 observations of achievement
- At least 5 different complications
- At least 3 in PACU
- At least 4 on surgical ward (*this can be done when you are on anesthesia, see above)
- At least 3 direct observations
- No more than 2 observations by the same assessor
Anes Found EPA 3 fillable form.pdfManaging patients admitted to acute care settings with common medical or surgical problems, and advancing their care plans
- Part A: Patient assessment and management
- Part B: Communication with patient/family
- Part C: Handover
Anes Found EPA 5 Part A fillable form.pdfEPA 2.5 Part A fillable form
Collect 3 observations of achievement
- At least 2 different locations
- At least 3 different conditions
- At least 2 observations by staff
- At least 3 assessors
Anes Found EPA 5 Part B fillable form.pdfEPA 2.5 Part B fillable form
Collect two observations of achievement
- At least one observation by staff
Anes Found EPA 5 Part C fillable form.pdfEPA 2.5 Part C fillable form
Collect two observations of achievement
- At least one by staff
Assessing, diagnosing, and initiating management for patients with common acute medical or surgical presentations in acute care settings
Collect 4 observations of achievement
- At least 2 surgical conditions
- At least 2 medical conditions
- At least two observations by staff
Anes Found EPA 6 fillable form.pdf- Managing side effects and complications related to fluid management, electrolyte disturbances and assessing the need for, ordering and managing transfusion of blood products during the perioperative period
Collect 8 observations of achievement
- At least 2 each type of issue (fluid administration, electrolyte disturbance, blood product management)
Anes Found EPA 14 fillable form.pdf- Assessing, diagnosing and managing acute or potentially life-threatening conditions outside of the perioperative period
Anes Core EPA 3 fillable form.pdfF 2.4 *elective
F 2.4 *elective
- Diagnosing and initiating management of life-threatening conditions, in a variety of environments, in a time-appropriate manner
Collect 3 observations of achievement
- At least 2 different locations
- No more than one in OR
- Three different assessors
Anes Found EPA 4 fillable form - elective.pdfF 2.7 *elective
F 2.7 *elective
- Assessing patients with stable traumatic injury and establishing an initial management plan
- Realistically, mainly done in the ER
Collect 5 observations of achievement
- At least 2 multi-trauma
- At least 2 intubated patients
- At least 1 requiring surgical procedure
Anes Found EPA 7 fillable form - elective.pdfGoogle Sites
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