1.1 Performing preoperative assessments for ASA 1 or 2 patients who will be undergoing a minor scheduled surgical procedure 1.2 Preparing the operating room (OR) for minor scheduled surgical procedures for ASA 1 or 2 patients(elective) 1.3 Monitoring adult ASA 1 or 2 patients undergoing minor scheduled surgical procedures, under general or regional anesthesia 1.4 Performing the postoperative transfer of care of adult ASA 1 or 2 patients following minor surgical procedures, including postoperative orders
Foundations of Discipline 27 EPAs - Version 1
Perioperative medicine2.1 Performing preoperative assessments for ASA 1, 2 or 3 patients 2.2 Using the anesthetic assessment to generate the anesthetic considerations and the management plan, including postoperative disposition, for ASA 1, 2 or 3 patients 2.3 Diagnosing and managing common (non-life-threatening) complications in the post-anesthesia care unit (PACU) or the surgical ward 2.4 Diagnosing and initiating management of life-threatening conditions, in a variety of environments, in a time-appropriate manner (elective) 2.5 Managing patients admitted to acute care settings with common medical or surgical problems, and advancing their care plans 2.6 Assessing, diagnosing, and initiating management for patients with common acute medical or surgical presentation in acute care settings 2.7 Assessing patients with stable traumatic injury and establishing an initial management plan(elective) Airway management2.8 Identifying patients presenting with an anticipated difficult airway and preparing for initial management options Perioperative anesthetic management2.9 Providing perioperative anesthetic management for adult ASA 1 or 2 patients undergoing scheduled, uncomplicated surgery 2.10 Providing perioperative anesthetic management for adult ASA 1E or 2E patients undergoing urgent/emergent low or moderate risk surgical procedures 2.11 Anticipating, preventing and managing common or expected intraoperative events and physiologic changes during low or moderate risk surgical procedures 2.12 Establishing appropriate invasive blood pressure monitoring (i.e. arterial lines) (elective) 2.13 Establishing appropriate venous access including central venous lines (elective)
2.14 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 2.15 Providing neuraxial anesthesia for ASA 1 and 2 patients undergoing scheduled or emergency non-obstetrical surgery 2.16 Obtaining informed consent for the provision of anesthesia care 2.17 Preventing and recognizing complications related to patient positioning during anesthesia care Perioperative obstetric medicine and obstetric anesthesia2.18 Assessing the pregnant patient, identifying common problems in pregnancy and suggesting initial management strategy 2.19 Assessing and providing labour analgesia for healthy parturients with an uncomplicated pregnancy 2.20 Managing common complications of labour analgesia 2.21 Providing anesthesia for ASA 1 and 2 patients undergoing scheduled cesarean section 2.22 Assessing, diagnosing and providing initial medical management for pregnant patients with acute/emergent medical, surgical or obstetric conditions (elective) Perioperative pediatric medicine and pediatric anesthesia2.23 Performing preoperative assessments for pediatric ASA 1 or 2 patients 2.24 Providing perioperative anesthetic management for pediatric ASA 1 or 2 patients (over five years of age) undergoing scheduled routine surgery 2.25 Managing pediatric patients with common postoperative complications in the post anesthesia care unit or ward 2.26 Assessing and managing pediatric patients with common medical conditions Pain2.27 Managing uncomplicated patients with acute pain, either postoperative or traumatic, and managing common complications of acute pain management modalities in the post anesthesia care unit or in the surgical ward
Core of Discipline 44 EPAs - Version 1
Perioperative medicine and critical care3.1 Assessing, investigating, optimizing, and formulating anesthetic management plans for patients with complex medical issues 3.2 Managing postoperative patients in collaboration with the surgical team with the goal of improving patient outcomes (elective) 3.3 Assessing, diagnosing and managing acute or potentially life-threatening conditions outside of the perioperative period 3.4 Providing comprehensive assessment and ongoing management of complex critically ill patients in an intensive care setting 3.5 Managing the care of multiple patients with remote consultant support during afterhours coverage in intensive care unit 3.6 Performing as an integral member of the patient care team on daily ICU rounds by recommending management decisions consistent with best practice standards and guidelines (elective) 3.7 Providing care for patients whose goals of care are palliative, including comprehensive pain and perioperative management and demonstration of appropriate communication skills(elective) Airway management 3.8 Managing patients presenting with an anticipated difficult airway, including appropriate extubation plans 3.9 Managing patients presenting with unanticipated difficult airway, including cannot intubate, cannot oxygenate situation 3.10 Providing perioperative management for patients requiring airway diagnostic and therapeutic procedures Perioperative anesthetic management3.11 Providing perioperative anesthetic management for adult patients with complex medical issues undergoing scheduled or emergent surgical procedures 3.12 Providing perioperative anesthetic management for geriatric patients undergoing scheduled or emergent surgical procedures 3.13 Providing perioperative anesthetic management for patients with critical illness 3.14 Managing serious and life-threatening perioperative complications in a time-appropriate manner 3.15 Managing patients with perioperative anesthesia complications, including disclosure (elective) 3.16 Determining indications for, establishing and managing invasive and non-invasive monitoring for patients perioperatively and for those who are critically ill 3.17 Providing resuscitation and comprehensive management, including crisis resource management, for patients presenting with a life-threatening emergency, across the spectrum of age 3.18 Providing perioperative management for patients with major polytraumatic injury 3.19 Providing anesthetic management for patients undergoing procedures outside the usual environment of the operating room Obstetric anesthesia3.20 Providing labour analgesia and peripartum anesthetic management for high-risk parturients having a non-surgical delivery 3.21 Providing perioperative anesthetic management for parturients (low and high risk) with or without significant comorbidities for scheduled, urgent or emergent cesarean section 3.22 Providing peripartum anesthetic management and resuscitation of parturients (including intra-uterine resuscitation) presenting with serious and life-threatening obstetrical complications 3.23 Providing perioperative anesthetic management for pregnant patients undergoing non-obstetric surgery 3.24 Performing neonatal resuscitation
Pediatric anesthesia3.25 Assessing, investigating, optimizing and formulating anesthetic management plans for pediatric ASA 1-3 patients (above the age of one year) with coexisting conditions 3.26 Providing perioperative anesthetic management of pediatric ASA 1-3 patients (above the age of one year) undergoing scheduled or urgent/emergent procedures of low to moderate complexity 3.27 Providing resuscitation and comprehensive management for the pediatric patient (over the age of one year) presenting with a serious or life-threatening emergency (elective) 3.28 Establishing and managing difficult intravenous access and invasive monitoring for pediatric patients (above the age of one year) Perioperative anesthetic management – regional anesthesia3.29 Managing patients with common, serious or life-threatening complications of regional anesthesia (elective)3.30 Providing perioperative anesthetic management for adults with a peripheral nerve block regional anesthesia technique appropriate for the planned surgical procedure Perioperative anesthetic management –cardiovascular anesthesia3.31 Participating in the provision of perioperative anesthetic management for patients with significant cardiac disease who are undergoing scheduled common cardiac surgery 3.32 Providing perioperative anesthetic management for patients undergoing scheduled, urgent/emergent major aortic surgery, carotid surgery, or peripheral vascular surgery Perioperative anesthetic management – neuroanesthesia3.33 Providing perioperative anesthetic management for patients with or without increased intracranial pressure undergoing scheduled, urgent or emergent intracranial procedures 3.34 Providing perioperative anesthetic management for patients undergoing scheduled or emergent spinal procedures Perioperative anesthetic management – thoracic anesthesia3.35 Providing perioperative anesthetic management for patients undergoing thoracic surgery via thoracotomy or thoracoscopy including pulmonary resection surgery 3.36 Providing perioperative anesthetic management for patients undergoing mediastinal and esophageal surgery including management of mediastinal masses Perioperative anesthetic management – organ transplantation3.37 Providing perioperative anesthetic management for organ retrieval surgery including perioperative anesthetic management of the donor, and determination of neurologic death Pain3.38 Providing comprehensive multi-modal management of acute and acute on chronic pain conditions 3.39 Assessing, diagnosing and managing patients with common chronic pain disorders, including both medical and basic interventional treatments, using a collaborative, multidisciplinary approach Other3.40 Executing scholarly projects 3.41 Recognizing and managing ethical dilemmas that arise in the course of patient care 3.42 Formal teaching, and teaching junior learners in the clinical setting (elective) 3.43 Developing a personal learning plan for the transition to practice stage 3.44 Using ultrasound to assist in diagnosis and management of hemodynamically unstable or critically ill patients
Transition to Practice 12 EPAs - Version 1
4.1 Managing all aspects of care for patients presenting to a preoperative clinic, including organizational aspects of the daily workload in terms of time management, advocacy and allocation of resources 4.2 Managing all aspects of care for admitted patients referred for consultation to the Anesthesiology service 4.3 Managing all aspects of patient care for a scheduled day list, including the organizational aspects related to the management of the operating room case load 4.4 Managing all aspects of patient care for an afterhours list (overnight, weekend), including postanesthesia care unit management and the organizational aspects related to the management of the operating room case load 4.5 Managing all aspects of anesthetic patient care for procedures outside the operating suite, including the organizational aspects related to the provision of anesthesia and patient safety issues 4.6 Managing all aspects of anesthetic patient care for obstetrical patients, including the organizational aspects related to the management of the obstetric ward 4.7 Managing all aspects of care for a scheduled routine pediatric list, including the organizational aspects related to the management of the operating room case load 4.8 Managing and coordinating the workday delivery of anesthesia services at a hospital level, ie fulfilling the role of operating room manager (elective) 4.9 Providing and coordinating the care of patients with simple and complex acute pain conditions referred to and managed by the pain service 4.10 Developing an ongoing personal career and learning plan 4.11 Leading initiatives to enhance the system of patient care 4.12 Leading a post crisis debriefing and feedback session (elective)