Anesthesia — Foundation of Discipline

F2b Providing perioperative anesthetic management for non-complex cases in adult patients

- This EPA focuses on doing the anesthetic care in its entirety. This includes
preoperative assessment, investigation/optimization if needed, informed consent, anesthetic management, postoperative management and determination of postoperative disposition.
- This EPA is a critical task of the discipline: accordingly, the assessment plan is recurrent, rigorous, and robust – it is divided into three parts: direct observation, with formative longitudinal observation for progression; multisource feedback; and review of the breadth of clinical experience as documented in the resident’s logbook.
- This EPA can be completed for any anesthetic case. In comparison to a daily assessment form, its focus is on the performance during a specific case versus the performance during the whole day.
- This EPA should be observed in a breadth of patients and procedures. They can be ambulatory in nature or require hospital admission postoperatively, and can be urgent or emergent cases.
- Observations of this EPA should be collected each time the resident is participating in a block of time in an anesthesia training experience to gather longitudinal information on the resident’s performance both before and after achievement of entrustment.
Relation with other EPAs: This EPA builds upon the EPA on «using the anesthetic assessment to generate the anesthetic considerations and the management plan» .

Form

Other

Milestones

• ME 5.2. Demonstrate situational awareness

• COM 1.1. Communicate using a patient-centred approach that encourages patient trust and autonomy and is characterized by empathy, respect, and compassion

• COM 5.2. Communicate effectively using a written health record, electronic medical record, or other digital technology

• COM 5.2. Write orders clearly and legibly, using pre-printed order sets where appropriate

• COL 1.1. Receive and appropriately respond to input from other health care professionals

• COL 1.1. Establish and maintain positive relationships with physicians and other colleagues in the health care professions

• COL 2.1. Actively listen to and engage in interactions with collaborators

• COL 2.2. Listen to understand and find common ground with collaborators

• COL 3.2. Provide handover of anesthetic care to the recovery unit and communicate with the receiving physicians or health care professionals during transitions in care, clarifying issues after transfer as needed

• L 1.1. Demonstrate leadership skills in the peri-operative environment including participation in “time-out” sessions

• P 1.1. Exhibit appropriate professional behaviours

• P 1.5. Exhibit professional behaviours in the use of technology-enabled communication

Context Variables

No context variables defined.

Requirements

No requirements defined.