04 wint anes alum single pgs - Department of Anesthesiology - Duke ...

DUKE ANESTHESIOLOGY ALUMNUS | 12
the students’ case conferences. In addition, the
Teaching Scholars have incorporated the
human patient simulator into the fourth-year
elective.
Graduate Medical Education
Internship.
Six years ago, the department inaugurated
a preliminary internship for residents who
wished to train in only one institution. The
internship program is designed specifically for
future anesthesiologists and focuses heavily on
internal medicine, medicine subspecialties, and
critical care. The Accreditation Council for
Graduate Medical Education is contemplating a
transition in which anesthesiology training will
become a four-year continuum. Our internship
program would meet the proposed criteria for
this new curriculum. Dr. Eck continues to mentor
the interns in his capacity as assistant residency
program director. One of the recent
changes in the internship has been the opportunity
for each resident to do an “education
elective.” Many of the interns have spent this
two-week period in the simulation center,
researching and developing a clinical scenario
for the simulator, and then programming the
simulator for that scenario. The quality of this
work has been excellent, and the scenarios
have been submitted for peer review.
Residency Program.
The 2003 Match was our second year of
participation in ERAS, the Electronic Residency
Application Service. We received over 600
applications and interviewed 112 students. On
Match Day, for the sixth year in a row, we filled
all of our allotted positions, the majority from
the top half of our very selective rank list. The
quality and quantity of applicants to our program
continues to increase, and we are delighted
to see this as it portends well for the future
of our specialty as a whole.
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Anesthesiology resident experience in regional anesthesia. Average case numbers per
resident during three-year residency program. Duke versus two published national
studies.
Residency Curriculum.
The human patient simulator remains a
focus of interest in the residency curriculum,
and the new simulation facility offers expanded
space for education. For the past three years,
new resident orientation commenced in the
simulator. Drs. Taekman, Katherine Grichnik,
Catherine Lineberger, Eck, and Dara Breslin
spent the week with the new residents, teaching
a variety of clinical skills such as room
preparation, machine checkout, and basic
induction and emergence skills. In addition, residents
worked at various stations to learn
Saturn computer skills, airway techniques, and
aspects of patient safety. The residents and faculty
continue to feel that this method of preparation
allows a safer and more efficient start to
clinical training in the operating room.
Residents at all levels of training will be
rotating in the simulator this year. Many faculty
members have volunteered to develop scenarios
and to mentor sessions in the simulator. The
simulator also offers tremendous opportunity
for conducting educational research.
Dr. David MacLeod continued to develop
teaching modules for regional anesthesia in the
Human Fresh Tissue Laboratory. His web-based
tutorial, Regional Anesthesia ABC, was
launched and has been very well received. He
has developed a PDA-based program to help
define the learning curve for regional anesthesia
techniques. The Duke Orthopedic/Regional
division developed a novel program to enhance
resident exposure to regional anesthesia; it was
illuminated in a paper in Anesthesia and
Analgesia1 , and it received considerable attention
at meetings and in conversations.
The chief residents organize a Resident
Advanced Lecture Series, which is conducted
on Thursday afternoons. The residents select
the speakers and topics, and the series is very
well received.
Drs. David Warner and Lineberger continue
to organize a semi-annual oral examination for
each resident. This endeavor requires the participation
of the entire faculty who serve as
examiners and provide clinical coverage for
these exams. Our graduates have a nearly perfect
record with board certification.
1 Martin GB, et al: A new teaching model for resident training in regional anesthesia. Anesth Analg 2002;95:1423-7