DEPARTMENT OF ANESTHESIOLOGY ANNUAL REPORT

CLINICAL ACTIVITIES
returned home this year as well after
securing a consultant position in the UK.
Fellows
2000 is the seventh year the ACGME
accredited Fellowship in Critical Care
Medicine has been offered by the
Department of Anesthesiology. On May
10, 2000, the ACGME conducted a site
survey of the fellowship program in
conjunction with the residency program
review. Based on the visit, interviews
with fellows, and review of documents,
the Residency Review Committee for
Anesthesiology of the ACGME awarded
the program continued accreditation.
The program continues to attract a
number of applicants despite decreased
federal support for postgraduate medical
education. Two fellows have accepted
positions for academic year 2001 from
within the residency program in Anesthesiology.
Previous Anesthesiology/
Critical Care fellows continue to be successful.
Dr. Chiedozie Udeh has spent
the past six months in locum tenens
positions in Australia. Dr. Angela
Joseph has been practicing Anesthesiology
and Critical Care Medicine in
Michigan. Both will be taking the ABA
examination for added qualifications
in Critical Care Medicine later this year.
John T. Sum Ping, M.B., Ch.B., FRCA
50 CLINICAL ACTIVITIES
Former fellows include: Dr. Albert
Hasson (South Carolina), Dr. Kevin
Patrick (Western North Carolina), Dr.
Eugene Moretti (Duke), Dr. Faisal Masud
(Houston, TX), Dr. Elliott Bennett-
Guerrero (New York, NY), Dr. Nancy
Knudsen (Duke), and Dr. Tony Huggins
(Raleigh, NC).
Residents
CA-1 residents in anesthesiology are
introduced to Critical Care Medicine
at the VAMC SICU. In addition, the
Departments of General Surgery,
Orthopedic Surgery, and Obstetrics /
Gynecology require their residents to
gain critical care experience during residency.
This requirement is met with
rotations in the Surgical ICU at the
Durham VAMC. The residents and
interns rate this experience highly and
they regard the VA ICU Anesthesiologists
/ Intensivists as contributing an
important component to their training.
Additional training in Critical Care
Medicine for senior residents in Anesthesiology
and Surgery is provided in
the SICU at Duke University Medical
Center (2200). Residents gain additional
proficiency in managing complex patients
in this busy trauma/post surgical
unit. The clinical and didactic components
of this rotation are maintained at
high levels with the input of the Critical
Care fellows and attending staff.
Medical Students
Instruction to medical students in intensive
care medicine is offered through
the Duke University School of Medicine.
A month long rotation in surgical intensive
care (Surgical Intensive Care:
Anesthesiology 241/Surgery 241) has
continued to be popular with fourth
year medical students. Students from
Duke as well as other institutions (both
national and international) enroll in the
course to gain valuable experience in
patient care. Students are assigned to
the SICU at Duke University Medical
Center and/or the VA Medical Center.
They participate in the care of critically
ill patients, evaluate and present patients
on SICU rounds, and take inhouse
call with the residents. The students
frequently cite the experience in
managing complex medical problems
and enthusiastic teaching by residents,
fellows, and attendings as strong positives
of this course.
Accomplishments
The missions of the Division—excellence
in patient care, education, and
research—have been well served this
past year. The Surgical Intensive Care
Unit at the VAMC continues to be valued
as an outstanding educational experience
in residency training. Attending
physician coverage at night in the Duke
Surgical ICU has expanded the missions
of resident education and excellence
in patient care.
The Critical Care Division continues
to be recognized as a leader in the
provision of adult Critical Care services
at both the VA and Duke Medical
Centers. Drs. Sum-Ping and Knudsen,
as co-directors of their respective units,
continue to improve the process of
healthcare delivery in the ICU setting.
Other members of the division are to be