DEPARTMENT OF ANESTHESIOLOGY ANNUAL REPORT

Several advances in the residency
curriculum and management deserve
mention.
Jeffrey M. Taekman, M.D. developed
a new, web-based resident evaluation
system for the Department. Holly
A. Muir, M.D., FRCP(C) and Catherine
K. Lineberger, M.D. assisted him with
the development of the new evaluation
criteria. This system is accessible via
any internet service and is intended
to facilitate the evaluation process and
provide more feedback to the residents.
Dr. Taekman is quite interested in incorporating
computer-based and webbased
items into educational curricula,
and organized sessions for the residents
to learn about internet-based resources
for reviewing the literature.
Two years ago, the chief residents
developed an Advanced Resident Lecture
Series. This is a series of biweekly
lectures, with faculty and topics selected
by the chief residents. Drs. Bo Wu and
Garrett Scales continued to organize the
series through the 1999-2000 academic
year, and David B. Schinderle, M.D. and
James R. McCurdy, II, M.D. are handling
the duties in the 2000-2001 year. These
lectures are intended to supplement the
residency curriculum lectures, which
are held on Wednesday mornings.
Duke is fortunate to have a human
fresh tissue laboratory under the supervision
of Scott L. Levin, M.D., Chief of
the Division of Plastic Surgery. This
year, David B. MacLeod, M.B., B.S.,
FRCA organized the first of several
planned anatomy dissections for the
residents. The first session concentrated
on brachial plexus anatomy. Each resident
attended one of two sessions
which featured a review lecture and
an opportunity to review the brachial
plexus anatomy using demonstrations
with a dissected cadaver. The Department
is supporting Dr. MacLeod’s plans
for additional sessions focusing on
other aspects of anatomy that are relevant
to anesthesia practice and regional
anesthesia in particular.
The Department explored the new
expanding technology of human simulation
this year. As plans for the purchase
of a simulator at Duke developed,
the Department of Anesthesiology
decided to provide each senior resident
with the opportunity to spend a day in a
simulator session. The first group of residents
spent a day in December at the
simulation laboratory at Wake Forest
University (WFU) with Dr. Michael
Olympio. The residents found this valuable,
and the Department plans to send
the remainder of the senior class to
WFU later this year. We anticipate the
arrival of a simulator, which will be
used by the schools of medicine and
nursing in addition to our Department.
Fellowships
As mentioned above, our ACGMEaccredited
fellowships in critical care
medicine and pain management received
full continued accreditation in
2000. More detailed descriptions of
these and other fellowships (cardiothoracic
anesthesia, obstetric anesthesia,
regional anesthesia, hyperbaric medicine,
human pharmacology, and neuroanesthesia)
can be found in the appropriate
clinical sections of this report.
All of the Duke fellowships provide
excellent opportunities for the development
of outstanding academic careers
and enhancement of clinical skills.
Fellows in all of the fellowships have
a long history of productivity regarding
publications, meaningful research and
acquiring funding. Of particular note
this year, one of our cardiac fellows,
G. Burkhard Mackensen, M.D. won first
prize in the national ASA Resident
Research Essay contest for his abstract
and paper entitled, “Neuroprotection
from Delayed Post-Ischemic Administration
of a Metalloporphyrin Catalytic
Antioxidant in the Rat.” This work was
accomplished with David S. Warner,
M.D. and has been a springboard for
Dr. Mackensen's career, which now
includes several additional papers and
grants.
EDUCATION
Undergraduate Medical
Education
Medical Student Education
The Department of Anesthesiology is
fortunate to have established significant
amounts of participation in all four
years of the medical school curriculum.
Many of our faculty influence the makeup
of the medical school classes by
serving on the Medical School Admissions
Committee. These include
Kathryn E. King, M.D., John B. Eck,
M.D., Christopher C. Young, M.D.,
FCCM, Bryant W., Stolp, M.D., Ph.D.,
Laura E. Niklason, M.D., Ph.D., Richard
E. Moon, M.D., C.M., M.Sc., FRCP(C),
FACP, FCCP, Adeyemi John Olufolabi,
M.B., B.S., DCH, FRCA, John C. Keifer,
M.D., Mark Stafford Smith, M.D., C.M.,
FRCP, DABA, and J.G. Reves, M.D. In
addition, Drs. King and Young are
members of the Executive Admissions
Committee for the medical school.
First Year Curriculum
Several departmental faculty continue
to serve as mentors in the PRACTICE
(Progressive Responsibilities and
Competencies Through an Integrated
Clinical and Curricular Experience)
course, including Edmond C. Bloch,
M.B., Ch.B., Merel H. Harmel, M.D. and
Kathryn E. King, M.D. This longitudinal
course represents a significant commitment
of faculty time for the course,
which runs for a two-year cycle. The
course consists of small group discussions
and sessions on interviewing,
physical diagnosis, ethics and other topics
and prepares students to assume the
professional responsibilities of a physician.
It is as rewarding for the faculty
as it is valuable for the students.
Dr. Bret Stolp continues to be the
course director for the first year physiology
course. In addition, Drs. Richard
Moon, Jonathan Mark, and Chris Young
also participate as faculty in the course.
Dr. Lewis Hodgins continues to participate
as a lecturer in the first year pharmacology
course.
EDUCATION 83