Grand Rounds will be held weekly on Monday and will consist of a formal anesthesiology faculty member presentation or guest speakers from other specialties or CA3 residents. Subject matter for grand rounds varies, but may include basic sciences, research, clinical anesthesia, case presentations, education or other topics. Yearly, grand rounds about drug abuse awareness, as well as anesthesia related specialties such as cardiology and cardiac surgery, pulmonary, neurosurgery, endocrinology, psychiatry are held. Each CA-3 resident will give a grand round presentation during their final year. The goal of these and other oral presentations is to develop the communicative skills necessary as a consultant anesthesiologist and for successful completion of the graduation requirements.
Medical Education Lecture Series
The program has introduced ‘Medical Education Lecture
Series’ into its curriculum in 2017. The target audience are both Faculty
Members and Residents. This type of lectures was initially introduced into the
curriculum for Faculty Development in Medical Education; e.g. Assessment tools,
Active Teaching Strategies, Providing Effective Feedback, etc. In addition, this
initiative has also granted each resident the opportunity to become more
knowledgeable of the ACGME-I milestones, expected outcomes of their residency,
assessment tools, fatigue management and mitigation, teaching skills, providing
professional and useful feedback to their peers, etc. Speakers have been either
internal (from the department) or from other departments at AUB (Program for
Research and Innovation in Medical Education - PRIME, Department of Education, Key
Faculty from other departments).
A resident will present interesting and relevant peer-reviewed journal article(s), and will be guided by a faculty member (moderator). This will not only encourage the residents to follow peer-reviewed journals but will also help them to develop skills necessary to read such material critically.
Morbidity & Mortality
Monthly M&M conference provides an additional opportunity for resident participation in critical evaluation of patient care. A case, with an adverse outcome, is discussed and thoroughly reviewed. During the presentation, system errors are identified in addition to gaps in patient care. The discussion focuses on how care could have been improved. During the residency training, each resident is asked to review problematic inpatient cases, identify system-errors and propose a plan for improvement. It will be presented by a resident guided by a faculty member (moderator).
ABA Keyword Review Sessions
It covers the ABA keywords with special emphasis on the areas of improvement revealed by the yearly Anesthesia Knowledge Test results for each resident.
Anesthesia Continuing Education (ACE) Board Review Session
A resident will prepare a jeopardy session, while presenting series of ace board review questions. Residents will be able to challenge their knowledge of the fundamentals in anesthesia, including subspecialty content tailored to the generalist. ACE is a great learning
resource for physician anesthesiologists, anesthesiology residents and members of the anesthesia care team. This satisfies that program's lifelong-learning and self-assessment requirements, and exposes residents to essential knowledge material that is likely to be seen on the annual In-Training Examination.
Attending-Based Sub-Specialty Lectures
Specialty lectures cover topics from different anesthesiology subspecialties. Specialty lecture series include a total of 6 lectures per subspecialty; 2 per each CA level (please check appendix I for scheduled lecture titles): CA1-Physiology/Anatomy; CA2-Monitoring/ Clinical; CA3-Advanced Clinical. These also include pain lecture series which tackle the PGY I residents (during their pain rotation) and interns from other departments. Pain lecture series is repeated during each block from the new rotating residents.
A lecture will be given based on a selected chapter from the core curriculum materials. It will be presented by a resident guided by a faculty member (moderator) or by a faculty member. They are designed to prepare residents for successful completion of the core curriculum exam.
Practice Management Lectures
Practice management lectures will be presented at least five times per year. These practice management lectures address issues such as operating room management, financial planning for doctors, fundamentals of coding & billing, building Effective Leaders in Health Care, Lean Management, Managing Clinical Risk through Communication and Teamwork,.
Problem Based Learning Discussions
One to two sessions will be presented each month by faculty member. These include problem-based learning discussions. These might include case discussions related to the care in the ICU, pain management and, in the management of patients undergoing complex surgical procedures. The attending might also present an assigned clinical scenario and leads a discussion of the relevant perioperative issues.
Residents attend research meetings with the Department Research director twice per month. During the meetings, a resident is assigned to prepare about his research topic, and discuss its progress with the research director, in the presence of his colleagues. They also attend meetings, by the IRB team, on IRB application process and proper consenting.
Pain Team Rounds
The team is composed of the clinical nurse specialist, pain nurses, anesthesia junior resident, anesthesia senior resident and the attending on service. The pain division provides comprehensive care for both acute and chronic pain syndromes, and preemptive daily rounds are performed to facilitate the care of these patients; both in the morning and in the afternoon. Throughout these rounds, the residents develop their skills related to the six competencies. They will learn how to do assess and manage pain, appropriately modify care plans based on patient's clinical course, additional data, patient preferences, and cost-effectiveness principles.
They will also practice effective communication with physicians, nurses, consultants and all other members of the healthcare team on rounds and in daily interactions as observed by attending staff or reported to staff. Residents will also learn how to be part of a multidisciplinary team including nurses, physical therapists as well as physicians, and exchange information with other healthcare professionals involved in the care of the patient.
Simulation Sessions/ Workshops
The anesthesiology department conducts yearly high fidelity simulations in fostered team interactions for all anesthesia residents. These workshops focus on rare or high acuity scenarios to provide residents with crisis management encounters. Residents are engaged to learn, practice or rehearse skills needed in those situations. These include but are not limited to: Crisis management simulation scenarios (Malignant Hyperthermia, Local Anesthesia Toxicity, General Anesthesia for Cesarean Sections, Difficult Airway for Cesarean Section), thoracic anesthesia workshop, regional anesthesia workshop, Breaking Bad News simulation scenarios. In addition, residents will be sponsored to attend the Lebanese Society of Anesthesia workshops, as well as the Advanced Trauma Life Support workshop.