Ether Resources for Anesthesia Research and Education

Stanford Regional Anesthesiology and Acute Pain Medicine Educational Site

Welcome to Regional Anesthesiology and Acute Pain Medicine!

Welcome to the Regional Anesthesia rotation. In refining your experience on the regional rotation we have attached a working handbook that serves as your guide to nerve block set-ups, surgeon block preference, important phone numbers, and other such vital information. We have also provided access to the Anesthesia Toolbox Curriculum. In this toolbox you will navigate to the Regional Anesthesia section and will find a variety of learning modules, lectures, and other relevant educational material that is highly encouraged for the rotation. An email notification to access Toolbox will be sent directly from CollectedMed Admin. Your login is your SuNet ID or username within your email address. If you forgot your password, you may re-set at this link https://collectedmed.com/index.php/anesthesiatoolbox/stanfordanesthesia. Attached is a quick navigational guide.

Please read at least the first 3 sections of the resident handbook. It is long, but it covers most of the orientation-related questions. It also has a short review of the common blocks done at Stanford. It will be to your advantage to read over it this week, as it should answer many of your questions about the rotation. I recommend focusing on the typical set-up involved for each block and daily work-flow. Our practice is constantly changing, so feel free to ask questions.

 

Orientation:

Please look over the tutorials on Ether or the toolbox (under the syllabus section --> regional section) for each of the blocks you are going to do the night before.

Additional online resources/references that you may find useful include "http://nysora.com/" , “ultrasoundblock.com”, "http://www.usra.ca". Of these sites, only the toolbox is peer-reviewed and continually updated. In addition we have incorporated all the information from the email handout into the iGuide, which also has additional material (videos of various blocks, protocols, instructions about taping catheters, etc). You may receive the current 4th edition iGuide USB to download at either Janine or Bernie’s office.

The regional attendings and fellows will also help you get oriented to the daily workflow, etc. Please do the time out review before your first day on service; this is important in order to avoid any wrong-sided blocks. There is also a link to a brief video in the PowerPoint attached that you should watch. You do not have to print out the post-test or fax it anywhere.

I've also attached a checklist of expectations based on the milestones evaluation form that the attendings fill out at the end of the rotation. It's also available on MedHub.

 

Logistics:

Please be aware of the resident pager call on this rotation. The OSC regional resident "carries" the ghost pager (BLOCK) Monday-Sunday with handoff on Monday to their co-resident. Please call the operator on Monday morning to have the ghost pager transferred to you depending on your assignment for that week. We all (residents and fellows) follow the patients that we perform the blocks on—this applies to both outpatients and inpatients.

The two residents will alternate weekly between Stanford and Outpatient Surgery Center in Redwood City. This is not always set in stone, as on some days when Stanford is super-busy and OSC is not, we may have both of you come to Stanford and vice versa. Your fellow will check in with you by e-mail each day regarding the plan. Additionally, please keep in mind that our journal club is typically on the 4th Wednesday of the block. You will be expected to present a regional anesthesia-related article that interests you.

SMOC: I assume you haven't been there before. If you have time this week, I would suggest filling out the attached OSC form and send it to Carolyn Longshore (clongshore@stanfordhealthcare.org). She is the administrative assistant at OSC and can expedite getting scrub access and door access to the surgery center on the 3rd floor. If you email her this week as well the badge number (black numbers on back of badge top right hand corner), she can grant access before Monday. Alternatively, you could take the form over in person and get oriented to where things are over there one afternoon or plan to give yourselves an extra 20 - 30 min the morning of if you want to borrow scrubs and take care of access later.

Of note: you won't have time to go to grand rounds this month. Since blocks are at a premium for residents, you'll be missing out on a good number of blocks if you miss all Monday morning blocks.

 

Team:

One of the fellows will send you an email the day before you start with the block schedule for the following day. The role of the fellow at Stanford is two-fold:

    1. We will develop daily plans (with your assistance) for the service and coordinating with surgical colleagues.
    2. We will facilitate your experience and education by providing "intra-block" teaching and going over lectures during downtime. The fellows will primarily do blocks at times when the service is extremely busy or if a particular block/patient requires a higher level of technical ability (including posterior TAP/quadratus lumborum catheters, paravertebral blocks and lumbar plexus blocks). Otherwise, the goal of this month is to get you as much experience as possible.

Please feel free to contact Dr. Madison for any questions or concerns regarding your upcoming rotation. We are looking forward to having you on service.

 

Kind regards,

SARAH MADISON, M.D.
Assistant Professor of Anesthesiology, Perioperative and Pain Medicine (Adult MSD) at the Stanford University Medical Center

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