Residency Program Educational Goals for Stanford Anesthesia Residents
All new employees want to do well in the workplace. Part of maximizing the likelihood of this happening for housestaff is to know what the Stanford Anesthesia Residency Program educational goals are. This document articulates these goals, which are also the basis for the evaluations of resident performance by faculty completed at the end of the rotation.
Resident should exhibit the following essential attributes:
- High standards of ethical and moral behavior
- Honesty, integrity, reliability, and responsibility
- Learns from experience/knows limits
- Reacts to stressful situations in an appropriate manner
- No documented or suspected active chemical dependency
- Adequate cognitive, physical, sensory and motor faculties
- Respect for the dignity of patients and colleagues, and sensitivity to a diverse patient population
For each of the six ACGME core competencies, residents should have the following educational goals.
Medical Knowledge
- Applies appropriate physiology, pharmacology and anatomy to clinical decision making
- Sound background in general medicine to articulate and prioritize relevant surgical and medical disease states
Patient Care
- Gathers adequate preoperative information and recommends appropriate diagnostic steps/consults if preparation is inadequate
- Carries out safe and rational anesthetic after proper selection of drugs/techniques and responds appropriately to changes in anesthetic course
- Prescribes appropriate post-anesthetic care
- Able to consult on and provide appropriate care of critically ill patients
- Evaluates acute and chronic pain disorders and selects/administers appropriate therapy
- Possesses appropriate technical skills in airway management (mask, ETT, LMA, FOB) and vascular access (IV, CVP/PA, arterial line)
- Able to place peripheral nerve blocks
- Places patients’ welfare and safety uppermost
- Accepts obligation to secure assistance from faculty when confronted with high-risk situations or with clinical decisions that exceed resident’s confidence or skill to handle alone
System-Based Practice
- Acts to deliver anesthesia services efficiently without compromising patient care/safety
- Able to call on system resources (for example, such as hospital IT, consultants, protocols) and other providers to optimize care
- Not overly dependent on others to improve care and not wasteful of resources in delivering anesthesia care
Practice-Based Learning and Improvement
- Analyzes own practice and self-corrects without being overly critical of own performance
- Investigates patient care issues through discussions with faculty without being overly dependent on consults/faculty to make decisions
- Comprehends the need for faculty to supervise interactions with patients
- Understands scientific study design and uses IT to gather information relevant to patient and practical decision-making
- Facilitates learning of others and provides candid and constructive feedback on the performance of colleagues, recognizing life-long obligation to participate in peer evaluation and quality improvement
- Welcomes candid and constructive feedback from faculty and others, recognizing that objective assessments are indispensable guides to improving skills
- Attends/participates in lectures, and completes faculty evaluations and case logs
Professionalism
- Takes responsibility and is appropriately self-confident
- Respectful, courteous and compassionate
- Adheres to professional ethics and respects patient privacy and confidential information
Interpersonal and Communication Skills
- Listens effectively, allows patients/families to ask questions, and attentive to their concerns without wasting excessive time
- Leader in the health care team by being appropriately assertive and decisive
- Explains procedures and anesthesia plans appropriately for patient consent by providing enough information, checks for patient understanding, and does not use overly technical language
- Creates sound relationship with patient with empathy and objectivity
Based in part on AAMC resident compact
