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Sense and non-sense in anesthesiology

Vak
2020-2021

Admission requirements

Students can enroll for a half minor if they have obtained 60 credits from the first year.

International Students should have an adequate background in Medicine. Admission will be considered based on CV and motivation letter.
For more information, please contact internationalisering@lumc.nl.

Description

The minor starts with an introduction of basic courses on anatomy, cardiorespiratory physiology, pharmacology, and neuroscience with special focus on those topics that are relevant to anesthesia. In subsequent weeks, students will perform research in groups, related to pain or respiration. Hereafter, the focus will be on anesthesia and perioperative care. The students will learn how to evaluate patients preoperatively and how patients are treated during anesthesia in the operating room and next are transferred to the recovery room or postanesthesia care unit (PACU). Other subjects that this minor focuses on specialties of anesthesiology such as the treatment of acute pain, palliative care, and many other.

Course objectives

  1. Understand the relevant anatomy, physiology and pharmacology that are relevant to the specialty of Anesthesiology.
  2. Acquire advanced knowledge of the basic mechanisms and techniques involved in anesthesia, including general and regional anesthesia.
  3. Acquire knowledge of the different subspecialties of anesthesia, including neuroanesthesia, cardiac anesthesia, obstetrics, pediatric anesthesia, and anesthesia in the elderly.
  4. Gain insight in the necessary care required for perioperative patients, including preoperative screening, care in the recovery room and care in the post anesthesia care unit.
  5. Acquire knowledge of the complex patients such as the morbidly obese patient or the patient with a difficult airway.
  6. Acquire knowledge on acute and chronic pain and their treatment and on palliative care.
  7. Perform basic research on topics of acute pain, anesthesia and ventilatory control (incl. protocol writing, data analysis, presentation), identify relevant literature on these topics and present the results of the study in light of the literature.
  8. Obtain extra knowledge of basic life support, and show ability to perform basic life support.
  9. Participate actively in the simulator sessions and understand the importance of team training.
  10. Understand the complexities of the practice of anesthesia by participating in anesthesia care in operating rooms.
  11. Identify a special topic of interest in the field of anesthesiology and/or pain. Retrieve the most important literature on this topic and present the results in a lecture.
    Alternatively, identify a case report of interest, and critically appraise the literature on this topic and present the results in a lecture.
  12. Demonstrate the ability to interactively participate in the module and give feedback.

Timetable

All course and group schedules are published on our LUMC scheduling website or on the LUMC scheduling app.

Mode of instruction

Lectures, simulator sessions, experiments, OR sessions, workgroups, self-study assignments.

Assessment method

Article pitches (Week 1 and Week 4):
In week 1 and in week 4, students will quickly familiarize themselves with a given scientific article that is recent and of interest to the field of anesthesiology. In subgroups of 2 students, a short pitch must be prepared and presented highlighting the key take-home message(s) for the respective article.
What is rated? The rating is based on presentation skills, ability to quickly formulate the key elements and communication skills.
Rating: Score of 0-3 on 7 criteria converted to a score of 0-10 (rubric); the average rating of both pitches determines 10% of the final score.
Assessed by: teachers.

Research presentation (Weeks 2‐4):
Present the protocol, methods, results and conclusions of the research project in 20-30 min. Show that you understand the basic topic, the experiments and the results. Demonstrate your ability to cooperate.
Rating: Score of 0-3 on 9 criteria (research proposal) or 7 criteria (e-poster), converted to a score of 0-10 (rubric) and averaged; the average rating of both presentations determines 15% of the final score. The research proposal weighs 50% and the e-poster weighs 50%.
What is rated? The rating is based on the presentations and the research proposal.
Assessed by: the teachers present during the week.
Number of ratings: 2

Exams 1‐4/Final exam (Weeks 5‐8 and 10):
Each exam consists of open questions regarding the topic taught that week in the afternoon lectures.
Rating: Score of 1 to 10, with rating of 6 or greater = PASS. In case of FAIL one rematch is possible; the average of the 5 rates and determines 25% of the final score.
Assessed by: The module committee.

Presentation of a topic of interest (Week 10):
In groups of two the students present the rationale of their topic (why did I choose this topic), show how they obtained the literature, how they assessed the literature, and their conclusions. An individual report should be made on the literature search and the conclusions.
Rating: Score of 0-3 on 8 criteria (report) or 7 criteria (presentation), converted to a score of 0-10 (rubric); the rating determines 40% of the final score. The presentation is 20% of the score, the report is 80% of the score.
Assessed by: The module committee (2 people will rate separately, final result will be determined by consensus).

Overall participation (all weeks):
The overall participation is rated individually.
Rating: Score of 0-4 on frequency, contribution and listening: the average rating determines 10% of the final score.
Assessed by: The module committee.

Presence
The students have to participate in all exams. In case of special circumstances, an
alternative date for Exam 1‐4/final exam may be sought. Presence will be monitored.

Rematch
One single rematch is possible for Exams 1‐4. Similarly, one rematch is possible for the Final Exam.

Overall score
The overall grade is determined by the CAT report and presentation (40%), the research week presentations (15%) the overall participation in the course (10%), the article pitch (10%) and the exams (25%). The final grade will be a single integer ranging from 1-10.

Examination committee Prof. dr. Albert Dahan, dr. Monique van Velzen

The exam dates can be found on the schedule website.

Reading list

Klinische anesthesiologie, version 3, 2017 by Noorzij et al.

Registration

Contact

Mrs. dr. M. van Velzen (Monique)
Anesthesiology m.van_velzen@lumc.nl
071 526 2301/3359

Prof. dr. A. Dahan (Albert)
Anesthesiology a.dahan@lumc.nl
071 526 2301/3359

Remarks