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Prospectus

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Sense and non-sense in anesthesiology

Course
2017-2018

Overview

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 the subspecialties of anesthesia.

Learning goals

  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.

Education styles

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

Assessment

Research presentation (Weeks 2‐4):
Present the protocol, methods, results and conclusions of the research project in about 60 min. Show that you understand the basic topic, the experiments and the results. Demonstrate your ability to cooperate.
Rating: PASS/FAIL as assessed over the 3 weeks. In case of FAIL, no rematch is possible.
What is rated? The rating is based on the presentation as well as the work done in the research project (participation, communication, collaboration, interest, performance, work ethics).
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 three 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 rating determines 20% 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.
Rating: Score of 1 to 10; the rating determines 40% 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 score is determined by:

  • the presentation (40%)

  • the overall participation in the course (20%)

  • the exams (40%)

Examination committee Prof. dr. Albert Dahan, dr. Monique van Velzen
Examination dates + debriefing date 06-Oct-2017, 12-Oct-2017, 20-Oct-2017, 27-Oct-2017, 09-Nov-2017, 010-Nov-2017 (debriefing)

Literature

  1. Clinical Anesthesia 7th edition, edited by Barash et al. Wolters Kluwer, 2013 (8th edition pending)
  2. Stoelting’s Pharmacology & Physiology in Anesthetic Practice 5th edition. Edited by Flood et al. Wolters Kluwer 2015
  3. Probleemgeoriënteerd denken in de anesthesiologie, 2de druk. Snijdelaar ea. de Tijdstroom, 2016
  4. Probleemgeoriënteerd denken in het luchtwegmanagement. Snijdelaar ea. de Tijdstroom, 2012
  5. Probleemgeoriënteerd denken voor gebruikers van lokaal anesthetica. Panhuizen ea. De Tijdstroom, 2015
    Anesthesiologie. Hennis P (http://www.bol.com/nl/p/anesthesiologie/1001004004911554/ ). Also
    available in the Walaeus library.

Contacts

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