The journal of education in perioperative medicine : JEPM
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J Educ Perioper Med · Jan 2008
BASIC REVIEW OF ENDOTRACHEAL INTUBATION FOR PROVIDERS AT A MASS CASUALTY.
During a mass casualty scenario (whether manmade or natural disaster), healthcare providers could likely be overwhelmed by patients, many of whom would need airway support. In such a situation, medical personnel from a wide variety of backgrounds may be called upon to provide airway management. Such personnel could include emergency medical technicians, nurses, physician's assistants and physicians from all specialties. In our current practice, a similar mix of medical providers are being tasked with increased airway management to support conscious sedation delivery. Increasing demand for airway management skills requires more airway training for medical personnel who may be involved in disaster medicine or other 'out of operating room' care. ⋯ Airway training for a wide range of healthcare providers will be a growing facet of civilian and military medicine in the future. The need for such training is being driven by increasing conscious sedation procedures and the potential for manmade mass casualty situations. Military need is driven by increased healthcare at far forward combat locations. This training is designed to support continually evolving educational needs for such airway management. The initial airway training module presented here as an electronic manuscript affords the ability to continually update the information based on changing educational needs and user feedback through the collaborative efforts of participating institutions. In the future, a full spectrum of shared, collaborative airway management training programs might be created using the proposed training paradigm.
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In recent decades, video techniques have been employed in the majority of endoscopic procedures because of several distinct advantages provided. These include the following: The displayed anatomy is magnified. Recognition of the anatomical structures and anomalies is easier, and manipulation of airway devices is facilitated. ⋯ The improved coordination afforded by an image on a video monitor seen by both the assistant providing laryngeal manipulation and the anesthesiologist handling the laryngoscope results in a significant advantage over the conventional laryngoscope technique. As a consequence the learning curve is short. In our view, video laryngoscopy will become the method of choice in teaching.
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J Educ Perioper Med · Sep 1999
Creation of a Perioperative Medicine Curriculum for an Anesthesiology Residency Program.
Because of the increasing expansion of the practice of anesthesiology beyond the borders of the operating room, there is attention being paid to Perioperative Medicine (PM) within anesthesiology training programs. With the elements of PM incorporated into the newest requirements for anesthesiology residency programs by the Residency Review Committee (RRC) for Anesthesiology of the American College of Graduate Medical Education (ACGME), programs are obliged to develop PM curriculum. At the Cleveland Clinic, a PM curriculum was created from existing, diverse elements of the clinical practice. ⋯ The result has been increased clinical teaching of PM, satisfaction of RRC requirements, and improved opportunity for resident learning in these areas. Residents have rated PM within the top 10% of rotations for the first two years of existence. We conclude that a combined service is an excellent approach to the creation of a PM curriculum.
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With the current emphasizing primary care specialty, the number of the applicants for anesthesiology residency has declined. In consequence, the medical students' interest in taking the elective anesthesia clerkship was decreased. Through the program redesign, we have improved our anesthesiology clerkship. In order to attract the best and brightest medical students to choose anesthesiology as a career, continuing efforts to improve both quantity and quality of medical students' education in anesthesiology are crucial.