02 yoo kuen chan

Working towards

EXCELLENCE in anesthesia

Yoo Kuen Chan

Dept of Anaesthesia

University of Malaya Medical Centre

Location of Malaysia

KILLED by CARE…

Closing

GAPS in

CARE &

LEARNING

Format of lecture

Definition of EXCELLENCE

Building a profile of EXCELLENCE

Why work towards excellence?

How to work towards excellence

4 roles of anesthesiologists

The patient as a physiologic object – professional artist

The patient as a person – good Samaritan

Involvement in a hospital system – servant to close gaps in care

Involvement in the operating team – the coordinator

Profiling EXCELLENCE

Excellence is when we are able to connect with our knowledge and skills in ways far above that of mere technicians…

Profiling EXCELLENCE

Working towards

EXCELLENCE

Encompasses practice elements such as task management, team working, decision making and situation awareness.

Anesthetists’ Non Tech skills ( ANTs) Glavin RJ

Anesthetists’ Non Tech skills ( ANTs) Glavin RJ

Enhancing EXCELLENCE

Non measurable competency

Can be enhanced only through training, experience and reflection – tacit knowledge

Tacit Knowledge

Based on internalized formal knowledge after reflections on clinical situations.

Tacit Knowledge

Tacit knowledge is a dimension of knowledge

Knowledge stays in the background as an integrated part of the professional, guiding management of a clinical phenomenon and situation

Obstacle to EXCELLENCE

Just using explicit rules, protocols and guidelines as the base for learning anesthesia may be an obstacle for reaching the more advanced levels of expertise seen in excellent practitioners.

Trainees who work by the “book” may be at risk of not acquiring the tacit knowledge they will need when confronted with complex and challenging situations

Let’s have inspiring coaches…

Trainees need easy access to the support of more experienced, colleagues.

What coaches

do…

Thank you [email protected]