Medical Residency in Anesthesia

Medical Residency in Anesthesia

Teaching and Practice Center in Anesthesiology:Hospital das Clinicas FMUSP

Teaching and Practice Center in Anesthesiology:Hospital das Clinicas FMUSP

1

ABILITIES AND KNOWLEDGE - R1- 30 places per year

Perform pre-anesthetic evaluation of the patient and classify the physical status and the surgical risk;

Indicate and prescribe the pre-anesthetic medication;

Knowledge in the the areas of physiology and pharmacology of cardiocirculatory, respiratory, renal, and nervous systems;

Knowledge of the inhalational, intravenous, local agents and adjuvant drugs;

Learning the main anesthetic techniques;

Develop a clinical research project and submit it to approval;

Acquire basic knowledge of intensive care

Acquire basic knowledge for pain acute treatment;

Take part in the staff of the CPR program of the Central Ins(blue code).

ABILITIES AND KNOWLEDGE - R2Places : 30

Deepen the knowledge acquired in the first year of Medical Residence;

Perform prophylaxis and treat the post-operation pain with the use of specific techniques;

Be in contact with several surgical specialties and their particularities;

Diagnose and treat any possible occurrences and perioperative complications;

Conclude the collect of data of the research projects;

Acquire full abilities to act in intensive care.

Take part in the initial attendance to the traumatized patient in the Emergency Care and in the CPR staff in the Central Institute;

ABILITIES AND KNOWLEDGE - R3

Deepen the knowledge acquired in the first and second years od Medical Residence;

Emphasize the participation in anesthesia for major surgeries and perioperative care in patients with high surgical risk;

Deepen the knowledge in several modalities of artificial ventilation;

Ambulatory of patients with chronic pain;

Take part in anesthesia for organ transplantation and care with organ donors;

Conclude the research project, present to the examining board and send it to the publication.

PRACTICAL PROGRAM - R1

Obstetric Anesthesia

Urgency and Emergency

Orthopedics Surgery

Otolaryngology /ophthalmology surgery

Gastroenterological Surgery and General Surgery.

Head and Neck Surgery / Plastic Surgery.

Obstetrics anesthesia

Surgical and Trauma ICU

Post-Anesthesia Recovery

Oncologic surgery

PRACTICAL PROGRAM- R2

Orthopedics.

Pediatric Surgery

Heart Surgery.

Urgency and Emergency Surgeries

Obstetric Anesthesia

Anesthesia for Urology.

Anesthesia for Vascular Surgery.

Anesthesia for Gastroenterological Surgery.

Anesthesia for Oncological Surgery.

Initial attendance to the traumatized patient in the Emergency Care

Anesthesia for Image, radiological, diagnostic and therapeutic procedures.

Internship in the Acute Pain Group.

ICU – Anesthetic Recovery.

PRACTICAL PROGRAM – R3Rotation in Specialized Institutes

Transplantation: heart, liver, kidney, lung

Thoracic Surgery.

Obstetric Anesthesia. Congenital Heart Disease.

Endoscopy and Outpatient Surgery

Pediatric Surgery

Hemodynamic and Image diagnose procedures

Neurosurgery/Functional Neurosurgery.

Oncological Surgery.

Optional internship choose 02 Institutes to perform the procedures

Internship in Pain.

PRACTICAL ABILITIES -

CPR training

Difficult airway training

• devices, fibroscopy and crico tracheostomy

Monitoring

• central catheter, needling techniques with ultrasound

•Arterial e peripheral accesses

•Neuro-axis and peripheral nerves access

Monitoring of the consciousness state in anesthesia

Monitoring neuromuscular junction

Pumps, monitors, anesthesia machine, ventilators, electronic devices , defibrillators

ICU and pain clinic routine

HOW IT IS MADE

Theoretical Program – issues by Brazilian Society of Anesthesia

•Class attendance to lectures

Number of minimum anesthetic procedures

Internship in the Institutes

Internship of Abilities

• Exam Specific competences

LINEAR ACQUISITION OF KNOWLEDGE – DETERMINED TIME

THE GREATEST CHALLENGE

EVALUATION OF THE ESTABLISHED COMPETENCE

EVALUATION OF THE ACQUIRED KNOWLEDGE

EVALUATION OF THE ESTABLISHED COMPETENCE

EVALUATION OF THE ACQUIRED KNOWLEDGE

CURRENT EVALUATION

QUARTELY THEORETICAL EXAMS

ANNUAL THEORETICAL EXAMS

EVALUATION IN THE INTERNSHIPS

Rules of Central CommitteeFMUSP

CHAPTER IV: Failures in the Internships

Article 10th. The failure in the internship will imply on its full replacement.

Article 11th. Unjustified absence equal or over than 4 (four) days will imply in the internship failure.

Article 12th. The failure in two internships will imply in the exclusion from the Medical Residence Program.