One of the challenges facing every residency program is to ensure that residents gain training in all aspects of anesthesia care, critical care medicine, pain medicine and associated clinical activities. In many programs, the clinical volume and diversity of experience may not support the educational needs. To address this challenge, this session will describe some alternative methods to optimize the clinical experience, including simulation and other alternative options. Exposure to the potential opportunities in telemedicine as an adjunct to face-to-face care is also becoming an essential educational goal.  

 

While these new initiatives are exciting and create opportunities to expand anesthesia practices outside of the traditional intraoperative environment, they create another challenge -- the need to ensure that residents not only have broad exposure to the full scope of anesthesia practice, but also document that the residents acquire the necessary competencies to advance through their training and transition to independent practice. The discussion will describe the use of milestones and "entrustable professional activities" (EPAs) as evaluation tools to guide professional development through the continuum of training, identify potential deficits and provide opportunities to address them.    

 

In addition to the overview of some of the traditional educational imperatives, the discussion will also outline some of the other educational opportunities to prepare residents for their future careers. Training in perioperative management and understanding the impact of intraoperative management on quality, outcomes and cost of care have become increasingly important. Many programs are also emphasizing some of the important administrative aspects of anesthesia care.  Providing residents with the opportunity to develop management skills and a better understanding of personnel management, resource utilization as well as impacts of their decisionmaking on costs of care has provided invaluable experiences to allow the residents to assume broader roles in health care as they embark on their future practices.

 

Finally, the presentation will discuss ways in which training programs are addressing other critical issues affecting clinical practice and providers, including, but not limited to professionalism, well-being, fatigue, burnout and distractions, all of which impact the quality of care provided to patients as well as the overall environment in which our trainees work.

 

 

 

麻醉執行的進步對麻醉訓練計劃產生了重大影響。為了應對不斷增長的知識，執行範圍和所需的臨床技能，培訓計劃必須重新評估課程，並為住院醫師確認新的方式來獲得多樣化的技能和經驗，並驗證完成訓練計畫 是否為過渡到實踐做準備。本講座將概述住院醫師教育和評估中發生的變化。

每個住院醫師計劃面臨的挑戰之一是確保住院醫師完成麻醉照護，重症醫療，疼痛控制和相關臨床活動等各個方面的訓練。在許多計劃中，臨床業務量和經驗多樣性可能無法滿足教育需求。為了應對此挑戰，本講座將描述一些優化臨床經驗的替代方法，包括模擬演練和其他替代方案。遠距醫療作為面對面照護的輔助手段已成為一項基本的教育目標。

儘管這些新舉措令人振奮且為麻醉業務擴展到傳統手術室之外創造機會，但也帶來了另一個挑戰-需要確保住院醫師不僅要接觸麻醉業務的全部領域，而且要紀錄住院醫師獲得必要的能力，以通過訓練過渡到獨立執行麻醉業務。再此討論里程碑(milestones)和“可信賴專業活動”（EPAs）作為評估工具，透過連續訓練來指導專業發展，發現潛在問題並解決問題。

除了概述傳統的教育要求外，還將討論概述一些其他的教育機會，為住院醫師的未來職業發展做好準備。圍手術期管理的訓練和了解術中管理對品質，預後和照護成本的影響變得越來越重要。

許多計劃同時強調了麻醉照護的行政管理方面。為住院醫師提供發展管理技能的機會，並更好地了解人事管理，資源利用以及決策對成本的影響，為住院醫師提供了寶貴的經驗，使他們未來在從事醫療工作時能夠承擔更廣泛的角色。

最後，演講將討論訓練計劃如何解決影響臨床業務和醫護人員的關鍵問題，包括但不限於專業領域，幸福感，倦怠，過勞和分心，所有這些都會影響醫療人員對病人的照護質量以及工作環境。