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Transcript of Anesthesia 251 Clinical Clerkship in Anesthesiology University of the Philippines College of...
Anesthesia 251Clinical Clerkship in Anesthesiology
University of the PhilippinesCollege of Medicine – Philippine General HospitalDepartment of Anesthesiology
Anesthesia 251 Course Coordinators
Dr. Patricia Lorna O. Cruz Dr. Sheila Espina-Bertoso
• Resident Monitors• Dr. Fernando Serra III• Dr. Lala Datiles
• Preceptor• Dr. Michelangelo Alvarez
• Bioethics• Dr. Fides Flores
Anesthesia 251 Clerks are required to be either in the
official school uniform or in the official clerks’ scrub suit at all times, with name plate or ID.
• Inside the operating room complex, clerks are required to be in their scrub suits with cap, masks, and OR footwear
Anesthesia 251 At the end of the course, the student should be able to:
Prepare patients for surgery and anesthesia; Assist in the administration of general and regional anesthesia; Discuss perioperative fluid therapy; Discuss the peculiarities and special considerations in the
anesthetic management of the different surgical specialties; Discuss Acute Pain management; and Discuss a bioethical issue in the practice of Anesthesiology.
Anesthesia 251 Clerks are to submit a standardized 5” x 8”
index card with a recent 1” x 1” picture. Index cards should be submitted to the
resident monitor by the first Friday of the rotation.
Anesthesia 251NameNicknamePremed Course/CollegeContact numbersEmailPerson to contact in case of emergencyOrganizationsTalents/SkillsSpecialty preference
1x1 pic
Attendance Clerks are required to sign in at the attendance
logbook located at the corner table beside the Anesthesia Residents’ Lounge.
The attendance will be closed at 6:30 am everyday and 6:00 pm for the duty group.
A grace period of 15 minutes will be observed, after which the clerk will be considered absent.
Attendance For purposes of daily attendance and duty, clerks will
have to prepare a second 5” x 8” index card on which you will write down the date, time, rotation, name of resident in charge and other remarks.
Index cards will be signed by the resident in charge or the team captain; and will be submitted at the end of the rotation.
AttendanceName LU VI Blockdate time rotation RIC with
Signatureother remarks
Attendance Clerks are expected to be in their posts from 6:30 am
to 4:00 pm everyday (Monday to Friday) except during lectures
If a lecture is scheduled during this time, clerks may proceed to the conference room after informing the resident in charge at your post.
Once the lecture is over, clerks are expected to return to posts and stay until 4:00 pm or until the end of the case, whichever is earlier.
Attendance Excused from posts
Pharma Lectures Tues 3-5 College Activities
Kindly inform your Resident Monitor re: changes in Pharma Lec schedules and College Activities
Attendance Duties will be scheduled with two clerks going
on duty everyday from 6:00 pm to 6:00 am. Each clerk should have gone on duty at least 3
times during the whole rotation. The duty team should report to the team
captain by 6:00 pm.
Attendance The liaison officer should pass a copy of
the block’s schedule of duties to the resident monitor by the second day of the rotation.
The resident monitor should be informed of any changes in the duty groups at least a day ahead.
Attendance Clerks are not expected to be at their posts or
go on duty during cancellation of classes due to typhoons or other emergencies.
However, clerks are expected to report for duty on weekends, national, and school holidays.
Post duty clerks should proceed to their day post and are off by 12noon
Attendance An absence is considered excused if the
resident monitor is informed ahead of time and a formal letter of excuse addressed to the chair of the department is submitted.
An accompanying certification from the UP Health Service is expected for absences due to illness.
Attendance Unexcused absences will mean make up
duties, computed as the number of hours missed multiplied by two. Make-up duties will be only on weekends.
Clerks should consult with their resident monitor regarding scheduling of make-up duties.
Attendance IMPORTANT! Attendance is 10% of
the total rotation grade. Absences totaling 30% of the total
rotation time will result in a grade of 4.0 or a repeat rotation.
Academics Lectures take precedence over all rotation
activities. Lectures will be scheduled on the first week of
the rotation, depending on the availability of the consultant-lecturer.
Clerks should report and stay at their post until the liaison officer confirms the lecture.
Academics Students should report to the conference room
on time. Attendance will be taken by the liaison officer
and should be countersigned by the lecturer. This will be submitted at the Anesthesia office
immediately after the lecture (Ma’am Erna). Or to your Resident Monitor.
Preceptorials Preceptorials are to be conducted as a block. This will comprise 10% of your grade. The block will be assigned a consultant-preceptor
whom the liaison officer should contact on the first day of the rotation, to confirm their preceptorial meeting with him/her.
Preceptorials If the consultant will not be available anytime
during the entire rotation, the liaison officer should inform the resident monitor so that another consultant may be assigned.
Conferences Clerks are required to attend the weekly
Wednesday conference at 2:00 pm at ERC 205, and Friday Lectures at 6:30am at the Conference Room
Attendance shall be taken by the liaison officer and submitted to the resident monitor right after the conference.
Wet clinics Clerks are to report to their elective posts at
6:30 am up to 4:00 pm during weekday, where they are the responsibility of that post’s resident-in-charge (RIC).
A properly filled out preoperative anesthetic evaluation form scheduled for surgery that day is expected of each clerk.
Wet clinics Clerks are required to have at least 10
properly filled up preoperative anesthetic evaluation forms signed by their residents
Clerks need not write notes in the charts of the patients.
Wet clinics Clerks are not allowed to perform a procedure
without first conducting a pre-operative evaluation on the patient.
Clerks are also expected to assist the RIC during the entire case and to complete the intraoperative monitoring of the patient.
Wet clinics Clerks are to submit 2 case discussions of 2
elective cases to which they were co-decked with focus on implications of comorbidities and surgery requirements on anesthetic management
Wet clinics During the first day of rotation, clerks shall
have an observer status, hence will not be expected to perform procedures.
However, RICs may allow clerks to perform certain procedures as they may see fit.
When assigned to a pay case, maximize this opportunity to learn from the consultant.
Duties During duties, clerks are to stay at the LCB to assist
with the emergency cases. Each clerk will be co-decked with a resident and be
expected to assist your RIC during the entire case. Clerks are required to stay at the vicinity of the LCB /
Anesthesia Residents’ Lounge for the duration of the duty.
Clerks caught out of post will be sanctioned with an unexcused absence.
DutiesMon Tues Wed Thur Fri Sat Sun
W1 OFF
W2 OFF
Duties Clerks are to submit 1 case discussion on anesthetic
management of 1 ER case
Examinations A total of three short quizzes (20 pts each) will
be given throughout the two-week rotation (Friday – Monday – Friday), covering the reading assignments.
On the 3rd quiz, there will be additional items taken from the lectures of the consultants
The sum of the scores from the three quizzes will comprise 30% of the final grade.
Examinations Clerks who missed quizzes or exams
because of an excused absence will be required to take a make-up exam, to be scheduled with the resident monitor.
A missed quiz or exam due to an unexcused absence will mean a grade of zero for that exam.
Examinations An Organized Systematic Clinical Evaluation
(OSCE) on the conduct of anesthesia via endotracheal intubation will be conducted on the second week of the rotation, to be given by a consultant or resident monitor/senior resident.
Examinations Clerks are responsible for scheduling their
OSCE with the consultant or resident monitor/senior resident.
OSCE may be done during elective hours or evening duty.
Requirements The following should be submitted in a long brown
envelope to the resident monitor at the end of the rotation:1. index card for identification2. Index card for attendance3. pre-anesthetic evaluation forms (at least 10) –
countersigned by RIC4. procedure forms (at least 6 intubations and 3 spinals –
with corresponding intraoperative records countersigned by the RIC, stapled to the procedure form)
Requirements5. 2 Elective Case Discussions6. 1 ER Case Discussion7. 1 completed OSCE grading sheet8. one-page reaction paper (typewritten on short bond
paper) on one of the cases presented during the Wednesday conference. This will be worth an additional 2% on the final grade
9. a duly accomplished preceptorial evaluation form, countersigned by the consultant (to be submitted in the liaison officer’s envelope)
Grading Grading will be according to a pre-determined
scale, to be standardized by the Clinical Clerks’ Committee.
Should a grade of incomplete or failed be given to a clerk, deliberations will be conducted by the department’s Learning Unit 6 Committee.
Results of this deliberation will be final.
Grading Breakdown of grades shall be as follows:
Quizzes 30% Procedures 10% Case Discussions 10% Attendance 10% Attitude 10% OSCE 10% Preceptorials 10% Comprehensive exam 10%
(to be taken at the end of clerkship year)
90%
Reading Requirement Introduction to Anesthesia by David
Longnecker and Frank Murphy, 9th edition
Anesthesia 251Clinical Clerkship in Anesthesiology
University of the PhilippinesCollege of Medicine – Philippine General HospitalDepartment of Anesthesiology