Anesthesiology

/med/depts/anesthesiology/

Welcome

/med/depts/

Additional Information

Contact Us

Health Science Campus
University of Toledo Medical Center

3000 Arlington Avenue
Mailstop # 1137

Phone:  419-383-3556

Fax: 419-383-3550

webmaster@utoledo.edu

Responsibilities

First Day
2195 Department of Anesthesiology Picture


On your first day on service you should arrive at 0830 in room 2195 on the second floor of the University Medical Center building (the anesthesiology academic office, located across from the OR anterooms). At that time you will meet with the Clerkship Coordinator.  You will  be assigned a locker in one of the locker rooms and given the combination to the lock.

The department will loan you the required textbook for your clerkship Basics of Anesthesia, 5th Edition, by R. Stoelting, and R. Miller (Churchill Livingston 2000). The textbook must be returned before you will receive a grade for the clerkship.

After your meeting with the clerkship coordinator you will be directed to the front desk of the OR where one of the anesthesiologists will help you find your assigned preceptor for the day.

Clinical Responsibilities

Throughout your rotation you will be assigned to one anesthesia provider on a daily basis.  These assignments will be made at the beginning of the month.  If your assigned provider is absent, or not in a room on a particular day, speak to the anesthesia coordinator for that day or the clerkship director for an alternate assignment.

            Student Daily Assignments

Daily Student Assignment Board PictureEvery night, case assignments are made for the next day.  These assignments are printed on the daily surgery schedule - available at the Operating Room front desk.  They are also posted on the surgery schedule board across from the surgery front desk on the morning of surgery.  They can also be obtained by phoning the front desk at 419-383-3900.  Each night you should obtain your assigned provider’s case information for the next day and read the pertinent sections in your provided text.

You are expected to learn about and participate in all aspects of perioperative care.  This includes pre-operative evaluation and postoperative care in addition to intraoperative management: i.e. you should follow a case from beginning through to its conclusion.  Moving from room to room “procedure hunting” is discouraged and may negatively affect your grade.  On days without morning conferences you are expected in the OR at 0700.  You should expect to stay daily until 1500-1600 depending on the educational value of the cases in your room.

Attending anesthesiologists frequently cover more than one case at a time.  It will be up to the attending anesthesiologist with whom you are working as to how your clinical time will be assigned.

Student Clerkship Requisites

 

Inorder to fulfill the educational clerkship objectives of the anesthesiology clerkship the student is expected to participate in, observe, and perform a minimum number of anesthetic modalities and procedures. Additionally they must participate in the care of specific types of patients as outlined below. These minimum numbers were instituted by our faculty as the lowest number needed to fulfill the objectives successfully. Students should actually encounter more than the minimum number in each category.

 

Participation: The student will participate in the care of the patient undergoing the particular modality as a member of the anesthesia care team. This responsibility will be different in each case, but may predictably include: performing pre-operative evaluation, presenting the patient, performing required procedures on the patient, discussing and helping to formulate the anesthesia plan, monitoring the patient, maintaining the anesthesia record, positioning the patient, and providing post-operative care. An individual patient may satisfy several of the requisites.

Note: regional anesthetics involve the care of the patient during the entire perioperative period. It is more than just the placement of a block. Participation in a regional technique does not require that the student actually place the block themselves. Conversely, placing a block, without any other participation in patient, care does not constitute participation.

 

Observation: The student will observe and discuss with the practitioner the performance of the requisite procedures. Opportunities for actual performance of the procedure may be offered to some students who have demonstrated particular aptitude or interest.

 

Procedures: The student will, under adequate supervision, attempt the requisite procedure and demonstrate knowledge of the rationale behind, and mechanism for accomplishing that procedure.

 

Desirable modalities are those that are desirable for the student to participate in, but have no required minimum number.

 

 

Anesthetic Modality Participation

Number

General Anesthesia

10

Regional Block (except Epidural/Spinal)

2

Epidural/Spinal

2

MAC

2

Anesthesia for ASA 3-4 patient

3

Anesthesia for abdominal surgery

2

Anesthesia for laparoscopic procedure

2

Anesthesia for Thoracic Surgery

Desirable

Anesthesia for open heart

Desirable

Anesthesia for Intracranial procedure

Desirable

Preop Evaluation Center rounds

1

Post-op floor rounds

1

Post op patient care in PACU

2

Rapid sequence induction

Desirable

Neuromuscular blockade monitoring

2

Anesthesia Machine Checkout

2

Blood Transfusion

Desirable

Patient health issues

 

Hypertension

1

Diabetes

1

Obesity

1

Cardiovascular Disease

1

Pediatrics

Desirable

 

Anesthetic Modality Observed

Number

Central Line Placement

2

Arterial Line Placement

2

Fiberoptic intubation

Desirable

Somatosensory Evoked Potentials

Desirable

TEE

Desirable

Level 1 trauma alert

Desirable

 

Procedure

Number

Pre op evaluation

5

Standard monitor placement

5

Mask ventilation

8

LMA placement

2

Endotracheal intubation

4

Extubation

4

IVstart

1

Anesthetic record maintenance

3

IVset assembly

1

Last Updated: 3/22/15