November 15, 2016
Last week, we took a pause during our busy interview season so I could present at the 2016 echocardiography conference in Florida which was directed by a great friend and colleague, Dr. Sasha Shillcutt. Later in the week was the Society of Academic Anesthesiology Conference in Chicago, where chairs, program directors, and educators met to discuss issues common to academic medicine. Interview days and lunches are back on and going strong through January!
We have received notice from the ACGME that there will be a Clinical Learning Environment Review (CLER) December 6th through the 8th. The CLER visit essentially replaces the ACGME “site visit” and is institution-wide rather than department-wide. As before, residents will be peer selected for trainee meetings or walk arounds. In addition, core faculty and program directors will be selected by the GME to meet with the review team. Thank you in advance for your participation during this visit! There will be more information forthcoming, especially for those who will meet with the site visitors, but anyone may be asked questions during the “walk-around” portion of the visit, so we all need to be prepared. There are six CLER focus areas that will be evaluated: patient safety, quality improvement, transitions of care, resident supervision, duty hour oversight and fatigue management, and professionalism.
Don’t forget to RSVP for the holiday party! It’s a great night to hang out with the entire department in something besides your scrubs.
I hope the majority of the CA2s and CA1s were able to go the fellowship meeting yesterday with Dr. Stafford-Smith and all of the fellowship PDs. I’m also here to help with any questions you might have between deciding on specialties or institutions. We’ll be collaborating with UNC in April on a conference regarding life after residency and what that means in private practice or academics, so keep thinking about your options.
Remember to log your duty hours! I know it’s one more thing to do, but believe me, once you’re faculty somewhere, that task will be replaced with another so get into a good habit now. Enjoy the Thanksgiving holiday, eat lots, and be safe if you’re traveling!
Presented at ASA 2016
Anesthetic Management for Cesarean Section in a Patient With Repaired Transposition of the Great Vessels
Annabelle Mangan, MD
A 37 year old G1P0 patient was admitted for management of pre-eclampsia, for which the obstetricians suggested a cesarean section. She had a history of transposition of the great vessels, repaired as an infant. The patient had no symptoms of heart failure and a normal echocardiogram. However, due to concerns of hemodynamic instability following a traditional spinal anesthetic and fluid shifts during surgery, the anesthesia team elected for a combined spinal-epidural with gentle uptitration of anesthesia. An arterial line and central line were also placed. The patient delivered a healthy infant with no significant hemodynamic instability or requirement for vasopressors.
- 11/13 – 11/19
- This weekend (11/12 – 11/13):
- Saturday 11/12: Herbert, Donald
- Sunday 11/13: Overmon, Donald
- Next weekend (11/19 – 11/20): Seifert, Andrews
- This week (Sat PM 11/12 – Fri AM 11/18): Rogers, Anderson
- Next week (Sat PM 11/19 – Fri AM 11/25): Thapa, Chen
Friday Night Call
- Friday (11/11): Smith,Cobert
- Next Friday (11/18): Jia, Castro
- The Friday after Next (11/18): Overmon, Mangubat
Liver Call Weekend (pager: 7320)
- This weekend (Fri PM 11/11 – Sun PM 11/13): Brockbank
- Next weekend (Fri PM 11/18 – Sun PM 11/20): Reskallah
Liver Call Weekday (pager: 7320)
- Liver day (Mon AM 11/14 – Fri PM 11/18): Mintz-Cole
- Liver night (Sun PM 11/13 – Fri AM 11/18): Overmon
- Saturday 11/12 AM: L. Jones
- Saturday 11/12 PM: Mintz-Cole
- Sunday 11/13 AM: Hulsey
- Saturday 11/19 AM: Pleticha
- Saturday 11/19 PM: Horazeck
- Sunday 11/20 AM: Pleticha
Simulator (4-6 p.m. — page charge CRNA *7853 to ask for relief at 3:45 p.m.)
*These are mandatory sessions*
- Devinney, Mangubat, Andrews
- CA3 on call pager (9313) is covered by CA3 on general OR call.
- Liver call pager (7320) is always covered.
Please stop by during the office hours listed below. Or, please feel free to contact any of our leadership to schedule a meeting outside of standard office hours.
RSVP to Jessica Burkhart for December dinners!
RSVP to the Holiday Party!
Want to talk with someone?
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This Week in Lectures
All interested (11/14): Fellowship Discussion with Dr Mark Stafford Smith and all fellowship program directors.
CA1 (11/15): Pressure Monitoring with Dr Jonathan Mark
CA2/3 (11/16): ARDS with Dr Mike Fierro
Thursday (11/17): **CA2/3 in Trent Semans Center** Point of Care Ultrasound with Dr Mandisa Jones-Haywood
Next Week in Lectures
CA1 (11/22): Statistics that Every Anesthesiologists Must Know with Dr Jake Freiberger
Cancer Anesthesia Fellowship at UT MD Anderson Cancer Center
HCA Healthcare at Mountain View Hospital, Las Vegas, NV seeking program director for 2017
To view the complete list of job postings, visit the Box Account.