August 4, 2017
Now that orientation is complete for all of our new CA-1s, I’d like to welcome everyone to the new academic year! This transition time is always intense and exciting with trainees and faculty evolving into their new roles. I also want to welcome all of the new faculty who will be working with the residents.
Below is a reminder about the milestone reporting that you’ll see on evaluations. Milestones are knowledge, skills, attitudes, and other attributes for each of the ACGME competencies organized in a developmental framework from less to more advanced. They are descriptors and targets for resident performance as the resident moves from entry into residency through graduation.
Level 1: Expected level for residents in their intern year.
Level 2: The resident demonstrates milestones for residents prior to significant experience in the subspecialties of anesthesiology (CA-1s).
Level 3: The resident demonstrates milestones expected of a resident after having experience in the subspecialties of anesthesiology (CA-2s).
Level 4: The resident substantially fulfills the milestones expected of an anesthesiology residency and is ready to transition to independent practice. This level is designed as the graduation target.
Level 5: The resident has advanced beyond performance targets defined for residency and is demonstrating “aspirational” goals which might describe the performance of someone who has been in practice for several years. It is not expected that every resident will reach this level for selected milestones.
More about the milestones or/and ACGME can be found at: https://www.acgme.org/. Or, stop by to chat with me.
Last month, I had the opportunity to go to London to speak at the Evidence Based Perioperative Medicine (EBPOM) conference with several members of our faculty. The days and evenings were filled with spirited discussion on perioperative medicine topics from clinical practice guideline development to the science of quality improvement to ongoing clinical research trials. There was a little downtime for afternoon tea — I think you will recognize some of the faculty in the picture. There was only one tragedy while I was in London: apparently we ran out of candy in the candy lantern! No worries, the situation is under control and the lantern will be restocked.
Finally, please take a moment to congratulate Dr. Rachael Mintz-Cole, who will be our ACES chief resident for the 2017-2018 year. She will join our academic chiefs (Jack Gamble and Angela Li) and teaching scholars (Anushree Doshi and Annabelle Mangan Levine) on our resident leadership team.
Have a great week!
Published in Undersea Hyperb Med. In January 2017
Non-Dysbaric Arterial Gas Embolism Associated with Chronic Necrotizing Pneumonia, Bullae and Coughing: A Case Report.
Ceponis PJ, Fox W, Tailor TD, Hurwitz LM, Amrhein TJ, Moon RJ
Arterial gas embolism (AGE) can be clinically devastating, and is most often associated with exposure to changes in ambient pressure, medical procedure or congenital malformation. Here we report a case of AGE in a 78-year-old male without these traditional risk factors. Rather, the patient’s history included chronic obstructive pulmonary disease, necrotizing pneumonia, bullous disease and coughing. He was safely treated with hyperbaric oxygen (HBO₂) therapy for AGE, with initial clinical improvement, but ultimately died from his underlying condition. Pathophysiology is discussed. This case illustrates the possibility that AGE can occur due to rupture of lung tissue in the absence of traditional risk factors. HBO₂ therapy should be considered in the management of such patients.
CENTRAL LINE :: 8/6 – 8/12
- CA1s you will have a SIM session on a Monday during August.
- Please note a change in the anesthesia tech hours for the cardiac/thoracic ORs – they will now be arriving at 5:30am.
This weekend (8/5 – 8/6): Gamble, Bangura
Next weekend (8/12 – 8/13): Doshi, Andrews
This week (Sat PM 8/5 – Fri AM 8/11): McCauley, Castro
Next week (Sat PM 8/12 – Fri AM 8/18): Johnbull, Hall
This Friday (8/4): Jones, Ellison
Next Friday (8/11): Horazeck, Pleticha
Liver Call Weekend (pager: 7320)
This weekend (Fri PM 8/4 – Sun PM 8/6): Van Hoomissen
Next weekend (Fri PM 8/11 – Sun PM 8/13): Fox
Liver Call Weekday (pager: 7320)
Liver day (Mon AM 8/7 – Fri PM 8/11): Doshi
Liver night (Sun PM 8/6 – Fri AM 8/11): Gamble
Saturday 8/5 AM: Wang
Saturday 8/5 PM: Pleticha
Sunday 8/6 AM: Horazeck
Saturday 8/12 AM: Crowgey
Saturday 8/12 PM: Cotter
Sunday 8/13 AM: Pleticha
This Friday (8/4): Horres
Next Friday (8/11): Anderson
Simulator (4-6 p.m. — page charge CRNA *7853 to ask for relief at 3:45 p.m.)
*These are mandatory sessions*
Mon (8/7): Anderson, Schiller, LaColla
CA3 on call pager (970-9313) is covered by CA3 on general OR call.
Liver call pager (970-7320) is always covered.
Have a great week!
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.
Duke Health wants to showcase our residents online! Please contact Jennifer Schwabel and Jessica Burkhart if you’re interested in creating a video for your physician profile page! Check out Dr. Thomas Buchheit’s profile video for a great example.
Want to talk with someone?
Personal Assistance Service (PAS) is the faculty/employee assistance program of Duke University, that is FREE. The staff of licensed professionals offer assessment, short-term counseling, and referrals to help resolve a range of personal, work, and family problems. PAS services are available at no charge to Duke faculty and staff, and their immediate family members. An appointment to meet with a PAS counselor may be arranged by calling the PAS office at 919-416-1PAS (919-416-1727), Monday through Friday between 8:00 A.M. and 5:00 P.M. If you need assistance outside of those hours, call the Blood and Body Houtlins (684 1115) for behavioral health concerns.
This Week in Lectures
CA 1 (8/8): PONV by Ashraf Habib, MBBCh, MSc, MHSc, FRCA
CA 2/3 (8/9): Premedication/Induction/Analgesia by Andrea Udani, MD
Thursday (8/10): M&M by Brad Taicher, DO, MBA
Next Week in Lectures
CA 1 (6/27/): Gas Law and Fluid Mechanics in Anesthesia by Anne Cherry, MD
CA 2/3 (6/28): Outpatient/PONV by Lisa Einhorn, MD
Thursday (6/29): QI Methodology by Brad Taicher, DO, MBA
Private practice group in Lewes Beach Delaware is expanding! See Dr Jay Hutson’s email in the jobs box account for more details about the job and how to reach him.
Emory is expanding faculty – high risk OB, peds, cards, thoracic, general cases, etc. Contact Dr Bola Faloye, 2013 alumni, for more information. Contact information is in box account!