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Medical Residency in Anesthesia

Medical Residency in Anesthesia. Teaching and Practice Center in Anesthesiology: Hospital das Clinicas FMUSP. 1. ABILITIES AND KNOWLEDGE - R1- 30 places per year. Perform pre-anesthetic evaluation of the patient and classify the physical status and the surgical risk;

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Medical Residency in Anesthesia

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  1. Medical Residency in Anesthesia • Teaching and Practice Center in Anesthesiology: • Hospital das Clinicas FMUSP 1

  2. ABILITIES AND KNOWLEDGE - R1- 30 places per year • Perform pre-anesthetic evaluation of the patient and classify the physical status and the surgical risk; • Indicate and prescribe the pre-anesthetic medication; • Knowledge in the the areas of physiology and pharmacology of cardiocirculatory, respiratory, renal, and nervous systems; • Knowledge of the inhalational, intravenous, local agents and adjuvant drugs; • Learning the main anesthetic techniques; • Develop a clinical research project and submit it to approval; • Acquire basic knowledge of intensive care • Acquire basic knowledge for pain acute treatment; • Take part in the staff of the CPR program of the Central Ins(blue code).

  3. ABILITIES AND KNOWLEDGE - R2Places : 30 • Deepen the knowledge acquired in the first year of Medical Residence; • Perform prophylaxis and treat the post-operation pain with the use of specific techniques; • Be in contact with several surgical specialties and their particularities; • Diagnose and treat any possible occurrences and perioperative complications; • Conclude the collect of data of the research projects; • Acquire full abilities to act in intensive care. • Take part in the initial attendance to the traumatized patient in the Emergency Care and in the CPR staff in the Central Institute;

  4. ABILITIES AND KNOWLEDGE - R3 • Deepen the knowledge acquired in the first and second years od Medical Residence; • Emphasize the participation in anesthesia for major surgeries and perioperative care in patients with high surgical risk; • Deepen the knowledge in several modalities of artificial ventilation; • Ambulatory of patients with chronic pain; • Take part in anesthesia for organ transplantation and care with organ donors; • Conclude the research project, present to the examining board and send it to the publication.

  5. PRACTICAL PROGRAM - R1 • Obstetric Anesthesia • Urgency and Emergency • Orthopedics Surgery • Otolaryngology /ophthalmology surgery • Gastroenterological Surgery and General Surgery. • Head and Neck Surgery / Plastic Surgery. • Obstetrics anesthesia • Surgical and Trauma ICU • Post-Anesthesia Recovery • Oncologic surgery

  6. PRACTICAL PROGRAM- R2 • Orthopedics. • Pediatric Surgery • Heart Surgery. • Urgency and Emergency Surgeries • Obstetric Anesthesia • Anesthesia for Urology. • Anesthesia forVascular Surgery. • Anesthesia for Gastroenterological Surgery. • Anesthesia for Oncological Surgery. • Initial attendance to the traumatized patient in the Emergency Care • Anesthesia for Image, radiological, diagnostic and therapeutic procedures. • Internship in the Acute Pain Group. • ICU – Anesthetic Recovery.

  7. PRACTICAL PROGRAM – R3Rotation in Specialized Institutes • Transplantation: heart, liver, kidney, lung • Thoracic Surgery. • Obstetric Anesthesia. Congenital Heart Disease. • Endoscopy and Outpatient Surgery • Pediatric Surgery • Hemodynamic and Image diagnose procedures • Neurosurgery/Functional Neurosurgery. • Oncological Surgery. • Optional internship choose 02 Institutes to perform the procedures • Internship in Pain.

  8. PRACTICAL ABILITIES - • CPR training • Difficult airway training • devices, fibroscopy and crico tracheostomy • Monitoring • central catheter, needling techniques with ultrasound • Arterial e peripheral accesses • Neuro-axis and peripheral nerves access • Monitoring of the consciousness state in anesthesia • Monitoring neuromuscular junction • Pumps, monitors, anesthesia machine, ventilators, electronic devices , defibrillators • ICU and pain clinic routine

  9. HOW IT IS MADE • Theoretical Program – issues by Brazilian Society of Anesthesia • Class attendance to lectures • Number of minimum anesthetic procedures • Internship in the Institutes • Internship of Abilities • Exam Specific competences • LINEAR ACQUISITION OF KNOWLEDGE – DETERMINED TIME

  10. THE GREATEST CHALLENGE • EVALUATION OF THE ESTABLISHED COMPETENCE • EVALUATION OF THE ACQUIRED KNOWLEDGE

  11. CURRENT EVALUATION • QUARTELY THEORETICAL EXAMS • ANNUAL THEORETICAL EXAMS • EVALUATION IN THE INTERNSHIPS

  12. Rules of Central CommitteeFMUSP • CHAPTER IV: Failures in the Internships • Article 10th. The failure in the internship will imply on its full replacement. • Article 11th. Unjustified absence equal or over than 4 (four) days will imply in the internship failure. • Article 12th. The failure in two internships will imply in the exclusion from the Medical Residence Program.

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