Anesthesiology Residency at Tufts Medical Center December 2011

Who are we?

Why is Tufts special? Full accreditation from 2010. Next review scheduled mid 2010. Accredited Pediatric and Cardiac anesthesia fellowships. Fully compliant with NEW ACGME regulations ( July 2008) 100% written board pass rate in 2008, 2009, 2011 90 th percentile class score in ABA written by graduating residents in 2007 90% board certification rate averaged over 7 years Greater than 1: 1 faculty- resident ratio Case numbers well above the RRC requirements in all categories.

Specialty rotations and research training right from CA-1 year 5 hours of didactic time per week in addition to resident keyword sessions. Lectures are in sequence covering one area of knowledge in one-two month blocks ( (not random topics like in many other programs. ) CA-1 introductory lectures in July. Simulated training before first OR exposure in week 1. Written and Oral exam practice several times an year. Assigned faculty mentors for every resident.

What do we do?

Clinical Training v Vast routine and complex case load v Sub-specialized surgeries v HIPEC, Heart transplants/VADs/high risk cardiac, Robotic surgeries, sleep-awake-sleep craniotomies, NICU babies v Heavy pediatric training v Majority of “required numbers” needed to graduate attained as CA-2

Clinical Training v Exposed to all OR subspecialties as CA-1 v OB, Cardiac, Vascular, Thoracic, Pediatrics, Neuro v Senior Electives v (Echo board certification, outside rotations, Mission trips to Central America)

Simulation v Simulator orientation in July with 1: 1 coverage first month Collaborative program with medical school v Innovative simulation center v Teaching of medical students v Rotation through Harvard-MIT center for med. sim. v Crisis management training v Sim Man / Simulation lab in anesthesia department v

Research v Requirement for graduation v Research month as CA 2 and more as CA 3 if interested v Growing number of prospective and retrospective studies v Plethora of case reports (75% of ASA meeting “challenging cases” were also seen at Tufts) v 7 residents to ASA this year, 8 residents had 18/42 abstracts at NEARC

Didactics v Grand Rounds Monday morning v Resident “keywords” 645 a-7 a Mon-Thur v Protected 2 hours didactic both Wed and Thurs v v v Lectures Monthly Journal Club Bi-monthly Resident Case presentations Written Board review Oral Board review Simulation

Resident Led Education v Keywords v 6: 45 -7: 00 AM v Weekly reading schedule and quizzes v 6: 45 -7: 00 Monday v Board review sessions v 5: 00 -6: 00 biweekly v Etherpedia

Non-clinical Interests v Leadership in Hospital GME, MSA, Navy, MFA v Medical Devices Patents v Starting own Business v Boston Marathon v Outdoor activities v Travel v Get engaged/married v Family get-togethers v Enjoying Boston

Non-clinical Interests

Non-clinical Interests

Where do we work? v Tufts v Medical Center Tertiary care medical center (Level 1 accredit) v v Lahey v Clinic SICU – anesthesia run and highly praised rotation by residents v Rhode v High risk OB, Highly specialized Cardiac Department, Huge pediatric exposure, Fantastic neurosurgical services, separate day surgery center Island Hospital (Level 1) Trauma, Private practice v Brigham v and Women’s Hospital OB high volume experience

Where do we work

Where do we work

When do we do it? v Average between 50 -60 hours a week v Come in between 6 a-620 a v Leave around 5 -530 pm consistently v Average of 3 -4 calls/month, 1 weekend v On most days call team comes at 12 noon v Average 2 holiday weekend calls out of 9 per year v 20 days off with additional 5 days CME(as CA 2, CA 3)

When do we do it? v Never violate the 80 hr work week v Never violate the 10 hr rule v Have buddy system for preops if post call

How do we do? v Extremely confident after training v Top fellowships (Past and present years) v Cleveland Clinic-cardiac, Duke-Regional, B. I. Pain, B. I. Crit. Care v Brigham-Pain, Brigham-OB, LA Children’s. Peds, Univ Washington Crit. Care v Jobs of choice in Private Practice

How do we do? TUFTS CINCINNATI HARVARD Pediatrics CHILDREN’S BRIGHAM Pediatrics Crit. Care COLUMBIA TUFTS UNIV. O. B. Cardiac PITTSBURG Pain

Who are we looking for? v Hardworking and motivated individuals who are looking for strong clinical program v Able to contribute to the tradition of resident driven program improvement v Able to function independently v Flexible and calm v Fun, relaxed personalities who are highly vigilant in the OR v Initiative in pursuing research questions

Questions?