Although it is a long weekend nationwide, but our department has arranged a conference about the perioperative ventilator setting. Today Aug-14 is the beginning day of the 2-day workshop, the topics started with basic and advance modes of mechanical ventilation. Patient care and monitoring of the patients who require ventilator support, the problems of ventilator-patient dyssynchrony, and special patient groups: neurologic, traumatic chest, transportation, and perioperative ventilator setting and complications.
When it was nearly the end of the day, we discussed about perioperative care by anaesthetists, because we can attenuate perioperative respiratory complications by using the lower oxygen concentration during the induction time, we can use FiO2 of 0.8 instead of 100% oxygen. We talked about within the next five years ventilator setting in the OR would catch up the ITU/ICU, actually, there are papers about ASV (adaptive support ventilation) using in the OR, and recent paper was published in European J of Anaesthesiology about this mode in 2009.
We will pose some photo of the workshop, as well as some slides later on, don't forget to update and tune in.
2010-07-31
Journal club for June and July 2010
This is another platform for the fellow level, there is a regular meeting organised by the team of CVT anaesthesia, and there are journal club, Morbidity & mortality conference, and HA topic. One member of the asked me whether or not she can put the lists of the journal they have read here, so that they would know what had been discussed at the conference. Here are the lists for the month of June and July for this 2010 academic year.
- (Wed 9) Anesthesia for patients with pulmonary hypertension
- (Wed 16) Protecting the Brain During Aortic Surgery: An Enduring Debate With Unanswered Questions
- (Wed 23) An Entirely Subcutaneous Implantable Cardioverter–Defibrillator
For the month of July 2010:
- (Wed 14) Lumbar Cerebrospinal Fluid Drainage for Thoracoabdominal Aortic Surgery: Rationale and Practical Considerations for Management
- (Wed 21) Neurological Damage Related to Cardiac Surgery
2010-07-28
Anaesthesia Education (SWOT analysis)
There was a departmental wide conference organised yesterday (2010-07-27) to learn about ourselves, how we are, where we really stand, and what we are going to be for the next four years, in order to give a momentum to move forward. Strength-Weakness-Oppertunity-Threat analysis was aimed in four major areas: service, government, education and research.
Education in our department of Anesthesiology has some weaknesses as well as strengths, however, we are committed to improve ourselves to serve our dear customers; medical students, residents and fellows, and anaesthesia nurse students, at the best quality learning; education and training they should deserve during the time they spend their time with us.
For medical students; the curriculum has just been changed for 2 years, so there might be a minor change for that, but the anxiety level among them will be in our minds to look for.
For residents and fellows; there may be more short courses organised for them, more specialty training courses, we will look for the future trend in our specialty for the Kingdom as well.
The earlier we change, the better quality of education we should get, hopefully.
Education in our department of Anesthesiology has some weaknesses as well as strengths, however, we are committed to improve ourselves to serve our dear customers; medical students, residents and fellows, and anaesthesia nurse students, at the best quality learning; education and training they should deserve during the time they spend their time with us.
For medical students; the curriculum has just been changed for 2 years, so there might be a minor change for that, but the anxiety level among them will be in our minds to look for.
For residents and fellows; there may be more short courses organised for them, more specialty training courses, we will look for the future trend in our specialty for the Kingdom as well.
The earlier we change, the better quality of education we should get, hopefully.
2010-07-13
How we learn
From today edition of Bangkokpost (2553-07-13) in the education section, there is a very interesting and important Quote of the week by William Glasser. It says:
"We learn
10% of what we read;
20% of what we hear;
30% of what we see;
50% of what we both hear and see;
70% of what is discussed;
80% of what we experience personally; and
95% of what we teach to someone else"
Therefore, our beloved medical students should be encouraged to speak out and actively participate in activities assigned for them, such as bed side teaching, problem based learning, and even team based learning.
"We learn
10% of what we read;
20% of what we hear;
30% of what we see;
50% of what we both hear and see;
70% of what is discussed;
80% of what we experience personally; and
95% of what we teach to someone else"
Therefore, our beloved medical students should be encouraged to speak out and actively participate in activities assigned for them, such as bed side teaching, problem based learning, and even team based learning.
2010-05-30
Another useful link
In order to gather important information regarding the specialty of Anaesthesia, the BMJ, British Medical Journal, has been an undispensible source of essential and up-to-date data and knowledge. Under the useful collections in www.bmj.com, you can have important topic in the patient care under anaesthesia specialty especially the pain management and other related topics.
While the collections of intensive care have four major sub-headings, mechanical ventilation, and intensive care for neonate, paediatric and adult patient separately.
Hope that you will get up to today medicine for safety of our patients from this wonderful and useful link, click at the topic for the link.
While the collections of intensive care have four major sub-headings, mechanical ventilation, and intensive care for neonate, paediatric and adult patient separately.
Hope that you will get up to today medicine for safety of our patients from this wonderful and useful link, click at the topic for the link.
2010-05-04
A very useful link for medical student
When I search the internet for more informations about how medical students will be taught in anaesthesia rotation, I learn that in the USA like our department, they are rotated to the department for two weeks.
While many departments show the curriculum and evaluation form, I ran across the department of anesthesiology at the University of Wisconsin which offers three case descriptions in the topics of acute pain management, paediatric anaesthesia, and emergency anaesthesia with the emphasis on haemodynamic monitoring and inotropes. Not only the case descriptions which you should have tried to learn, but the department also have two handouts for medical students in the topics of paediatric anaesthesia and local anaesthetics and regional anaesthesia.
Have a look at the link and try to figure out the cases by clink at the topic above.
While many departments show the curriculum and evaluation form, I ran across the department of anesthesiology at the University of Wisconsin which offers three case descriptions in the topics of acute pain management, paediatric anaesthesia, and emergency anaesthesia with the emphasis on haemodynamic monitoring and inotropes. Not only the case descriptions which you should have tried to learn, but the department also have two handouts for medical students in the topics of paediatric anaesthesia and local anaesthetics and regional anaesthesia.
Have a look at the link and try to figure out the cases by clink at the topic above.
2010-04-04
Medical education: Lifelong learning
We were advised to join the 11th Thai medical education congress, held at Chulalongkorn University on 27-29 March, and it had covered many interesting subjects from adding public health into med student curriculum, and how to teach that topics.
There were also workshop/ discussion about the making OSCE, however, one thing that we have agreed with and we have done is "Lifelong Learning". Since 2009 we have formed the group of teachers to three each to look after 10 upto 12 students in two week slot. We knew that we cannot let them know all the department of Anesthesiology would be, we hope that they can find their way out, since we have just shown them small windows of this busy department. The aim of preoperative evaluation and preparation is also an example of lifelong learning, because the patient who need anaesthetics can be anywhere in the hospital, we hope that our students have understood this goal and can apply our anaesthetist's way of thinking to the patient care process.
There were also workshop/ discussion about the making OSCE, however, one thing that we have agreed with and we have done is "Lifelong Learning". Since 2009 we have formed the group of teachers to three each to look after 10 upto 12 students in two week slot. We knew that we cannot let them know all the department of Anesthesiology would be, we hope that they can find their way out, since we have just shown them small windows of this busy department. The aim of preoperative evaluation and preparation is also an example of lifelong learning, because the patient who need anaesthetics can be anywhere in the hospital, we hope that our students have understood this goal and can apply our anaesthetist's way of thinking to the patient care process.
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