Thomas Jefferson UniversitySidney Kimmel Medical College

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Overview

The Department of Anesthesiology offers an innovative didactic curriculum which includes five (5) scheduled lectures each week during the academic year (September – June) in recently renovated, modern educational facilities. A variety of different educational formats including formal lectures, grand rounds, morbidity and mortality conferences, case conferences, resident journal club, problem-based learning discussion groups, question and answer sessions, resident presentations, independent study modules and simulation are blended together to provide comprehensive preparation for the American Board of Anesthesiology Part I and Part II examinations. We are also proud to offer the busiest surgical case volume in the Philadelphia-area and the didactic program compliments the diverse clinical exposure to complex and challenging cases as well as the required reading in the residency textbook, Barash’s Clinical Anesthesia.  It is our expectation that every resident who successfully completes their training at Thomas Jefferson University will have the ability to pass the ABA examinations and the prerequisite skills to succeed in even the most challenging Anesthesiology work environments.

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Tuesday Morning Conferences

Beginning in September, resident conferences are held most Tuesdays from 6:15 - 6:50 am, primarily to review topics pertinent for junior residents.  Although residents of all levels are welcome at each of the departmentally-sponsored lectures, the Tuesday morning session is specifically designed for CA-1 residents.   Topics include review of basic science principles with an emphasis on their clinical applications, clinical anesthesia topics with an emphasis on airway management and formation of an anesthetic plan, and topics related to communication or professionalism.  Additionally, several case conferences and small group discussions are offered during this timeslot each year. With the mentoring of a faculty member, each CA-1 resident delivers one formal lecture to his or her colleagues during the first academic year. When relevant, residents are expected to have read the assigned chapter in Barash’s Clinical Anesthesia prior to the conference.

Listed below are some recent lecture titles:

Resident Case Conference (multiple sessions)
The Second Gas Affect: Mechanism and Clinical Applications
Uptake and Distribution of Anesthetic Gases
Capnography
Introduction to Perioperative Communication: Etiology of Wrong-Side, Wrong-Site
     Surgery
Inhalational Anesthesia
Anesthesia and Seizure Disorders
Fentanyl/Morphine/Remifentanil
Communication: Conflict Resolution in the OR
Pharmacology of Local Anesthetics
Propofol/Thiopental/Etomidate
Comparison of Pancuronium, Rocuronium, Vecuronium and Cisatracurium
Antagonism of Neuromuscular Blockade
Professionalism
Functional Anatomy of the Autonomic Nervous System
Baroreceptors and the Autonomic Nervous System
Adrenergic and Cholinergic Receptors
Ketamine for Postoperative Pain Control in the Opioid Tolerant Patient
Using the Ultrasound Machine: “Knobology”
American Society of Regional Anesthesia Teaching Guidelines
Analgesia for Thoracic Surgery
Acute Pain in the Challenging Patient
First Call Responsibilities
Vasoactive Drugs
An Off-Centered Approach to Intubation: Unconventional Airway Management Techniques
Colloid and Crystalloid
Surgical Fires
Blood Products
Antiemetics
Latex Allergy and the Pediatric Patient
Small Group Discussion: Bronchospasm

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Wednesday Afternoon Conferences

During the academic year, a Wednesday afternoon conference from 1:30 - 2:30 pm is conducted.  Intended primarily as a CA-3 conference, senior residents are relieved from the clinical duties to attend. CA-1 and CA-2 residents may or may not also be relieved from clinical duties as the operating room schedule permits.  The primary focus of the Wednesday afternoon session is preparation for Part II of the American Board of Anesthesiology examination, also known as the Oral Boards.  In addition to the individualized Mock Oral Board experience offered four times each year to simulate the experience of taking the Part II examination, the Wednesday sessions use sample questions to help prepare the resident to critically analyze stem questions and formulate succinct and organized responses to examiner queries.  This conference also affords the opportunity to present advanced topics in Anesthesiology valuable to senior-level residents and to discuss career opportunities and fellowship or job hunting/contract negotiation skills.

Listed below are some recent lecture titles:

Mock Oral Preparation (multiple sessions)
Understanding ABA Part II Examination
Anesthesia Machine (Review)
Malignant Hyperthermia (Review)
Troubleshooting in the PACU Part I
Troubleshooting in the PACU Part II
Troubleshooting in the PACU Part II
Fat Embolism
Preeclampsia, Eclampsia, and Amniotic Fluid Embolism:  When Birthing Goes Badly
Anticoagulation and Regional Anesthesia: Focused Review of ASRA Consensus Statement

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Thursday Morning Conferences

Beginning in September, resident conferences are held most Thursdays from 6:15 - 6:50 am, immediately prior to the Departmental Grand Rounds.  With the exception of Clinical Base Year (PGY-1) residents, all anesthesiology residents are expected to attend this conference. Formal lectures on a variety of clinical general and subspecialty anesthesiology topics are delivered by faculty and visiting guest speakers.  Additionally, ten resident journal clubs are sponsored each year with faculty-moderated discussion of recent research or review articles. When relevant, residents are expected to have read the posted journal articles or the assigned chapter in Barash’s Clinical Anesthesia prior to the conference.

Listed below are some recent lecture titles:

Airway Management in the PACU

 

Off-Pump vs. On-Pump CABG

 

Statins During the Perioperative Period

Dr. Jacob Raphael*

Arrhythmias

 

Cardiopulmonary Bypass

Thomas Stapleton*

Valvular Heart Disease

 

Mitral Valve Disease

 

Transesophageal Echocardiography

 

Anesthesia and Circulatory Assist Devices

 

Essentials of Ultrasound in Regional Anesthesia

Dr. Manoj Karmakar*

Simulation in Anesthesia Education

 

Lithotomy Position in the OR: Physiological and Anesthetic Implications

 

Physician Impairment

 

When Acute Pain Becomes Chronic

 

Regional Anesthesia for the Upper Extremity

 

Regional Anesthesia for the Lower Extremity

 

Local Anesthetic Toxicity: Update in Management

 

Anesthesia for Posterior Fossa Tumor Resection

 

Interventional Neuroradiology

 

Anesthesia and Neurophysiology Monitoring

 

Anesthesia for Resection of Seizure Foci

 

Anticoagulation for Cardiac Surgery

Dr. Stephen Bader*

Resident Research Opportunities

 

Resident Journal Club (multiple sessions)

 

* Outside Speaker

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Anesthesia Department Grand Rounds

The Departmental Grand Rounds are held each Thursday from 6:55 - 7:45 am throughout the calendar year.   The conference features formal lectures on important or emerging topics in clinical anesthesiology, presentations of departmental research, visiting professor lectures, Morbidity and Mortality Conference, and combined Surgical-Anesthesia Morbidity and Mortality Conference.  This conference is held every Thursday during the year, with the exception of holidays or when Mock Oral Examination simulation is held for the residents in lieu of both regularly scheduled Thursday lectures (4 times annually).

Listed below are some recent lecture titles:

Solid Organ Transplanation: Gift of Life

Jacqueline Giuffrida*

Preoperative Cardiac Evaluation

 

Counter Insurgency in Critical Care Medicine

Captain Kurt Henry MC, USN*

Respiratory Failure

 

Anesthesia for Bariatric Surgery

 

ASA Presentations: Resident Research

 

Operating Room Fires: Multidisciplinary Safety Training

 

Evaluation in Education: Providing Effective Feedback

Dr. Karen Novelli*

Ultrasound Regional Anesthesia

Dr. Manoj Karmakar*

Central Venous Pressure

 

Outpatient and GI Anesthesia

 

Case Conference (multiple sessions)

 

Obstructive Sleep Apnea

Dr. Karl Doghramji*

Medical Malpractice and Risk Management

 

Peripheral Nerve Block Injuries

 

Anticoagulation and Regional Anesthesia

 

Laparoscopy

 

Morbidity and Mortality Conference (multiple sessions)

 

Surgical-Anesthesia Combined Mortality and Morbidity Conference (multiple sessions)

 

* Outside Speaker

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Friday Morning Conference

Beginning in September, resident conferences are held most Fridays from 6:15 - 6:50 am.  The format of this conference is question and answer sessions for the purpose of preparing for the American Board of Anesthesiology Part I examination.  Dr. Williams moderates these sessions from his extensive database of sample board-style questions. Besides providing focused review of core material, the resident gains experience answering questions in the “A-type,” “R-type” and “G-set” formats which appear on the ABA in-training and board examination.

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Core Faculty of the Didactic Program

James W. Heitz, MD, FACP
Director of Didactics
Tuesday, Wednesday, Grand Rounds and Journal Club Moderator

Richard Bartkowski, MD, PhD
David P. Maguire, MD
Morbidity and Mortality Conference Moderators

Michelle Beam, DO
Thursday Morning Conference Moderator

Michael J. Williams, MD
Friday Morning Conference Moderator

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Dr. McNulty

Stephen McNulty, DO
Program Director

Dr. Heitz

James W. Heitz, MD
Associate Program Director

Mr. Schley

Curtis T. Schley
Program Coordinator
111 S. 11th Street
Suite 8290 Gibbon
Philadelphia, PA 19107
(215) 955-2370
(215) 955-0677 fax

We participate in the National Residency Match Program and utilize the Electronic Residency Application Service (ERAS).

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