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ContentsWelcome and Introduction . 9General Information . 9University of Toledo Medical Center . ,. 9ProMedica Healthcare System . 9ProMedica Toledo Hospital . 9Flower Hospital . 10University of Michigan Hospitals and Detroit Children's Hospital. . 10Contact Information . 10Mission Statement . 11Overall Program Goals . 12University of Toledo Department of Anesthesiology Educational Goals for the Clinical Base Year. 13Medical Knowledge . 13Patient Care .13Practice-based learning and lmprovement. . 13Interpersonal Skills . 14Professionalism . 14Systems-based Practice . 14University of Toledo Department of Anesthesiology Residency Goals for the Clinical AnesthesiologyYears.15Educational Goals for the CA-1 Year (0-6 months) . 15Medical Knowledge . 15Patient Care.15Technical skills .16Interpersonal and Communication Skills . 16Practice-based Learning and lmprovement . 16Professionalism . 16Systems-based Practice . 17Educational Goals for the CA-1 Year (6-12 months) . 17Medical Knowledge . 17Overview of ABA Basic Examination . 18Patient Care .18Technical skills .192

Interpersonal and Communication Skills . 19Professionalism .19Practice-based Learning and lmprovement . 19Systems-based Practice .19Educational Goals for the CA-2 Year.20Medical Knowledge . 20Patient Care.20Interpersonal and Communication Skills . 21Professionalism .21Practice-based Learning and Improvement . 21Systems-based Practice .21Educational Goals for the CA-3 Year.22Medical Knowledge .22Resident Academic Project .22Patient Care.23Interpersonal and Communication Skills .23Professionalism .23Systems-based Practice .24Practice-based Learning and Improvement . 24The Curriculum .25Clinical Education .25Clinical Skills and Simulation Center Goals and Objectives . 26Goals and Objective for PGY-1 Anesthesiology Rotation Simulation Lab Experience: . 26Education Policy and Role of Associate Program Director . 28Presentations at Journal Club .30Anesthesiology Grand Rounds Goals and Objectives . 31Goal: .31Objectives: .31Mock Oral Examination .33Do's and Don'ts for the Oral Board Examination . 35New Innovations . :. 36Resident Evaluation and Counseling .37Inadequate Resident Performance and Due Process . 383

Final Written Evaluation .38Faculty and Institutional Evaluations by Residents .38Resident Responsibilities at University of Toledo Medical Center . 40O.R. Duties .41On Call Duties .42A General Overview .42Resident On-Call Duties .42Call Rooms .43Work Hours .43SALARYAND BENEFITS.44Salary .44Sick Policy . :. 44Vacation .44Holidays .45Travel for Conferences .45Health Care/Dental Insurance .46Life Insurance .46Malpractice/Liability46Insurance .Retirement .46Credit Union .46IEmployee Assistance .46Career Services for Spouses/Domestic Partners .46Bookstore .47Meals .47Call Schedule and Requests .47Educational Meetings/Travel .49Books and Memberships .49AccessAnesthesiology .49Obtaining Access to AccessAnesthesiology .50About AccessAnesthesiology .50Access Anesthesiology: Currently Available Titles .53Uniforms .55Pagers .554

Trainee Duty Hours.55SubstanceAbuse.55Goals and Objectivesfor SubspecialtyRotationsin Anesthesiology.56Advanced Clinical Track Rotation .Goals: .; .5757Objectives .57Anesthesia for Ambulatory Surgery for CA-1 and CA-2 Residents .59Medical Knowledge: . .;. 59Physiology and Pathophysiology .59Anatomy .59Patient Care .60Cognitive objectives .60Preoperative .60Monitored Anesthesia Care (MAC) Sedation .60Postoperative Management .61Technical objectives .61Systems-based Practice .61Interpersonal and Communication Skills .62Professionalism .62Ambulatory Surgery for CA-3 Residents .62Patient Care .63Interpersonal and Communication Skills .63Professionalism .63Critical Care Rotation {SICU) for CAl and CA2 Residents .64Patientcare .64Medical Knowledge .64Practice-Based Learning and Improvement: .64Professionalism: .65Systems-Based Practice: .65Anesthesia for Cardiothoracic Surgery for CA-1 and CA-2 Residents .66Patient Care .66Cognitive Objectives .66Technical objectives .685

Medical Knowledge .68Systems-Based Practice .70Practice-based Learning and Improvement. .70Professionalism .70Interpersonal and Communication Skills .71The CA3 Resident in Cardiothoracic Anesthesia .72Medical Knowledge .72Patient Care .72Anesthesia for Neurosurgery .75Medical Knowledge .75CNS Anatomy/Basic Neurological Exam .75Cerebral physiology .75Neuropathology .75Cognitive aspects .75Technical aspects .76Practice-based Learning and Improvement .76Professionalism .76Systems-based Practice .77Interpersonal and Communication Skills .77CA-1 and CA-2 Residents in Anesthesia for Obstetrics .78Medical Knowledge .78Patient Care .79Practice-based Learning and Improvement .79Interpersonal and Communication Skills .79Professionalism .80Systems-based Practice .80The PACU Rotation for CA1 and CA2 Residents .Medical Knowledge .Pharmacology .8181-. 81Physiology and Pathophysiology .81Anatomy .81Systems-based Practice .82Patient Care .826

Professionalism .82Interpersonal and Communication Skills . 82Practice-based Learning and Improvement. . 83The Post-Anesthesia Care Unit Promedica Toledo Hospital Resident Guidelines and expectations . 841. Transfer of Care .842. Anesthesiology Resident Participation in Postoperative Care. 843. PACU Discharge .854. Other Postoperative Care Experiences . 85Regional Anesthesia for CA-1 and CA-2 Residents . 86Medical Knowledge .86Patient Care .86Interpersonal and CommunicationSkills.86Practice-based Learning and Improvement . al Anesthesia for CA-3 Residents .88PAIN ROTATION.90Goals and objectives of PGY-1/CA-1/2 Resident Pain Rotation: . 90Define rotation: .90Goals and Objectives for CA-3 Resident Pain Rotation: . 93Define Rotation: .93Anesthesia for Pediatric Surgery for CA-1 and CA-2 Residents . 96Medical Knowledge .96Cognitive objectives: .96Technical skills: .96Patient Care .97Practice-based Learning and Improvement. .98Professionalism .99Interpersonal and Communication Skills .99Systems-based Practice .99Perioperative Medicine .101Goals .101Educational Objectives .1017

Clinical Responsibilities/ Activities . 102Professionalism . 102Preoperative Medicine for CA-1 and CA-2. 103Goals .103Educational Objectives . 103Clinical Responsibilities/ Activities . 104Professionalism .

Pediatric anesthesia experience is bolstered by rotations done at Motts Children's Hospital on the University of Michigan campus or at the Detroit Children's Hospital on the campus of Detroit Medical Center. Two months of pediatric anesthesia are done at one of t