Evaluation

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Transcript Evaluation

EVALUATION
• Evaluation will be Formative and Summative.
FORMATIVE
Daily preceptor reports:
• There will be ongoing feedback from your preceptor as
you deal with patients.
• At the end of each day, the preceptor should take five
minutes to summarize your progress and highlight
strengths and areas for improvement.
• Areas that should be discussed are listed on the “daily
medical student evaluation form”
• Copies of the evaluation form will be included in the
package you receive on the first day of your rotation.
 Please be aware that there will be occasions when your preceptor
may be too busy to be able to give you immediate feedback.
Please respect this, as patient care always comes first.
MEDICAL STUDENT DAILY EVALUATION FORM – MUN ANESTHESIA RESIDENCY TRAINING PROGRAM
DATE_______________STUDENT ________________________ PRECEPTOR ___________________
MEDICAL EXPERT
-Clinical Skills-History and Physical
-Ability to identify clinical issues and apply medical/ anesthetic knowledge.
Ex. DDX, problem recognition, anesthetic plan.
- Technical skills
PROFESSIONAL
-Responsible- punctuality, attendance
-Integrity and respect- ethics, confidentiality
-Empathetic towards patients
COMMUNICATOR
-Able to communicate effectively with patients and OR team
- Able to summarize and present patient information
SCHOLAR
-Knowledge base reasonable for level of training
BA / A / AA / NA
COMMENTS
BA / A / AA / NA
COMMENTS
BA / A / AA / NA
COMMENTS
BA / A / AA / NA
COMMENTS
-Interested in expanding knowledge and identifying knowledge gaps
COLLABORATOR
-Takes initiative to be involved effectively with the OR team and patient care
MANAGER
-Aware of OR time constraints
-Able to prioritize and use time efficiently. Ex. prepares for tasks ahead of time.
HEALTH ADVOCATE
-Awareness of patient safety peri-operatively and application of CAS guidelines
-Aware of issues influencing patient health and impact on anesthetic care
ADDITIONAL COMMENTS
Describe any outstanding strong or weak points
BA / A / AA / NA
COMMENTS
BA / A / AA / NA
COMMENTS
BA / A / AA / NA
COMMENTS
Evaluation – FORMATIVE CONTINUED
 Anesthesia Clerk Logbook
• Keep track of cases that you have been involved with to
follow up with reading in relevant areas.
• Document topics that you have covered with your
preceptor through learning modules or discussion.
• Document your progress as you perform procedures and
identify problem areas to focus on:
 Technical skills checklist
 Formative feedback cards( IVs and intubation)
Date and
OR Site
CASE 1
CASE 2
CASE 3
CASE 4
CASE 5
CASE 6
CASE 7
CASE 8
Attending
or Resident
List type
Surgical Procedure Technical Skills
Comments,
Learning points
Topics discussed
TECHNICAL SKILLS CHECKLIST FOR ANESTHESIA CLERKSHIP ROTATION
SKILL
REQUIRED
intravenous (adult)
bag -mask ventilation
airway insertion
adult intubation
(specify oral/ nasal)
insertion of LMA
NOT REQUIRED
insertion of nasogastric tube
intravenous (pediatric)
intubation (pediatric)
use of glidescope
use of lightwand / trachlight
use of fiberoptic scope
insertion of double lumen tube
central line
arterial line
spinal
epidural / caudal
other regional blocks (specify
other procedure not listed
( specify)
# ATTEMPTS
# SUCCESES
# OBSERVED COMMENTS
Follow the steps below for successful IV insertion
Identify site and apply tourniquet
Cleanse skin
Immobilize vein
Insert angiocath to flash.
Advance canula over needle into vein and remove needle.
Remove tourniquet after occluding canula to avoid blood spillage.
Secure canula and safely connect to IV set-up.
Insure IV is running and not tissued.
Select appropriate mask size and oral airway
Check suction device
Select appropriate ETT size (and ½ size above and below). Prepare tube (cuff check and styelet
as necessary)
Pick appropriate size blade for laryngoscope and check light. (insure extra scope available)
Position head in sniffing position, using head/shoulder support as necessary.
Blade insertion- open mouth sufficiently to avoid contact with teeth. Do not damage lips
between teeth and blade.
Insert blade on right side of tongue using left hand and supports head with right hand.
Apply reasonable force in correct direction to lift jaw appropriately without lifting patients head
off the bed.
Identify epiglottis and vocal cords
Successfully pass ETT through vocal cords
Fill pilot balloon until no audible leak
Attach ETT to ventilation source
Check ETT placement- distance at the lip, bilateral A/E, equal chest movement, ETCO2.
Evaluation- SUMMATIVE
Standard elective evaluation form from
Undergraduate Medical Education
•
•
Progress documented from the daily ITERs will be
considered when the final summative ITER is
completed.
The elective evaluation ITER will be sent by
undergrad to the site coordinator for your elective
and will be returned for your perusal and signature.
 Case write –up
• You will be asked to submit a write –up online of a
case that you followed in the OR.
Undergraduate Anesthesia Rotation Case write-up
Briefly describe your patient.
Include age, sex, and surgical procedure. (emergency / elective)
E.g. 54 year old man for repair of inguinal hernia
Name three medical / surgical considerations relevant to this patient’s preoperative assessment that may
impact the anesthetic?
E.g. Patient has IHD with recent chest pain, patient has COPD with 30pck year smoking history.
1.
2.
3.
What are your anesthetic options?
Consider whether the patient needs a general anesthetic or could be done under regional anesthesia
(neuraxial /nerve block) or some combination of GA and regional.
1.
2.
3.
What is your anesthetic plan?
1. Patient monitoring
2. Induction of anesthesia ( include drugs and airway management)
3. Maintenance of anesthesia
4. Intraoperative pain relief
What is your plan for post-op pain management?
Where should your patient go following surgery?
E.g. PACU then home, PACU then ward, PACU then special care, PACU then ICU, direct to ICU...)
What is the most outstanding thing that you learned from this case?