Medical Residency in Anesthesia
Teaching and Practice Center in Anesthesiology:
Hospital das Clinicas FMUSP
1
ABILITIES AND KNOWLEDGE
- R1- 30 places per year
Perform pre-anesthetic evaluation of the patient and classify the physical status
and the surgical risk;
Indicate and prescribe the pre-anesthetic medication;
Knowledge in the the areas of physiology and pharmacology of
cardiocirculatory, respiratory, renal, and nervous systems;
Knowledge of the inhalational, intravenous, local agents and adjuvant drugs;
Learning the main anesthetic techniques;
Develop a clinical research project and submit it to approval;
Acquire basic knowledge of intensive care
Acquire basic knowledge for pain acute treatment;
Take part in the staff of the CPR program of the Central Ins(blue code).
ABILITIES AND KNOWLEDGE - R2
Places : 30
Deepen the knowledge acquired in the first year of Medical Residence;
Perform prophylaxis and treat the post-operation pain with the use of
specific techniques;
Be in contact with several surgical specialties and their particularities;
Diagnose and treat any possible occurrences and perioperative
complications;
Conclude the collect of data of the research projects;
Acquire full abilities to act in intensive care.
Take part in the initial attendance to the traumatized patient in the
Emergency Care and in the CPR staff in the Central Institute;
ABILITIES AND KNOWLEDGE - R3
Deepen the knowledge acquired in the first and second years od
Medical Residence;
Emphasize the participation in anesthesia for major surgeries and
perioperative care in patients with high surgical risk;
Deepen the knowledge in several modalities of artificial
ventilation;
Ambulatory of patients with chronic pain;
Take part in anesthesia for organ transplantation and care with
organ donors;
Conclude the research project, present to the examining board
and send it to the publication.
PRACTICAL PROGRAM - R1
Obstetric Anesthesia
Urgency and Emergency
Orthopedics Surgery
Otolaryngology /ophthalmology surgery
Gastroenterological Surgery and General Surgery.
Head and Neck Surgery / Plastic Surgery.
Obstetrics anesthesia
Surgical and Trauma ICU
Post-Anesthesia Recovery
Oncologic surgery
PRACTICAL PROGRAM- R2
Orthopedics.
Pediatric Surgery
Heart Surgery.
Urgency and Emergency Surgeries
Obstetric Anesthesia
Anesthesia for Urology.
Anesthesia for Vascular Surgery.
Anesthesia for Gastroenterological Surgery.
Anesthesia for Oncological Surgery.
Initial attendance to the traumatized patient in the Emergency Care
Anesthesia for Image, radiological, diagnostic and therapeutic procedures.
Internship in the Acute Pain Group.
ICU – Anesthetic Recovery.
PRACTICAL PROGRAM – R3
Rotation in Specialized Institutes
Transplantation: heart, liver, kidney, lung
Thoracic Surgery.
Obstetric Anesthesia. Congenital Heart Disease.
Endoscopy and Outpatient Surgery
Pediatric Surgery
Hemodynamic and Image diagnose procedures
Neurosurgery/Functional Neurosurgery.
Oncological Surgery.
Optional internship choose 02 Institutes to perform the
procedures
Internship in Pain.
PRACTICAL ABILITIES CPR training
Difficult airway training
• devices, fibroscopy and crico tracheostomy
Monitoring
• central catheter, needling techniques with ultrasound
• Arterial e peripheral accesses
• Neuro-axis and peripheral nerves access
Monitoring of the consciousness state in anesthesia
Monitoring neuromuscular junction
Pumps, monitors, anesthesia machine, ventilators, electronic
devices , defibrillators
ICU and pain clinic routine
HOW IT IS MADE
Theoretical Program – issues by Brazilian Society of Anesthesia
• Class attendance to lectures
Number of minimum anesthetic procedures
Internship in the Institutes
Internship of Abilities
•
Exam Specific competences
LINEAR ACQUISITION OF KNOWLEDGE – DETERMINED TIME
THE GREATEST CHALLENGE
EVALUATION OF THE ESTABLISHED
COMPETENCE
EVALUATION OF THE ACQUIRED
KNOWLEDGE
CURRENT EVALUATION
QUARTELY THEORETICAL EXAMS
ANNUAL THEORETICAL EXAMS
EVALUATION IN THE INTERNSHIPS
Rules of Central Committee
FMUSP
CHAPTER IV: Failures in the Internships
Article 10th. The failure in the internship will imply on its full
replacement.
Article 11th. Unjustified absence equal or over than 4 (four)
days will imply in the internship failure.
Article 12th. The failure in two internships will imply in the
exclusion from the Medical Residence Program.