University of Manitoba
Department of Anesthesia
Goals and Objectives
for
Pediatric Elective Rotations
The Department of Anesthesia at the University of Manitoba offers elective rotations to
residents in the Pediatric Residency Training Program. These elective rotations are
designed to fulfill the requirements of the Pediatric Training Program. The goals and
objectives are described using the CanMeds Framework, as utilized by the Royal College
of Physicians and Surgeons of Canada. It is recognized that the fundamental purpose of
the elective is the provision of the knowledge and skills within medical expert role. The
provision of training in the other roles is primarily the responsibility of the parent
program, but reasonable expectations for these other roles are included in these goals and
objectives for the purposes of effective formative and summative feedback about function
in these areas.
MEDICAL EXPERT
General Goals and Objectives
By the end of the elective experience the resident shall be able to perform the following
in a pediatric population:
 Perform and explain the principles of pediatric conscious sedation
 Maintain and protect an airway in an unconscious pediatric patient
 Perform an appropriate pediatric preoperative assessment
Enabling Goals and Objectives
In order to achieve the general goals and objectives, the resident must be able to:
 Perform and explain the principles of conscious sedation
o Describe the physiology relevant to sedation
o Describe the risks, indications and limitations of conscious sedation
o Select appropriate agents and have appropriate alternatives
o Have a rationale for the selection and be able to explain the relative
advantages and disadvantages
o Establish venous access
 Maintain and protect an airway in an unconscious patient
o Identify the factors that place the airway at risk
o Identify the presence and cause of inadequate ventilation
o Support an airway in an unconscious patient using mask +/- oral airway
o Perform safe and effective orotracheal intubation
o Describe the appropriate approach to a difficult or failed intubation
o List the indications and relative contraindications to intubation
 Perform an appropriate preoperative assessment
o Obtain a complete history and physical examination
o Identify and explain factors relevant to anesthetic planning
o Select and explain appropriate investigations
COMMUNICATOR
General and enabling goals and objectives
By the end of the elective experience the resident shall be able to:
 Establish an effective therapeutic relationship with patients and families
o Establish a comfortable rapport
o Obtain all information necessary for anesthetic planning
 Establish an effective working relationship with staff
o Establish a comfortable rapport
o Recognize and respond to feedback from team members
o Clearly communicate priorities and needs to the team
COLLABORATOR
General and Enabling Goals and Objectives
By the end of the elective experience the resident shall be able to:
 Coordinate a multidisciplinary team
o Recognize the roles and contributions of team members
o Utilize the skills of team members effectively
MANAGER
General and Enabling Goals and Objectives
By the end of the elective experience the resident shall be able to:
 Demonstrate effective time and resource management
o Demonstrate an awareness of personal and environmental factors affecting
efficiency
o Be aware of the OR schedule and activities
PROFESSIONAL
General and Enabling Goals and Objectives
By the end of the elective experience the resident shall:
 Conduct him/herself with integrity and honesty
 Recognize his/her limitations and access help appropriately
 Identify and meet all responsibilities
 Be able to discuss principles of bioethical decision making and act accordingly
Robert A. Brown
Anesthesia Postgraduate Program Director,
Vice-Chair, Educational Affairs
Department of Anesthesia, University of Manitoba
Anesthesia Program, Winnipeg Regional Health Authority
RAB/lmb
March 2009