DAILY EVALUATION of Pediatric Critical Care Trainees in Anaesthesia
Resident:
Staff:
Date:
Medical Expert
Communicator
Collaborator
Manager
Scholar
Professional
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Cases:
Unable to
Assess
Has some
knowledge
Demonstrates
at level
appropriate to
training
Demonstrates
at level
superior to
training
Shows clinical knowledge in relevant subjects in anaesthesia (see back)
Demonstrates good judgement and decision-making
Can anticipate potential problems in the OR environment
Communicate effectively with families and patients peri-operatively
Charts neatly and accurately
Communicates with other OR team members clearly and precisely
Effectively collaborate with OR team members
Recognizes issues involved in managing anaesthesia and OR resources
Discusses relevant literature around anaesthesia practice
Demonstrates a strong sense of responsibility (is punctual, prepared,
reliable)
Demonstrates insight and is open to feedback
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Global competency (For Level of Training)
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Number
Successful
Comments
Basic airway management (including position, BMV, etc…)
LMA insertion
Oral ETT insertion
Nasal ETT insertion
PIV insertion
Central venous access
Arterial access
Comments: (please comment on both positive and areas of improvement)
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Discussed with resident:
Yes 
No 
Topics to be discussed:

Anatomic consideration of Pediatric Airway
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Physiologic considerations of Neonate/Infant/Child
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Pharmacology and Physiologic Impact of Sedatives
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Pharmacology of and Physiologic Impact of Narcotics
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Pharmacology and Physiologic Impact of Local Anesthetics
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Pharmacology and Physiologic Impact of Inhalational Agents
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Pharmacology and Physiologic Impact of Muscle relaxants
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Approach to the difficult airway
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Approaches to post-operative pain management
Readings: