University Hospitals Coventry and
Warwickshire
Department of
Anaesthesia
Medical student
information pack
last updated:22.12.08 Cyprian Mendonca
1
Contents
Page
Introduction
3
Consultant Contact details
4
Teaching time table
5
Learning objectives
5
Consultant time table
6
MCQ test
6
Bleep numbers
7
Training Assessment form
8
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MB ChB Phase II
Anaesthesia training module
Introduction
Welcome to the department of Anaesthesia. I hope that you will enjoy your time in
our department, and find it useful part of your training.
This module will offer you a range of knowledge and clinical skills.
Knowledge: preoperative assessment, recognising increased risk of peri-operative
morbidity and mortality, cardiovascular physiology, pharmacology of basic
anaesthetic drugs, pharmacology of analgesics, physiology of postoperative nausea
and vomiting, common intra-operative problems, standard intra-operative monitoring
and basic principles of regional anaesthesia and pharmacology of local anaesthetic
drugs.
Clinical skills: assessment and management of airway and breathing, performing bag
and mask ventilation, insertion of laryngeal mask airway and venous cannulations.
Your tutor will choose an appropriate and most convenient theatre list which is
suitable for teaching. Please meet your tutor during the first week of attachment and
find out the appropriate theatre list where you can join them for subsequent weeks (
(please refer consultant time table, page 4.). You have to spend at least two sessions a
week in anaesthesia. At the end of each session you must choose a topic for
discussion at next session and read about it. To make best use of this module you
must follow the given objectives. Try and make use of all available learning
opportunities in the theatre such as going through patients notes, medications,
investigations like ECG, Blood tests, chest X-ray, CT, MRI scans and any other
clinical material available.
Portfolio cases: You should choose at least one case presenting for a surgery where
you should describe preoperative assessment, briefly about the intra-operative and
post operative management, no need for detailed anaesthetic management. More
importance should be given to the relevance of co-existing medical problems,
postoperative pain control, fluid balance, prevention and management of
postoperative nausea & vomiting. In order to get maximum benefit you should discuss
the cases with your consultant rather than handing it over at last moment.
If you have any particular problems such as your allocated tutor is not available..etc.
please do not hesitate to contact me. On a scheduled list if your allocated tutor is not
available, you are welcome to join the same theatre session. Anaesthetist doing that
particular list would be happy to teach you, please request them.
Following information will be updated to you on the day of induction
1. Time table of tutors (theatre allocation)
2. Anaesthesia training assessment from (objectives are described)
3. Partnership student/tutor allocation and teaching programme.
4. Assessment: MCQ test at the end of this block (week 8, Wednesday pm).
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Consultant Contact details
Specialty lead, Teaching Co-ordinator: Dr Cyprian Mendonca
Email:Cyprian.mendonca@uhcw.nhs.uk
Department Extn: 25892, 25891, 25871, direct line: 02476965892
Department website: www.anaesthetics.uk.com.
Dr V. Susarla, Consultant Anaesthetist is the teaching co-ordinator for anaesthetics at
George Elliot Hospital and Dr M Sebastian Consultant Anaesthetist, is the teaching
co-ordinator for anaesthetics at Warwick general Hospital.
CONSULTANT
E. MAIL ADDRESS
Dr Amutike
daniel.amutike@uhcw.nhs.uk
Dr Anne Scase
anne.scase@uhcw.nhs.uk
Dr Bhasin
nikhil.bhasin@uhcw.nhs.uk
Dr Danha
Ratidzo.danha@uhcw.nhs.uk
Dr Hillermann
carl.hillerman@uhcw.nhs.uk
Dr J Larosa
john.larosa@uhcw.nhs.uk
Dr Krishnamoorthy
somasundaram.krishnamoorthy@uhcw.nhs.uk
Dr Z Kazmi
zahid.kazmi@uhcw.nhs.uk
Dr P Joshi
pradnya.joshi@uhcw.nhs.uk
Dr Radhakrishna
subrahmanyam.radhakrishna@uhcw.nhs.uk
Dr Ramachandran
krishna.ramachandran@uhcw.nhs.uk
Dr Mendia
Luis.mendia@uhcw.nhs.uk
Dr Mendonca
cyprian.mendonca@uhcw.nhs.uk
Dr Murthy
buddhavarapu.murthy@uhcw.nhs.uk
Dr Ruhnke
andreas.ruhnke@uhcw.nhs.uk
Dr Tripathy
ram.tripathy@uhcw.nhs.uk
Dr Watson
duncan.watson@uhcw.nhs.uk
Dr Elton
john.elton@uhcw.nhs.uk
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Teaching time table
Teaching: A part of the teaching is centralised in the form of lectures and practical
demonstration in addition that you will receive from your consultants. Airway
management is an important skill which will be taught to you at the beginning of the
attachment. Please refer the tutorial time table below.
Feed back: An evaluation form will be given to you during the final week of the
attachment. We value your suggestions and comments and they will help us to
improve the course.
Tutorials and practical sessions at CSB.
The following is draft only, will be updated with each block. please refer to the
updated version of combined teaching time table (on the website, will be usually
emailed to you)
Week 1 ( induction day)
Week 2
(Thursday, 13:30-16:00)
Week 2
(Friday , 13:30-16:00)
Week 8
(Wednesday 12.00-13.00)
Airway management
Simulator sessions
Pre-operative assessment
Introduction to general anaesthesia
Fluid balance
Regional Anaesthesia
Management of shock
Anaesthesia MCQ test
Simulator session: Simulator sessions usually held on Tuesdays. On rotation six to
eight students are allocated to each session. During this session you will have
opportunity to practice airway management skills and learn common intra-operative
problems.
Learning objectives: Refer to WMS course document, chapter
5critical care: anaesthesia and Resuscitation
Pre-operative assessment for anaesthesia: You should be able to recognise patients
who have increased risk for surgery and anaesthesia, the need and interpret the preoperative blood tests, chest radiographs and ECGs, to recognise patients who have
an increased risk of peri-operative morbidity and mortality.
Pharmacology: You should have basic knowledge of commonly used anaesthetic
drugs.
Intra-operative monitoring: to understand intra-operative monitoring such as ECG,
BP, pulseoximetry.
Intra-operative problems: Recognition and treatment of common intra-operative
problems such as hypotension, hypertension, arrhythmias, tachycardia and
bradycardia.
Clinical skills: To learn basic resuscitation skills, airway management skills and
intravenous cannulations.
Postoperative problems: To understand the pathophysiology of postoperative
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nausea- vomiting, to understand the principles of various methods of managing
postoperative pain.
Consultant time table: Please refer to the time table below. Majority of consultants
work flexibly, so if they are not available in the allocated theatre, please contact the
anaesthetic department for update on the weekly rota. Weekly anaesthetic rota is
available on internet, www.anaesthetics.uk.com You can also contact your tutor on
their pager or mobile through switch board.
Handbook of Anaesthesia: You would be able to access this from Junior Rotation
page: http://www2.warwick.ac.uk/fac/med/meded/mbchb/phase_2/2004/junior_rotation/
Consultant time table
Consultant
Dr Amutike
Dr Bhasin*
Dr Hillermann
Dr Krishnamoorthy
Dr P Joshi
Dr Radhakrishna
Dr Ramachandra
Dr Mendonca
Dr Murthy**
Dr Ruhnke
Dr Tripathy**
Dr Watson**
Dr Wyse
Dr Elton
Dr J Larosa
Dr Kazmi
Dr A Scase
Monday
AM PM
Tuesday
AM
PM
TH16
TH12
Wednesday
AM
PM
TH16
TH 9
TH 12
TH15
TH 5
RSC
DU
TH14
TH14
TH 5
TH9
TH5
TH10
TH6
TH11
TH11
RSC
TH15
TH12*
TH6
TH6
TH2
TH15
TH15
RSC
TH14
RSC
TH14
TH4
DU
TH4
TH22
Obst
TH9
RSC
TH8*
TH11
TH11
TH10
TH10
TH6
TH6*
Thursday
AM
PM
Friday
AM PM
TH 9
Cardiac
RSC
DU
Cardiac
RSC*
TH 16
TH11
TH16*
TH9
TH23
TH15
CW
RSC
TH15*
CW*
RSC
TH5
TH5*
RSC
RSC
TH8
DU
TH8
TH9
TH22
Obst
RSC
TH8*
DU
TH4*
TH20
DU: surgical day unit theatre at UHCW
TH1-TH25: 1st floor theatre:UHCW
RSC: Rugby St.Cross Hospital, main theatres.
**: are also on ITU rota. During ITU week they are available in ITU.
*: alternate weeks.
MCQ test
At the end of block there will be an MCQ test, usually conducted on the same day as
orthopaedic exams. This test is designed to assess student’s knowledge on
pharmacology on most commonly used drugs during surgery and anaesthesia, and
peri-operative management of patients presenting for surgery.
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Bleep No
consultants
1483 Amutike
1847 Bhasin
1484 Elton
1855 Hillerman
1861 Kazmi
1862 Krishnamoorthy
1863 Larosa
1865 Mendonca
1866 Murthy
1871 Radhakrishna
1872 Ramachandra
1481 Ruhnke
1874 Scase
1886 Tripathy
1857 Watson
1877 P Joshi
1850 R Danha
1482 Ziauddin
1683 Mendia
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Training Assessment form
This forms the part of your objectives during this module and also a guidance for you
to read about the topics before attending the theatre session. Don’t keep everything to
the last moment, try and complete at least one topic every week. It is very important
that you read the topic before hand.
MBChB Phase II Anaesthesia Training Assessment
Name:…………………….
Activity
Yes
No
Date
Tutor’s
Signature
Able to obtain relevant pre-operative history
Understands the pre-operative
investigations
Understands the factors that can increase
peri-operative morbidity and mortality.
Understands how to assess airway and
breathing
Able to maintain airway and to perform bag
and mask ventilation
Understands indications /contraindications
of spinal anaesthesia
Understands common intra-operative
problems such as hypertension,
hypotension, bradycardia, tachycardia and
blood loss.
Understands the treatment of post operative
nausea and vomiting.
Attended simulator session (SimMan)
Has gained basic knowledge of post
operative analgesia
Understands use of monitoring such as
ECG, NIBP, and pulse oximetry
Understands recognition of hypovolaemic
shock and its management.
Any comments:
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