University of Ottawa Anesthesia Residency Program Career Night 2012 Desiree Persaud MD FRCPC Program Director Anesthesia Associate Professor University of Ottawa Our Program • Ottawa Anesthesia training program one of the best in the country. • Always matches in the first round! • Second biggest in the country • Flies through accreditation every cycle. • One of the best track records for success on the royal college exams • 7 CMG CaRMS positions. Do anesthesioloigists put people to “sleep”? • NOT what we do!! • Medically induced coma. • Highly potent anesthetic agents that have effects on every major body system. Must be pharmacology and physiology experts. What so we do in anesthesia other than “put people to sleep”? – The one everyone calls when they need help! • Peripheral lines • Invasive lines • The airway expert – Specialists in acute care medicine – Specialist in perioperative medical care – Specialist in acute pain management – Specialist in interventional surgical and chronic pain management – Code team member: cardiac arrest, trauma team – Interventional procedural training: – U/S lines, regional blocks, echo (transthoraic/esophageal) Day to day experiences • • • • • High variety: neurosurg, vascular, peds, cardiac, Extremes of Age, co-morbities, surgical pathology Clinic work: pre-assessment, chronic pain, acute pain Majority of our work is acute in nature Days have a defined beginning and end. When you are off you are off!! • Job security: Always work for us: academic, community, locum. • One of the first specialties that recognized the impact of work fatigue: 24 hour call for staff at TOH: non existent • One of the first residency programs to embrace; duty hour restriction: Major participating Hospitals • The Ottawa Hospital Civic Campus • The Ottawa Hospital General Campus • The Ottawa Hospital Riverside Campus • The Children’s Hospital of Eastern Ontario • The University of Ottawa Heart Institute The Ottawa Hospital: Civic campus • • • • • • • 46 staff Anesthetists 10-12 residents at a time Major surgical specialties Vascular Center Neuro-surgery Center Regional Trauma Center Nationally/Internationally recognized Regional Anesthesia Centre • Critical care unit • Internationally recognized model Pre-Admission Unit The Ottawa Hospital General Campus • • • • • • • • 31 Staff Anesthetists 8 residents at a time Thoracic Center Oncologic Surgery Center Hyperbaric Oxygen Unit High Risk Obstetrical Unit Critical care unit A multidisciplinary Chronic Pain Centre Children’s Hospital of Eastern Ontario (C.H.E.O) • 17 Staff Anesthetist • 5-7 residents at a time • Serves Western Quebec and Eastern Ontario • All major surgical procedures including Pediatric Cardiac Surgery University of Ottawa Heart Institute • 14 staff Anesthetists • 2 rotations: one as a junior and one as a senior • 1-2 residents at a time in CSICU • TEE teaching emphasized in the senior rotation Riverside Campus • Ambulatory Care • Outpatient Regional anesthesia catheter service • Eye Care Center Simulation Centre • The uOSSC (University of Ottawa Skills and Simulation Centre) was newly opened in 2010. • It is the largest centre in Canada. • Each resident attends two simulation half days per year. • In addition there are a number of multi-team sessions eg Obstetrics scenarios and a newly planned trauma team session. • There are also a number of on-going education research sessions eg TEE training • In May/June the PGY-1s also have a boot camps called the TIC course:(Transition to Independent call) PGY 1 Rotation Requirements Emergency 1 block • • • • • • • • • • • Radiology Cardiology Respirology Adult ICU Pre-Assessment Unit/APS Pediatric Emergency General Surgery Electives Anesthesia Obstetrics 1 1 1 1 1 1 1 1 3 1 block block block block block block block block blocks block Information • Additional http://www.med.uottawa.ca/anesthesia/eng/index.html •