The educational programs at the Department of Anesthesiology and Pain Medicine teach trainee physicians the knowledge, skills and professionalism required for clinical excellence; promote compassionate patient care; inspire a sense of enquiry and life-long learning; and develop leaders in anesthesiology, pain medicine, and critical care for the 21st century.
Goals and objectives are defined for all the training rotations that residents undertake during their residency training in anesthesiology, critical care and pain medicine. They are graded depending on the training year and the resident’s level of experience.
Goals and objectives define the knowledge, psychomotor and behavioral skills and attitudes that residents should develop during the training period. They also define the expectations the resident needs to meet to successfully complete each stage of the training in anesthesiology, critical care and pain medicine.
The education and development of an anesthesiologist in training, like any learning experience, involves four stages and three domains of learning.
At every stage of the learning process residents are supervised and encouraged by their anesthesiology faculty and staff members. Residents should accept they may not get things right the first time. It is important that residents reflect on their performance and seek feedback and guidance from their faculty on how to improve and eventually succeed.
Resident should keep the three domains and four stages of learning in mind as they read through the goals and objectives. They will help residents get the most out of their education and training.
Professional competence has been defined as "the habitual & judicious use of communication, knowledge, technical skill, evidence-based decision-making, emotion, values and reflection to improve the health of the individual patient and the community" (Epstein 1992)
In recent years there has been a great deal of work devoted to the question of what makes a competent doctor. The ACGME, which oversees all residency training, has defined six General Competencies for all residents.
All residents are required to receive training in these competencies as they relates to their specialties, and the residency program is required to evaluate residents in all of the six competencies.
The goals and objectives for each resident rotation are organized according to these competencies to help residents understand how the competencies fit into their day to day practice and what actions are required to receive successful evaluations at the end of each rotation and during the residency program as a whole.
Anesthesiology residency training is a graduated process. At each stage during the three CA year residents are presented with new and unique challenges. These are designed to help residents develop their skills in a graded way and ultimately allow residents to become independent practitioners capable of performing all aspects of anesthesia care. Residents are supervised at all times during their training and should always summon assistance if needed.
In 2014 anesthesiology programs will all transition to the ACGME Next Accreditation System. This will have major implications for residency training allowing an individual resident's training to be individualized within a structured program that offers standardization and emphasis on patient safety. Full details are available on the ACGME website.
A key evaluation tool of the NAS will be Educational Milestones. At University of Washington the educational team is working on the new Milestones for resident evaluation and will shortly incorporate them into our educational system. We are confident the new anesthesiology milestones will provide residents with new opportunities for learning and self-reflection during their training.
Current UW Anesthesiology & Pain Medicine faculty and students can view documentation on goals and objectives for residents at the following location: