Assuntos
Anestesiologia/métodos , Defesa Civil/métodos , Prova Pericial/métodos , Internato e Residência/métodos , Sociedades Médicas , Centros de Traumatologia , Anestesiologistas/educação , Anestesiologistas/normas , Anestesiologia/educação , Anestesiologia/normas , Defesa Civil/educação , Defesa Civil/normas , Prova Pericial/normas , Humanos , Internato e Residência/normas , Sociedades Médicas/normas , Inquéritos e Questionários , Centros de Traumatologia/normas , Estados Unidos/epidemiologiaRESUMO
The Accreditation Council for Graduate Medical Education is transitioning to a competency-based system with milestones to measure progress and define success of residents. The confines of the time-based residency will be relaxed. Curriculum must be redesigned and assessments will need to be precise and in-depth. Core anesthesiology faculty will be identified and will be the "trained observers" of the residents' progress. There will be logistic challenges requiring creative management by program directors. There may be residents who achieve "expert" status earlier than the required 36 months of clinical anesthesia education, whereas others may struggle to achieve acceptable status and will require additional education time. Faculty must accept both extremes without judgment. Innovative new educational opportunities will need to be created for fast learners. Finally, it will be important that residents embrace this change. This will require programs to clearly define the specific aims and measurement endpoints for advancement and success.
Assuntos
Anestesiologia/educação , Anestesiologia/tendências , Educação Baseada em Competências/tendências , Acreditação , Anestesiologia/história , Educação Baseada em Competências/história , Currículo , Educação de Pós-Graduação em Medicina , Avaliação Educacional , Docentes , Docentes de Medicina , História do Século XX , Humanos , Internato e ResidênciaRESUMO
Journal clubs are an integral element of residency training. We report the successful implementation of a monthly structured journal club in our anesthesia residency program. Based on resident surveys before and one year after its start, the journal club led to a significantly higher confidence in how to critically appraise literature and present a manuscript. The journal club also improved the residents' ability to search the literature and their statistical knowledge, skills that are essential in the practice of evidence-based medicine. We describe key features that may aid other training programs in organizing a stimulating an educational and sustainable journal club.