Drexel University College of Medicine

Perioperative Neurosurgical Home

We created a learning experience for residents while working in a surgical home model. The goal of this rotation is to provide improved quality of care at a more streamlined cost thus improving the value equation. This care is coordinated by an attending anesthesiologist. Directly collaborating with the department of Neurosurgery we formed a service that integrates pre, intra, and post-operative care of these complex patients. During this educational experience residents gain exposure to patient care across the entire hospital course.

Innovative Health-Systems Projects (iHelP)

Residency programs have struggled with the Accreditation Council for Graduate Medical Education (ACGME) supported education competency of systems based practice and improvement. The development of our Innovative Health-Systems Project program was driven by the need for better systems based initiatives at an institutional level. Our objective was to develop a novel approach that successfully incorporates systems based practice in to the busy curricula of our residency programs. Each resident participates in the creation, development, and initiation of a quality improvement program. This initiative has promoted scholarly activity, mentorship, improved aspects of patient care and safety, and led to the development of many practical innovations.

Objective Structured Clinical Examination

The Objective Structured Clinical Examination (OSCE) experience was created to provide residents increased competency and improved clinical performance in skills such as communication, specific procedures, and ultrasound use and evaluation. Residents are worked with in a one-on-one basis with standardized patients or simulations. The goal is the further enhancement of skills related to history taking and performance of common anesthesiology procedures. Each resident participates in the OSCE program 4 times annually.

Administrative Resident

Residents develop their skills and habits to work effectively as a leader of a health care team while fulfilling their obligation as the Administrative Resident. The focus of this responsibility is for residents to learn an awareness of and responsiveness to the larger context of health care. Residents must advocate for quality patient care and optimal patient care systems while determining the afternoon and evening staffing model. Identification of potential system errors with potential system solutions is essential. This high level of administrative work teaches residents how to be leaders and develops communication and organizational skills. Learning how to work within the health care organization globally needs to be understood. Duties include, but are not limited to, coordination of personnel staffing, interacting with CRNA representatives regarding distribution of work, interacting with operating room nursing managers to coordinate patient care, and coordinating in-patient Anesthesiology evaluations.