Penn State University

DEPARTMENT OF ANESTHESIOLOGY AND PERIOPERATIVE MEDICINE

PROGRESSIVE OSCE CURRICULUM

Designed the program to assess residents and the required skills that will likely be tested on the OSCE board examination and to provide formative feedback.

Key areas of testing include: airway management, interpersonal interactions and communication skills, regional anesthesia, chronic pain medicine, operating room crisis management and management of common complications in the recovery room.

Three classes of residents participate in the OSCEs (CA-1, CA-2 and CA-3) – each class has between 12 and 17 residents. All sessions have a total of seven stations which last 10 minutes each. An anesthesia faculty member grades each session.

Many sessions use complex high fidelity simulation mannequins or standardized patients. A “quick station” occurs in each group and allows testing of multiple concepts in the 10 minutes. Two minutes are given at the end of each session for grading which includes time for feedback. Grading rubrics were developed. The resident must obtain at least 80% for successful completion.

Formative feedback is provided to the residents. In addition, all of the evaluations are reviewed for frequently missed topics, for implementation into the resident education curriculum.

We are in the third year of OSCEs, over 50 scenarios have been created.

QUALITY AND SAFETY ROTATION

Each resident will have a two week rotation in the Quality Improvement. The resident will be exposed to a broad range of quality improvement activities and programs during this time.

The resident will gain experience and knowledge of the basics of patient safety, quality of healthcare through the Open School Online Course through the Institute for Healthcare Improvement. To gain experience and understanding of the quality case review system the resident will perform a confidential case review utilizing the Plan, Do, Study Act (PDSA) method and have an integral role with departmental quality iniatives.

CALL CHIEF

In preparation for independent practice, the call chief position is a senior level call position whereby the resident, under direct faculty supervision, serves as a junior attending. The call chief manages the operating room, triages phone calls and traumas, operating room cases and assists with the management of the anesthesia care team. The call chief also serves as the fatigue officer, monitoring his call team and providing break and relief assistance when needed.