Department of Anesthesiology & Perioperative Care: School of Medicine: University of California, Irvine

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Perioperative Surgical Home Rotations

Pre-op/PACU Rotations

PSH Rotation AttendingThe preoperative care rotation is a one-month rotation, centralized in the preoperative clinic at UC Irvine Medical Center. The resident should thoroughly understand the preoperative predictors of perioperative events including airway evaluation, cardiac evaluation including coronary, functional, and electrical disease, pulmonary evaluation, neurologic disease, renal disease, endocrine and hematologic disorders. Their evaluation and assessment of these disorders should lead them toward the proper evaluation or testing for each individual patient. They should be able to recommend an anesthetic plan based upon their findings and communicate all of these issues to the pertinent members of the perioperative team.

Residents will master their training in the basics of preoperative evaluation, as well as the key elements involved with the reduction of preoperative risk. During this rotation, residents will learn how a multidisciplinary preoperative clinic operates, with specific emphasis on patient centered interviews. The skills involved with the evaluation and management of preoperative issues related to a variety of medical diseases will be ascertained.

Residents will learn the imperative role that an anesthesiologist plays in the care coordination of a surgical patient. As part of this rotation, residents will establish the specific skills involved with identifying a known surgical home patient, and the importance of implementing patient centered evidence based protocols and clinical pathways. The manifestation of this practice will in turn lead to learning the skills involved with reducing risk, increasing patient satisfaction, and precluding preventable complications and cancelations. The objectives of the rotation will include the understanding that preoperative improvement of care for surgical patients from the moment surgery is planned, will vastly impact them through recovery and discharge from a medical facility and beyond. During this process, residents will be empowered to have the chance to use dynamic evidence based best practices to make additions and perhaps even redesign the current pathways.

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