INTRODUCTION TO THE DEPARTMENT OF ANESTHESIOLOGY
FCPS training takes place at Shifa International hospital and at Foundation Hospital present within the premises for charitable purposes. SIH is a 504 bedded hospital where annually the numbers of surgical cases are 12513. SIH is also renowned for cardiac surgery and renal transplant cases. Hence, the sophistication of anesthetic procedures performed is parallel to any tertiary care hospital in the country. This department has seven consultants (out of which one is recognized by CPSP as a supervisor).
RESOURCES FOR TRAINEES
A well-equipped central library is there to cater to the academic needs of the trainees. Text books, latest journals, both hard copies and online versions, are available to support learning.
Computer, printer and internet connections are available on all floors of SIH so that the trainees do not always have to go to the central library. They are encouraged to use this facility so that they are always present on the wards for learning and for looking after their patients.
Objectives and schedule of daily duties will be provided by in-charges of rotations of the respective wards. Upon successful completion of the rotation, each trainee must get a signed certificate by the most senior CPSP approved supervisor of that ward.
Work done in all rotations must be entered in log books and duly signed by competent authority.
Trainees registered with RTMC will follow the following rotational program.
General Surgery 12 months
Urology and Plastic Surgery 3 months
ENT, Eye and Faciomaxillary Surgery 6 months
Orthopedic Surgery and Trauma (Geriatric Anaesthesia) 6 months
Neurosurgery and Cardiothoracic Surgery 3 months
Paediatric Anaesthesia 3 months
Obstetrics and Gynaecology and Local blocks and pain 3 months management
ICU or ITU training 3 months
After due registration with RTMC, every trainee must attend workshops as soon as he/she receives the letter of invitation from CPSP.
The workshops for internal Medicine trainees are:
1. Research Methodology, Biostatistics and Medical writing
2. Communication Skills
3. Basics of Computer and Internet
Assessment will be in the format of FCPS II examination. This will be held once a year towards the end of the training program year.
It will comprise of:
- Theory paper which will include
- One-Best and Extended matching questions (75 one best and 25 EMQs)
- Short Essay Questions (4)
- TOACS (7 to8 stations)
- Short cases (2 per resident)
- Long cases (1 per resident)
Result will be announced within 24 hours. These who do not clear these examinations in the first attempt will be helped in achieving the deficient competencies and re-examined after four months. Those who do not clear in the second attempt will be asked to leave the residency program.
A supervisor will meet his / her residents at the start of training program to apprise them of:
- The schedule
- Duty rotations
- Responsibilities during the training program (including regular signing of log books)
- Objectives of years training
- Facilities available at the hospital and the ward
- Evaluation and feedback procedure
- Assessment system
The supervisor discusses the expectations and aspirations of the residents in order to get them involved, motivated and become a part of the motivating team. The supervisor and the residents are required to spell out the expectations so that these form the basis for review and feedback. The supervisor emphasizes upon regular signing of the log books.
The supervisor and residents are strongly urged to meet to review the training program every four months. It is the responsibility of the trainee to seek an appointment from the supervisor for this purpose. In this meeting the goals and objectives set previously will be reviewed in order to see what has been achieved and what has not been achieved satisfactorily. The trainee is required to apprise the supervisor about the progress and set back he / she is facing in the training. He / she must also apprise the supervisor about the progress in the research work.
The supervisor are encouraged to provide informal feedback regularly in order to augment the learning process. Hence forth such meetings are to be held in a schedule and formal manner. They will be held throughout the training program. In case either party faces problems, he / she may ask the Medical Education Coordinator to intervene and resolve the issues.