15 ECTS credits
410 h study time
Offer 1 with catalog number 6014458FNR for all students in the 1st and 2nd semester at a (F) Master - specialised level.
The ABC lists in Medbook must be completed after each internship period.
Problem solving ability
The ASO sharpens its own problem-solving skills during the various seminars, scientific meetings and daily clinical work.
Teaching methods:
- Daily work in the operating room, emergencies, Intensive Care and remote locations
- Interactive seminars: 1h per week (own time, also 1h each time also supervised by master students)
- Evening seminar: 1x per 2 months 2 hours (once a year 25 hours for your own session)
- Morbidity staff meeting: 4 x per year (preparation 1 h; presentation each time 2-3 ASO and member of staff of cases)
Skills
The ASO is given the opportunity to practice a wide range of fields within the specialism during its training. During these internships, ASO acquires specific knowledge and skills and applies them in practice.
Internships during the training are primarily these specialties in which core competencies must be obtained:
- anesthesia for obstetrics
- anesthesia for airway management and surgery
- anesthesia for chest and / or cardiovascular surgery
- neuroesthesiology
- anesthesia for orthopedics and traumatology
- pediatric anesthesia
- anesthesia for remote examinations: ambulatory anesthesiology
In addition, there are 10 domains of general competence and skills:
- Disease management, preoperative risk assessment, preparation
- Intra-operative care and anesthesia management
- Post-operative management and acute pain treatment
- Emergency medicine
- Multidisciplinary intensive medicine and perioperative care
- Imaging; locoregional blocks
- Quality assurance, management, health economics
- Non-technical anesthesia skills
- Professionalism and ethics
- Training, self-learning, research, critical scientific thinking
Overview of the skills level expert specific interventions:
1. General medical knowledge and skills
1.b. Knowledge:
- preoperative consultation: targeted anamnesis and clinical examination, including assessment of the operative risk
- targeted use and interpretation of lab, imaging
- basic knowledge of ultrasound and echocardiography
- dealing with differential diagnostic problems, assessment, interpretation
- motivated decision-making regarding anesthesiological problems preoperatively, intraoperatively and postoperatively
- immediate postoperative treatment, including postoperative acute pain treatment
- basic knowledge of hemostasis, clotting and anticoagulants
- medico-legal aspects
- interdisciplinary communication before and after the procedure
1.c. Skills:
- the preoperative information meeting
- the postoperative information interview
- structured presentation of the patient's problem
- preparing and approaching general anesthesia procedure
- basic techniques of local and locoregional anesthesia
arterial and venous puncture, insertion of gastric tube, bladder tube, peripheral and
deep venous access, arterial access and their problem treatment, placement of peripheral intravenous central catheter
2. Emergencies
2.b. Knowledge:
- Resuscitation
- initial care and treatment of the polytrauma patient
- initial diagnosis, differential diagnosis and therapy
- concepts of disaster medicine
- neurotrauma
- burns and freezing wounds; treatment of severe hypothermia
- recognizing:
o cardiopulmonary urges
o vascular urgencies
o acute abdomen
o urological emergencies
o traumatology
o neurotraumatology
2.c. Skills:
- placement of chest drain
- intubation and manual ventilation
- surgical protection of the respiratory system
- abscess drainage
3. Intensive care
3.b. Knowledge:
- principles of invasive and non-invasive patient monitoring
- principles of hemodynamics and hemodynamic support, both pharmacological and mechanical
- Ventilation and weaning techniques of ventilator
- treatment of hypovolemic, cardiogenic, distributive and obstructive shock conditions
- basic knowledge of organ replacement techniques
- basic knowledge of infectiology and treatment of serious and life-threatening infections, sepsis and septic shock
- support and treatment of neurotrauma and postoperative complicated intracranial pathology
- criteria of brain death
- principles of organ donation
3.c. Skills
- accommodating unstable hemodynamic or / and respiratory compromised or deteriorating patient
- urgent intubation and ventilation
- introduction of catheters for monitoring, infusion management, pharmacological or mechanical hemodynamic support
4. Anesthesia for thorax and neck surgery
4.b. Knowledge:
- clinic and diagnosis of thoracic and neck disorders
access routes to thorax, pericardium, mediastinum and neck (including closure and
complications)
- endocrine evaluation of thyroid and parathyroid gland
- principles of minimally invasive chest surgery
- assessment of lung function
- exhibition techniques
- principles of oncological chest and neck surgery
4.c. Skills:
- in connection with single long ventilation (placing a double lumen tube and assessment of correct placement, bronchial blocker, EZ blocker, etc.).
- perioperative pain relief after chest surgery
5. Cardiac surgery
5.b. Knowledge:
- clinic, diagnostics and follow-up of cardiac syndromes, ischemic heart disease and valve disease
- (patho) physiology of hemostasis, coagulation and pharmacology of anticoagulants; anticoagulation monitoring
- (patho) physiology of arrhythmias, antiarrhythmics and pacemaker therapy, antihypertensive agents,
valve pathology, including endocarditis
- basic knowledge of the use of extracorporeal circulation during cardiac surgery and on Intensive Care
5.c. Skills:
- monitoring of the various pathophysiological phenomena
6. Child surgery
6.b. Knowledge:
- general care for children with surgical conditions
- surgical pediatric emergencies
- basic knowledge of the major congenital anomalies and their treatment
6.c. Skills:
- vascular access
7. Reconstructive surgery
7.b. Knowledge:
- knowledge of the most important flapping techniques
- pathophysiology of perfusion and microcirculation
7.c. Skills:
- microcirculation monitoring
8. Orthopedics / Traumatology
8.b. Knowledge:
- physiopathology in (poly) trauma patients.
- diagnostic investigations in (poly) trauma patients.
- accompanying injuries and early complications with limb trauma.
- antibiotics and vaccination policy for (poly) trauma
- insight into the rehabilitation of (poly) trauma patient
- most common non-traumatic disorders of the locomotor system and their
possible (surgical) treatment
8.c. Skills:
- cardiorespiratory monitoring in polytrauma patients
- vascular access routes (arterial, peripheral and central venous)
- locoregional blocks
Teaching methods:
continuous education operating theater
bedside teaching in OR room / pain clinic / consultation
consultation with supervision
sessions for technical skills (eg with simulations, workshops organized locally in the faculty (eg cadaver workshops, ALS) or at the Flemish level (in the context of the AVU course).
Digital course material via learning platform.
OLR 1: Has acquired in-depth medical knowledge and insight in the specialism (M, W)
OLR 3: Has further developed the problem-solving capacity and applies it in practice (M, W)
OLR 15: Takes into account the economic aspects of medicine and uses resources efficiently, avoiding under- and overuse (M)
OLR 18: Is able to set “standards of care” and formulate quality requirements with regard to the various aspects of the own specialism (M, Ma)
OLR 4: Can communicate correctly and in a humane, empathic manner with the patient and his or her environment, with an eye for ethical, social and multicultural aspects (diversity) and within the relevant legal regulations ©
OLR 19: Meets the general and specific final objectives, specific to the specialism, concerning diagnostics and syndromes / disorders (M, W)
OLR 2: Has acquired the skills specific to the specialism and applies them correctly (M)
OLR 17 Continuously develop and improve own skills (M)
The final grade is composed based on the following categories:
Other Exam determines 100% of the final mark.
Within the Other Exam category, the following assignments need to be completed:
Portfolio with assessment interview with a weighting factor of 1 and thus 100% of the total final mark.
Explanation: portfolio with assessment interview (Pass / Fail).
This offer is part of the following study plans:
Master of Specialist Medicine: Anaesthesiology and Reanimation (only offered in Dutch)