kills in anaesthesiology, part 1

10 ECTS credits
300 h study time

Offer 1 with catalog number 6021707ENR for all students in the 1st and 2nd semester at a (E) Master - advanced level.

Semester

1st and 2nd semester

Enrollment based on exam contract

Impossible

Grading method

Pass/Non pass

Can retake in second session

Yes

Taught in

Dutch

Partnership Agreement

Under interuniversity agreement for degree program

Faculty

Faculteit Geneeskunde en Farmacie

Department

Supporting clinical sciences

Educational team

Domien Vanhonacker (course titular)

Activities and contact hours

30 contact hours Seminar, Exercises or Practicals
270 contact hours Independent or External Form of Study

Course Content

​The ASO is given the opportunity to practice a wide range of domains within the specialization during its training. The ASO acquires specific knowledge and skills during these internships and applies them in the practice.  

Internships during the training are primarily these specialties in which core competencies must be achieved: 

- anaesthesia for obstetrics 

- anaesthesia for airway management and surgery  

- anaesthesia for thorax- and/or cardiovascular surgery 

- neuro anesthesiology 

- anaesthesia for orthopaedics and traumatology  

- pediatric anaesthesia  

- anaesthesia for remote examinations: ambulatory anaesthesiology  

In addition, there are 10 domains of general competence and skills:  

• Disease management, preoperative risk assessment, preparation  

• Intra-operative care and anaesthesia management  

• Postoperative management and acute pain treatment  

• Emergency medicine  

• Multidisciplinary intensive medicine and perioperative care 

• Imaging; locoregional blocks  

• Quality care, management, and health economics 

• Non-technical anaesthesia skills 

• Professionalism and ethics  

• Training, self-study, research, critical scientific thinking  

• Overview of skills level expert specific procedures: 

  1. General medical knowledge and skills 

  1b. Knowledge 

  • Preoperative consultation: specific anamnesis and clinical examination, including the assessment of the operative risk  

  • Targeted use and interpretation of labs, imaging  

  • Basic knowledge of echography and echocardiography 

  • Dealing with differential diagnostic problems, indication assessment, interpretation 

  • Making motivated decisions towards anaesthesiologic problems preoperative, intraoperative and post-operative  

  • Immediate post-operative treatment, including post-operative acute pain treatment  

  • Basic knowledge about haemostasis, coagulation, and anticoagulants 

  • Medico-legal aspects 

  • Interdisciplinary communication before and after the procedure  
     1C. Skills: 

    - the preoperative information conversation 

    - the post-operative information conversation 

    - presenting the problem of the patient in a structured manner 

    - preparing and approaching general anaesthesia procedure 

    - basic techniques local and locoregional anaesthesia 

    - arterial and venous puncture, places of NG tube, bladder catheter, peripheral and deep venous access, arterial access and treating their problems, placement of peripheral intravenous central catheter 

    2. Emergencies  

    2.b. Knowledge: 

    - reanimation 

    - first reception and treatment of the polytrauma patient 

    - initial diagnosis, differential diagnosis and therapy  

    - concepts of disaster medicine 

    - neurotrauma 

    - Burns and frostbites: treatment of patients with signs of severe hypothermia  

    - recognizing:  

    • Cardiopulmonary emergencies  

    • Vascular emergencies 

    • Acute abdomen  

    • Urological emergencies  

    • Traumatology 

    • Neurotraumatology  

    2.c. Skills: 

    - placing of a thorax drain 

    - intubation and manual ventilation  

    - safeguard of the airway 

    - abscess drainage  

     

    3. Intensive care 

    3.b. Knowledge: 

    - principles of invasive and non-invasive patient monitoring 

    - principles of hemodynamic and hemodynamical support, both pharmacological and mechanical 

    - breathing and weaning techniques of the respirator  

    - 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 post-operative complicated intracranial pathology  

    - criteria of brain death 

    - principles of organ donation 

    3.c. Skills: 

    - take in patients with unstable haemodynamic and/or respiratory compromised or are deteriorating 

    - emergency intubation and ventilation 

    - introduction of catheters for monitoring, infusion policy pharmacological or mechanical hemodynamic support 

    4. Anaesthesia for surgery of the thorax and neck  

    4.b. Knowledge: 

    - clinic and diagnosis of thoracic and neck disorders 

    - ways to access the thorax, pericardium, mediastinum, and neck (including closing and complications)  

    - endocrine evaluation of the thyroid and parathyroid gland  

    - principles of minimally invasive thoracic surgery 

    - assessment of lung function 

    - exhibition techniques 

    - principles of the oncological chest and neck surgery  

    4.c. Skills: 

    - due to single lung ventilation (double lumen tube placement and assessment of correct placement, bronchial blocker, EZ blocker, etc.). 

    -  perioperative analgesia after thoracic surgery 

    5. Cardiac surgery 

    5.b. Knowledge:  

    - clinic, diagnostics, and follow-up of cardiac syndromes, ischemic heart disease and valve complications 

    - (patho)physiology of haemostasis, coagulation, and pharmacology of anticoagulants; monitoring of solidification 

    - (patho)physiology of arrhythmias, antiarrhythmics and pacemaker therapy, antihypertensive drugs, 

       valve pathology, including endocarditis 

    - basic knowledge of the use of extracorporeal circulation during cardiac surgery and Intensive Care 

     5.c. Skills: 

    - monitoring of various pathophysiological phenomena  

     

    6. Paediatric surgery  

    6.b. Knowledge: 

    - general care of children with surgical disorders 

    - surgical paediatric emergency cases 

    - basic knowledge of the important congenital anomalies and their treatment 

     

    6.c. Skills: 

    - vascular access 

    7. Reconstructive surgery 

    7.b. Knowledge: 

    - knowledge of the most important flap techniques 

    - pathophysiology of perfusion and microcirculation 

     

    7.c. Skills: 

    - monitoring of microcirculation 

     

    8. Orthopedics / Traumatology 

    8.b. Knowledge: 

    - physiopathology in (poly) trauma patients. 

    ​- diagnostic investigations in (poly) trauma patients. 

    - accompanying injuries and early complications with traumas to the limbs. 

    - antibiotics and vaccination policy for (poly) trauma 

    - insight into the rehabilitation of (poly) trauma patient 

    - most common non-traumatic conditions of the locomotor system and their possible (surgical) treatment 

     

    8.c. Skills: 

    - cardiorespiratory monitoring in polytrauma patients 

    - ways to access vascular (arterial, peripheral and central venous) 

    - locoregional blocks 

 

Course material

Handbook (Required) : Clinical Anesthesia, PG Barash, BF Cullen, RK Stoelting., 8de, Via de dienst, 9781975199074, 2019
Course text (Required) : Gangbare richtlijnen in ziekenhuis
Course text (Required) : Handouts van sessies en tijdschriften in het vakgebied (vereist)​

Additional info

WORKING METHODS 

Continuous education operating room 

Bedside teaching in the OK room/ pain clinic/ consultation 

Consultation with supervision 

Sessions for technical skills (eg with simulations, locally organized workshops in the faculty (eg cadaver workshops, ALS) or at Flemish level (in context of the AVU course).  

 

Learning Outcomes

Skills

OLR 2: Has acquired the skills specific to their own specialism and applies them correctly (M) 

 

OLR 17 Remains to continuously develop and improve their own skills (M) 

 

Grading

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 a relative weight of 100 which comprises 100% of the final mark.

Additional info regarding evaluation

Portfolio with assessment interview with a relative weight of 1 and thus 100% of the final mark.  

Explanation: portfolio with assessment interview (Pass/Fail) 

 

Allowed unsatisfactory mark

The supplementary Teaching and Examination Regulations of your faculty stipulate whether an allowed unsatisfactory mark for this programme unit is permitted.

Academic context

This offer is part of the following study plans:
Master of Specialist Medicine: Anaesthesiology and Reanimation (only offered in Dutch)