Program Structure

Rotation

Duration

Facility

Adult Anesthesia
24 weeks Grey Nuns/Misericordia
Adult Anesthesia 4 weeks Sturgeon Community
Adult Anesthesia
8 weeks Royal Alexandra
Obstetrical Anesthesia
8 weeks Grey Nuns/Royal Alexandra
Pediatric Anesthesia
8 weeks Stollery Children's

Clinical Training

The Clinical training is comprised of 12 months divided into 13 – four week blocks. The trainee will spend 24 weeks at community hospitals staffed exclusively by FRC trained anesthesiologists. These sites provide a high volume of patients and procedures that a Family Physician would expect to encounter on completing the program. An additional 4 weeks will be spent at the Sturgeon Community Hospital which has a similar case mix to the other community hospitals but with a less complex case mix and is staffed with both FRC and FP anesthesiologists. This will expose the trainees to practicing FP anesthesiologists. Another 8 weeks is spent at the Royal Alexandra giving anesthetics to more complicated patients as well as giving significant exposure to trauma patients. There are 8 weeks devoted to obstetrical anesthesia split between the Grey Nuns and Royal Alexandra Hospitals. The Grey Nuns has a high volume of community based obstetrics with a high epidural rate while the Royal Alexandra provides a good exposure to high risk obstetrical patients. Lastly, the trainee will spend 8 weeks at the Stollery Children’s Hospital where there is a high volume of outpatient pediatric patients.


Classroom Instruction

The FRC anesthesiology program has mandatory half-day didactic sessions every Wednesday afternoon from September through June. The FP anesthesia residents participate in these sessions and are responsible for teaching some of these sessions to their junior colleagues. Evaluations and feedback on teaching are provided.

During July and August, there is a summer introductory lecture series provided for PGY2 and FPA residents which consists of 11 – one hour sessions given by staff anesthesiologists. A variety of topics are covered including airway management, recovery from emergencies, pharmacology, anesthesia machine check and surviving anesthesia call.

Simulator sessions are held at least twice yearly. Sessions are dedicated to either general principles of Crisis Resource Management or to airway management and exploration of difficult airway algorithms. Residents are booked in small groups over a number of sessions to ensure full participation.

Financial support for residents to attend conferences is available.

FPA residents are encouraged to maintain their family practice skills by working two days a month in a family practice setting of their choice


Evaluation and Exams

Evaluation of trainees is comprehensive and has several components, including daily evaluations, logbooks, monthly evaluations and an end of year evaluation.

An on-line logbook exists for each resident and is considered a mandatory component. This logbook is a national initiative and is utilized by every university anesthesia program in Canada. The logbook should be updated on a daily basis and will be included as part of your evaluation.

The summer introductory lecture series will finish with a written examination in August. An exam based on academic half days will be given in December and June. In addition, an essay-type examination specifically focused to the FPA program is given in December and June. Both examinations are followed by an oral examination based on common scenarios that a FP anesthesiologist might have to handle in rural practice. This is done in the presence of two examiners. Summaries of each trainee’s progress are done twice yearly and include a formal interview and a written review of the training and examinations to date.