Good Refresher Course?

[Aether2000]

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I am now re-entering anesthesiology after having practiced full time pain medicine for the past 25 years, and plan to finish my career with half prn anesthesiology and half time pain (not prn) to allow for flexibility. Are there any decent online anesthesiology refresher courses or do I need to go to the ASA or PGA annual meeting? My anesthesia practice is non-cardiac, and I am not seeking career advancement or partnership.

 

[nimbus]

I am now re-entering anesthesiology after having practiced full time pain medicine for the past 25 years, and plan to finish my career with half prn anesthesiology and half time pain (not prn) to allow for flexibility. Are there any decent online anesthesiology refresher courses or do I need to go to the ASA or PGA annual meeting? My anesthesia practice is non-cardiac, and I am not seeking career advancement or partnership.

The best course of action would be to contact your old residency program to see if you can spend a month there. I've been out for 20 years and a LOT has changed in those years.

 

[deleted126335]

You need some major stool sitting time under supervision as well as didactics.


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[vector2]

You need some major stool sitting time under supervision as well as didactics.

This. I started CCM fellowship in July and I would be mindpurging general anesthesia concepts daily if it weren't for a bunch of TEE/OR time plus having to study for orals. There is no way a weekend course makes you safe for OR anesthesia if you're 25 years out.

 

[Aether2000]

Excellent suggestions! Thanks!

 

[Arch Guillotti]

Definitely a few months at a residency training program.

 

[IlDestriero]

Other than some residency repeat time to work on the forgotten monkey skills, I saw the ASA has released the meeting lectures as a comprehensive CME program. Have a look at that. I'd rather look at lectures and PBLDs on my own time and see all the ones I want than fit a schedule together at the meeting, if I was going for maximal educational benefit. You can also see a lot more content, which you probably could use. It was about $1500.
Might be worth a look, especially if you learn by listening to lectures and looking at slides.
I'd also pick up the new Baby Miller and Morgan and Michale to get back to basics.


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Il Destriero

 

[Aether2000]

Excellent! Most of the skills I have retained from ancient anesthesia and was an Asst. Prof in a residency program for 6 years. The neuromuscular blockers have changed, Sevo seems to be the preferred inhalational agent, ultrasound guided blocks are everywhere (I did a large number of these in pain medicine but not to the degree you pros do), used a LMA only a few times. The degree to which homeostasis is maintained and preop planning is used far exceeds anything we had available with primitive tools. BIS monitoring was in its infancy and not trusted at all back in the day. So yes, things are quite different now. I admire and appreciate the skill-sets of modern well-trained anesthesiologists!

 

[sigrhoillusion]

How are your crossword and soduku skills?

 

[Aether2000]

lol...unfortunately those skills are not up to par

 

[epidural man]

Algos.

I have a different perspective.

Not much has changed...maybe a few new drugs.

Learn the glide scope.

Others than that...give adequate depth of anesthesia, keep them euvolemic. Keep the blood pressure normal. Keep heart rate low.

To learn, do the ASA ACE exams. They have great explanations of answers. After a few tests, you'll be refreshed plenty.

There are plenty of anesthesiologists that have been practicing 30 years and haven't changed...and their patients do fine.

 

[Aether2000]

Algos.

I have a different perspective.

Not much has changed...maybe a few new drugs.

Learn the glide scope.

Others than that...give adequate depth of anesthesia, keep them euvolemic. Keep the blood pressure normal. Keep heart rate low.

To learn, do the ASA ACE exams. They have great explanations of answers. After a few tests, you'll be refreshed plenty.

There are plenty of anesthesiologists that have been practicing 30 years and haven't changed...and their patients do fine.

Thanks for that perspective. I am attending the PGA this weekend starting with an US guided peripheral nerve block workshop. I will look into ACE and will have some proctoring by a colleague soon. I have done around 40 cases but things are not as crisp as they once were and I find myself overthinking a bit. Long way to go....I appreciate all the feedback. Ironically pain medicine seems easy compared to anesthesia, especially since the reason I did not continue anesthesia was boredom. It is boring no longer.