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VSA UPDATE

An official publication of the Virginia Society of Anesthesiologists

Patient Safety and Education

03/28/21

Medical Simulation in Anesthesia Residency Training
By Michael S. Czekajlo, MD, PhD; Michael Kazior, MD; and Paras Shah, DO, MPT
CVHCS, Richmond, VA

Introduction Medical simulation has been demonstrated to be an effective method for education. (1,2) Since the creation of the first simulator in the 1960’s, the technology has developed and allows for mastery of learning of skills to the simulation of simple to complex clinical scenarios on high fidelity simulators. More recently simulation is being considered for achieving t … [Read more...] about Medical Simulation in Anesthesia Residency Training
By Michael S. Czekajlo, MD, PhD; Michael Kazior, MD; and Paras Shah, DO, MPT
CVHCS, Richmond, VA

03/28/21

Adults as Learners
By Mark T. Nelson MD, MEd
VCU Health Systems, Richmond, VA
and Jean Bailey, PhD
VCU School of Medicine, Richmond, VA

When we think of learners, K-12 students usually come to mind. Most of us remember those days well. As we have grown though, we began to see, experience, and value education differently. Almost without our knowing it, we transitioned from child to adult, becoming adult learners. Adult learners (described by studies from the perspective of andragogy) differ from children … [Read more...] about Adults as Learners
By Mark T. Nelson MD, MEd
VCU Health Systems, Richmond, VA
and Jean Bailey, PhD
VCU School of Medicine, Richmond, VA

03/28/21

Perspective on the Introduction of Pharmacy to a Pre-Operative Anesthesia Clinic
By Karishma Popli, BS, MBE
Third Year Medical Student

Medication errors account for more than 400,000 in-hospital adverse drug events in the United States each year, costing the healthcare system over $3 billion annually1. Over 60% of patients being admitted have at least one medication omission or error, with approximately 11-59% of these errors having the potential to cause harm or an adverse drug event2. There is an increasing … [Read more...] about Perspective on the Introduction of Pharmacy to a Pre-Operative Anesthesia Clinic
By Karishma Popli, BS, MBE
Third Year Medical Student

03/28/21

Safe Perioperative Pathways for Balancing OSA and Ambulatory Surgery
By Alexander J. Skojec, MD
Anesthesia Resident, Department of Anesthesiology
University of Virginia, Charlottesville, VA

Long lauded as proponents of patient safety, and increasingly so in perioperative medicine, Anesthesiologists exert an invaluable impact on the perioperative management of patients with obstructive sleep apnea (OSA). While the prevalence of OSA and OSA-related diseases (e.g. hypertension and obesity) surge in the United States, anesthesiologists are commonly being asked to … [Read more...] about Safe Perioperative Pathways for Balancing OSA and Ambulatory Surgery
By Alexander J. Skojec, MD
Anesthesia Resident, Department of Anesthesiology
University of Virginia, Charlottesville, VA

03/28/21

Implementation of Delirium Screening in Intensive Care Unit Patients
By Michael Kazior, MD
Assistant Professor of Anesthesiology
CVHCS, Richmond, VA
and Daniel H. Gouger, MD
Anesthesia Resident, Department of Anesthesiology
VCU Health System, Richmond, VA

Anyone who has ever worked in the intensive care unit likely has memories of a delirious patient. This patient probably had active hallucinations, restraints due to violent behavior, and didn’t recognize loved ones or their current surroundings. This is also the most common depiction seen in the mainstream media on television and movies, however, this hyperactive delirium is n … [Read more...] about Implementation of Delirium Screening in Intensive Care Unit Patients
By Michael Kazior, MD
Assistant Professor of Anesthesiology
CVHCS, Richmond, VA
and Daniel H. Gouger, MD
Anesthesia Resident, Department of Anesthesiology
VCU Health System, Richmond, VA

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Brooke Trainer, MD
Editor
brooke@vsahq.org

Daniel H. Gouger, MD
Resident Editor
Daniel.Gouger@vcuhealth.org

The VSA Update newsletter is the publication of the Virginia Society of Anesthesiologists, Inc. It is published quarterly.  The VSA encourages physicians to submit announcements of changes in professional status including name changes, mergers, retirements, and additions to their groups, as well as notices of illness or death. Anecdotes of experiences with carriers, hospital administration, patient complaints, or risk management issues may be useful to share with your colleagues. Editorial comment in italics may, on occasion, accompany articles. Letters to the editor, news and comments are welcome and should be directed to: Brooke Trainer, MD

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