Medical Residency in Anesthesia Teaching and Practice Center in Anesthesiology: Hospital das Clinicas FMUSP Teaching and Practice Center in Anesthesiology: Hospital das Clinicas FMUSP 1

ABILITIES AND KNOWLEDGE - R1- 30 places per year Perform pre-anesthetic evaluation of the patient and classify the physical status and the surgical risk; Indicate and prescribe the pre-anesthetic medication; Knowledge in the the areas of physiology and pharmacology of cardiocirculatory, respiratory, renal, and nervous systems; Knowledge of the inhalational, intravenous, local agents and adjuvant drugs; Learning the main anesthetic techniques; Develop a clinical research project and submit it to approval; Acquire basic knowledge of intensive care Acquire basic knowledge for pain acute treatment; Take part in the staff of the CPR program of the Central Ins(blue code).

ABILITIES AND KNOWLEDGE - R2 Places : 30 Deepen the knowledge acquired in the first year of Medical Residence; Perform prophylaxis and treat the post-operation pain with the use of specific techniques; Be in contact with several surgical specialties and their particularities; Diagnose and treat any possible occurrences and perioperative complications; Conclude the collect of data of the research projects; Acquire full abilities to act in intensive care. Take part in the initial attendance to the traumatized patient in the Emergency Care and in the CPR staff in the Central Institute;

ABILITIES AND KNOWLEDGE - R3 Deepen the knowledge acquired in the first and second years od Medical Residence; Emphasize the participation in anesthesia for major surgeries and perioperative care in patients with high surgical risk; Deepen the knowledge in several modalities of artificial ventilation; Ambulatory of patients with chronic pain; Take part in anesthesia for organ transplantation and care with organ donors; Conclude the research project, present to the examining board and send it to the publication.

PRACTICAL PROGRAM - R1 Obstetric Anesthesia Urgency and Emergency Orthopedics Surgery Otolaryngology /ophthalmology surgery Gastroenterological Surgery and General Surgery. Head and Neck Surgery / Plastic Surgery. Obstetrics anesthesia Surgical and Trauma ICU Post-Anesthesia Recovery Oncologic surgery

PRACTICAL PROGRAM- R2 Orthopedics. Pediatric Surgery Heart Surgery. Urgency and Emergency Surgeries Obstetric Anesthesia Anesthesia for Urology. Anesthesia for Vascular Surgery. Anesthesia for Gastroenterological Surgery. Anesthesia for Oncological Surgery. Initial attendance to the traumatized patient in the Emergency Care Anesthesia for Image, radiological, diagnostic and therapeutic procedures. Internship in the Acute Pain Group. ICU – Anesthetic Recovery.

PRACTICAL PROGRAM – R3 Rotation in Specialized Institutes Transplantation: heart, liver, kidney, lung Thoracic Surgery. Obstetric Anesthesia. Congenital Heart Disease. Endoscopy and Outpatient Surgery Pediatric Surgery Hemodynamic and Image diagnose procedures Neurosurgery/Functional Neurosurgery. Oncological Surgery. Optional internship choose 02 Institutes to perform the procedures Internship in Pain.

PRACTICAL ABILITIES - CPR training Difficult airway training devices, fibroscopy and crico tracheostomy Monitoring central catheter, needling techniques with ultrasound Arterial e peripheral accesses Neuro-axis and peripheral nerves access Monitoring of the consciousness state in anesthesia Monitoring neuromuscular junction Pumps, monitors, anesthesia machine, ventilators, electron ic devices, defibrillators ICU and pain clinic routine

HOW IT IS MADE Theoretical Program – issues by Brazilian Society of Anesthesia Class attendance to lectures Number of minimum anesthetic procedures Internship in the Institutes Internship of Abilities Exam Specific competences LINEAR ACQUISITION OF KNOWLEDGE – DETERMINED TIME

THE GREATEST CHALLENGE EVALUATION OF THE ESTABLISHED COMPETENCE EVALUATION OF THE ACQUIRED KNOWLEDGE EVALUATION OF THE ESTABLISHED COMPETENCE EVALUATION OF THE ACQUIRED KNOWLEDGE

CURRENT EVALUATION QUARTELY THEORETICAL EXAMS ANNUAL THEORETICAL EXAMS EVALUATION IN THE INTERNSHIPS

Rules of Central Committee FMUSP CHAPTER IV: Failures in the Internships Article 10 th. The failure in the internship will imply on its full replacement. Article 11 th. Unjustified absence equal or over than 4 (four) days will imply in the internship failure. Article 12 th. The failure in two internships will imply in the exclusion from the Medical Residence Program.