Any of the courses described below are available to residents from outside programs. If you are interested in arranging for your residents to rotate through our program, please contact ethan.bryson@mountsinai.org for more information

CA-1 Introduction to clinical anesthesia
During July and August the first year anesthesia residents go through an intensive seven-week anesthesia simulator course designed to bridge the gap between knowledge and practice, and transition the new residents into the practice of clinical anesthesia. The group of residents as a whole meets every Monday for a lecture on the topic of the week and simulator demonstration. Residents then rotate through the simulator in groups of three two subsequent times each week. Topics covered during this seven-week course include basic and advanced airway management (including difficult airway, induction, maintenance, and emergence from anesthesia), dysrhythmias and their management, hypotension and hypoxia, and the anatomy of the anesthesia machine and associated safety features.

CA-1 Simulation based competency assessment
In November, before the CA-1 residents are allowed to respond to code calls and elective intubations without direct supervision, they must first satisfactorily complete three standardized scenarios using the simulator. Residents must respond to a mock code and two elective intubation scenarios, appropriately carry out their duties, and properly document their actions.

CA-2 & CA-3 Simulation based oral-board prep
We conduct a course for senior resident education based on a combination mock oral-board and OR simulation format. Senior residents (CA-2 and CA-3) are paired up for this exercise and instructed to work as a team, with one resident taking on the role of attending and the other working as the resident. The team is then presented with a stem, one of four cases developed specifically to cover an aspect of anesthetic management the residents at this level should be familiar with. After having 10 minutes to review the stem they are asked questions in an oral board format for 20 minutes before entering the simulated OR to complete the case. The oral board questions are designed to both evaluate the resident's fund of knowledge and to lead them down a particular path of thinking related to the simulated case to follow. The case is then either as expected and the residents managed accordingly, or they are presented with an unexpected complication unrelated to the oral questioning. Residents are brought into the simulator twice a week for the period between October and April, with each resident having the opportunity to experience all four cases.

Difficult airway management with ACLS
The Department of Anesthesia operates a mobile human simulator that is used to teach airway management and ACLS to residents and fellows in different hospital departments. We conduct weekly sessions in the Surgical Intensive Care Unit and Neurosurgical ICU during the beginning of the year.

Emergency Medicine
We have developed and implemented a simulator course designed to evaluate and teach residents from the Department of Emergency Medicine. Both simulated operating rooms are used to create a scenario involving multiple patients, as would be experienced in a real emergency room. The course presents Emergency Medicine residents with several simulated patients having a variety of medical problems and complaints, and is run on a monthly basis for residents rotating through the Mount Sinai ED. Included in the course are didactic sessions and debriefing after each scenario.

Critical Care Team Training
This course focuses on the development of the team of critical care physician and nurses during the management of basic, rare, and critical events in the ICU setting. Communication skills, leadership, and delegation of responsibilities are emphasized during the management of difficult airways, equipment failures, and cardiovascular, pulmonary and metabolic derangements. Special techniques in bronchoscopy and IV sedation for the critical patient are also available.