Anesthesia STAT: the Stanford Anesthesia Tutorial Podcast

Dr. Jody Leng and Dr. Brett Athans, both key faculty in the PRIME (Physician Resiliency in Medicine) program join Derrick Wu in talking about physician wellness and how PRIME plays a significant part in promoting wellness/resiliency within the residency and department. We talk about what PRIME is and how it got started (02:49), how PRIME has lead the way for similar initiatives around the country (08:22), resources and methods that may help improve well-being during a difficult time (12:42), how the "gas lounge" began and how PRIME facilitates new wellness initiatives (20:33), what check-in sessions are and how they help in debriefing tough situations as well as finding common ground in shared experiences (24:22), do a sample check-in (27:42), practicing "resiliency" while knowing there are other systemic issues at hand (37:23), and have some closing thoughts and other resources for physicians seeking help (39:09).Resources:Physician Peer Support Program: https://medicine.stanford.edu/news/current-news/standard-news/peersupport.htmlPhysician Resource Network (PRN) Support: https://wellmd.stanford.edu/get-help/prn-support.htmlWellConnect - a confidential program to promote mental health for medical trainees (residents and fellows), and all benefits eligible faculty in the School of Medicine at Stanford: https://med.stanford.edu/psychiatry/special-initiatives/wellconnect.html

Joe and Derrick discuss their approach in getting called for an emergency airway out of the OR. They talk thought process when first getting the call (00:59), what to do when first seeing the patient/environment (08:53), the MSMAIDS of intubation (12:50), the importance of positioning the patient (25:54), medications to induce with for intubation (33:54), mental checklists and doing the time out (38:57), and closing thoughts (41:41).

Joe Hodapp (one of the chief residents of the Stanford anesthesia residency program) and Derrick Wu talk about what exactly is a handoff or sign-out (1:33), what to consider when handing off an ambulatory case to PACU or another anesthetist (2:23), a structure for organizing handoff of simple cases (5:54), a sample case of handoff to PACU (11:03), how to sign out to another anesthesia provider (15:28), considerations when signing out more complicated cases to the ICU/other colleagues (25:03), and closing remarks (35:57).

In this episode, Alex and Derrick talk about how to setup the OR for anesthesia! We discuss when to show up in the morning (1:54), one of the all-time great mnemonics MSMAIDS (5:16), extra tidbits not necessarily included in MSMAIDS (27:42), and we ruminate about fun things we did recently (32:02).

In this inaugural episode of anesthesia STAT, we welcome new CA1s to anesthesia training, discuss the process behind preoping a patient (02:50), we present a sample patient (07:45), talk about anesthetic considerations for the patient (12:00), how to present the plan (13:52), preop etiquette with attendings (21:50), what to do and things to discuss with the patient on the morning of surgery (24:42), and give some parting thoughts (35:32)!