Page 54 - CASA Bulletin of Anesthesiology 2022; 9(2) (5)

CASA Bulletin of Anesthesiology

anesthesiologists are higher than CRNAs, there is no significant difference in the quality of care
when the anesthetic is delivered by a CRNAs or by an anesthesiologist (the conclusion needs
more data to confirm the fact) 9-10 . Dr. Mazurek also suggests what if AANA and ASA created a
joint anesthesia conference to discuss the future of anesthesia and current concerns regarding
anesthesia care, perioperative care team models, etc. Anesthesiologist could accomplish more,
instead of battling each other because both professions are all on the same team working toward
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a common purpose .
What should we do as an anesthesiologist to keep ourselves invincible in the field of
anesthesia? Are there any ways to assess ourselves to keep our knowledge and skill updated, and
to enhance our responsibility to the patient?

Traditional graduate medical education (GME) presents only clinical evaluation and
standardized testing. They may not reflect the ability to solve clinical problems . In 1999,
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Accreditation Council for Graduate Medical Education (ACGME) published an outcome project
for the general competency for the resident program. ASA quickly adopted the concept applied
to the residency program. As for today, anesthesiologists can still use the assessment tool for
self-evaluation.

Assessment for anesthesiologist

Competence: habit of life-long learning 11-15
1. Medical knowledge
2. Patient care
3. Professionalism
4. Communication and interpersonal skills
5. Practice-based learning and improvements
6. Anesthesiologist skill measurements

Assessment methods

1. Cognitive outcome: Adequate knowledge of biomedical, clinical, epidemiological,
biomechanical, social and behavioral science to make effective clinical judgements
2. Skill-based (psychomotor) outcome: single skill, such as airway management (mask
ventilation, intubation), spinal/epidural anesthesia, central IV insertion, ACLS guidelines
3. Affective (Attitudinal) outcome: learning how to apply the knowledge, skills and
procedures into effective patient care in a multidisciplinary team (nontechnical skills such as
communication, situational awareness, task distribution and leadership)
4. Knowledge-based examinations, board certification, maintenance of certification process

1. Patient history and physical exam
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