The Red Book - The College of Family Physicians Canada

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The program must ensure adequate exposure to the full range of age, ethno-cultural, anddemographic backgrounds.• Teaching settings in which family physicians provide some anesthesia services• Interdisciplinary experience, focusing on the role of the family physician–anesthetist in thecomprehensive delivery of health care servicesFaculty resourcesThe training program must provide the following:1. Qualified teaching staff in sufficient numbers, including those with appointments in thedepartments of family medicine and anesthesia, to supervise and teach residents2. Teachers in the family medicine/anesthesia residency program familiar with the 4principles of family medicine as they apply to anesthesia as outlined in the CFPC Standardsfor AccreditationThe Scope of the Curriculum for Family Physician Anesthesia Resident TrainingThe availability of anesthetic and surgical services improves health care in rural communities. Inaddition, anesthesia in community hospitals maintains a base of expertise and skills in ruralareas.The physician’s personal responsibility for continuing medical education and skilldevelopment must be instilled during training. All physicians should be aware of the problemsof impairment by fatigue or by chemical dependence and of the need for continuous qualityimprovement and peer review.At the completion of training the FP-A resident has achieved the following corecompetencies:A. Knowledge of the discipline of anesthesia1. Knows the age-related differences in anatomy, physiology, and pharmacology amongchildren beyond infancy, adults, pregnant women, and the elderlyEnabling objectives:• Knowledge of the practice guidelines of the Canadian Anesthesiologist’s Society45
• Knowledge of anatomy and physiology of the airway and the following systems:cardiovascular, respiratory, renal, hepatic, endocrine, neurologic, and hematologic• Knowledge of pharmacology pertaining to inhalation drugs, induction agents, opioidsand other common analgesics, muscle relaxants and reversal agents, local anesthetics,and cardiac resuscitation drugs• Knowledge of commonly used therapeutic drugs and other health-related products andtheir interactions with anesthetic agents2. Identifies pathophysiologic variables that have an impact on the use of anesthetic drugs andtechniquesEnabling objectives:• Knowledge of effects on pharmacology of diminished cardiovascular, respiratory, renal,hematologic, hepatic, and neurologic function1. Can apply knowledge in creating anesthetic plans with respect to anesthetic drugs andtechniquesEnabling objectives:• Knowledge of indications and contraindications, risks and benefits of generalanesthetic techniques• Knowledge of indications and contraindications, risks and benefits of regionalanesthetic techniques to include central neuro-axial blocks• Knowledge of basic bioethical issues encountered in anesthesia practice, includinginformed consent• Demonstrate skill in establishing and maintaining cardiovascular and respiratorysupportB. Perioperative anesthesia careB.1. Pre-operative risk assessment1. Performs pre-operative risk assessment to identify medical conditions, institutionallimitations, or personal limitations requiring appropriate referral of the patient46
Page 3: Table of ContentsOverview of the Ac
Page 7 and 8: INTRODUCTION TO THE RED BOOK: FAMIL
Page 9 and 10: ) Designing and implementing learni
Page 11 and 12: The responsibilities of this indivi
Page 13 and 14: STANDARD B.3: THE LEARNING ENVIRONM
Page 15 and 16: 3. There must be ready access to a
Page 17 and 18: Scholarly Activity7. A satisfactory
Page 19 and 20: services, community services or sem
Page 21 and 22: common procedures during labour and
Page 23 and 24: Residents must be given opportuniti
Page 25 and 26: 5. Assessment processes are more ef
Page 27: ENHANCED SKILLS: SPECIFIC STANDARDS
Page 30: FAMILY MEDICINE/EMERGENCY MEDICINE:
Page 34 and 35: 2. Opportunities for the resident t
Page 36 and 37: 4. Experience during the third year
Page 38 and 39: 3. Creating an awareness of the ser
Page 40 and 41: ResourcesClinical teaching resource
Page 42 and 43: The family physician is a skilled c
Page 44 and 45: • An identifiable formal teaching
Page 48 and 49: Enabling objectives:• Demonstrate
Page 50 and 51: CLINICIAN SCHOLAR PROGRAM: STANDARD
Page 52 and 53: 4. The training environment should
Page 54 and 55: 2000 roles of medical expert, commu
Page 56 and 57: 1. Goals of the programThe overall
Page 58 and 59: Specific objectivesThe resident wil
Page 60 and 61: General objective 8(Principle #4 -
Page 62 and 63: ) Have completed a mandatory schola
Page 64 and 65: There should be an evaluation proce
Page 66 and 67: Definition:• Specific issue(s) ar
Page 68 and 69: GUIDELINES FOR AN APPEAL OF AN ACCR
Page 70 and 71: CFPC Board shall designate one of t

The Red Book - The College of Family Physicians Canada

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