Over the last year we have focused on formally educating our residents on the fundamentals of ambulatory anesthesia care. Ambulatory anesthesia is a subspecialty that aims to care for patients in the outpatient setting in the safest, most efficient manner. Members of the division of ambulatory anesthesia wrote and created our "Curriculum for Residency Training in Ambulatory Anesthesia." It emphasizes that ambulatory patients require a unique approach that does not constitute using a "standard" technique for induction or maintenance of anesthesia.
In your ambulatory rotation, you are usually on the East Campus dealing with outpatient surgeries and a younger, healthier patient population. You are usually scheduled to a room with several cases and rapid turnover, giving you time to practice management and organizational skills - all of which help you prepare for private practice. This is a great rotation to practice your skills in preparing a patient for going home. Special attention is needed in thinking of how your management affects the patient experience. You work on establishing a patient relationship in a few brief minutes, controlling post operative nausea/vomiting, maintaining effective pain control, timing smooth induction and extubation, placing of LMA's, utilizing monitored anesthesia care, etc.