24th Annual Spring Meeting and Workshops of the Society for Education in Anesthesiology. NA Chapel Hill, North Carolina. May 31–June 2, 2002.
The 24th Annual Spring Meeting of the Society for Education in Anesthesia (SEA) “2002: Back to Basics, Back to the Future” was held May 31–June 2 at the Sheraton Chapel Hill in Chapel Hill, North Carolina. While the SEA holds fall meetings prior to the American Society of Anesthesiologists Annual Meeting, spring meetings are held with an academic training program to utilize facilities and faculty. This meeting was cosponsored by the Duke University School of Medicine in Durham, North Carolina. The goal was for academic anesthesiologists to consider how technology, economics, and legislation impact medical and anesthesia education.
The meeting used panels and workshops to facilitate active participation. There were over 150 attendees, which may reflect the “draw” of the cosponsoring institution, as well as the appeal of the meeting brochure. Selected workshops at Duke University included the Human Fresh Tissue Laboratory and the patient simulator. Breakfast roundtable discussions were held daily to plan SEA business and projects and to promote interdepartmental and interindividual collaboration. Community breakfasts and lunches allowed new and regular attendees to meet and mingle between formal sessions.
The first morning featured panels on “The Changing Face of an Anesthesiology Department: A New Chairperson” and “Technology in the Operating Room.” The first panel recognized the administrative, clinical, educational, and research issues to be managed by an incoming department chair and the relative impact of each issue, while the second identified electronic resources available to anesthesia practitioners and indicated how they could both contribute to and distract from patient care. Peter S. A. Glass, M.B., Ch.B. (State University of New York, Stonybrook, New York), addressed the issues facing a chairperson who is new to an institution and indicated the importance of being present in the department. Carl Lynch, III, M.D., Ph.D. (University of Virginia, Charlottesville, Virginia), addressed balancing competing demands and “common sense” principles. Mark Newman, M.D. (Duke University), addressed the “curse” of being the internal candidate and strategies to reassure, focus, and rally the department. Robert Marine, A.M., B.S.N. (Pennsylvania State University, Hershey, Pennsylvania), presented principles for analyzing a department, its mission, and the degree of flux. Catherine Lineberger, M.D. (Duke University), and Jeffrey Taekman, M.D. (Duke University), debated whether residents should have Internet access in the operating room. An audience response system malfunction during the debate allowed the “con” side to buttress their position. Peter Baek, M.D. (Duke University), featured unique programs for use of personal digital assistants, and David Rosen, M.D. (West Virginia University, Morgantown, West Virginia), included information about “peripheral brains” (notebooks), textbooks, and electronic resources for obscure syndromes.
The first afternoon consisted of presentations and workshops, a traditional format used by the SEA to encourage discussion. Clifford Swanson, D.V.M. (North Carolina State College of Veterinary Medicine, Raleigh, North Carolina), identified issues common to human and veterinary anesthesia and analyzed what anesthesia educators can learn from the animal model of training in an excellent postlunch presentation. The audiovisuals included actual equipment, and discussion was lively. Rita Patel, M.D. (University of Pittsburgh, Pittsburgh, Pennsylvania), presented comprehensive information about the six core competencies mandated by the Accreditation Council for Graduate Medical Education, reiterated in enduring form in the meeting syllabus. The afternoon concluded with a range of workshops intended to offer every attendee an attractive choice. Bret Stolp, M.D. (Duke University), presented “Screen-based Simulation” using examples from physiology and anesthesia. John Eck, M.D. (Duke University), presented “Pediatric Regional Anesthesia” with an emphasis on similarities to and differences from anesthesia for adults. This topic illustrates the wide-ranging emphasis on regional anesthesia at Duke University. Finally, Neil Prose, M.D. (Pediatric Dermatology, Duke University), presented a workshop on “Teaching Communication Skills.” The president's reception and a “dine around” tour of restaurants organized personally by Duke University faculty members welcomed meeting attendees to the area and to the SEA.
The second morning featured panels on “Life-long Learning” and “Dissemination of Knowledge Beyond Our Specialty” and a short session of research. The panel on life-long learning reviewed new procedures, technology, and methods within anesthesiology. Katherine Grichnik, M.D. (Duke University), reviewed the options available to the practicing physician for updating and maintaining skills in “Continuing Medical Education.” Fran D'Ercole, M.D. (Duke University), detailed a unique system of teaching and providing regional anesthesia utilizing a “block resident” in the preoperative holding area in “Training Puppies, Teaching Old Dogs New Tricks.” Finally, Bosseau Murray, M.B., Ch.B. (Pennsylvania State University, State College, Pennsylvania), defined virtual reality and “haptic” (force feedback) models and reviewed data about learning using these models in “Using Virtual Reality for Epidural and Spinal Blocks.” A panel on teaching learners outside of our specialty reviewed needs assessment, subject areas, and teaching methods for nonanesthesia practitioners. Brian Ginsberg, M.B., B.Ch. (Duke University), presented “Corporate Education,” intended to help physicians understand the educational needs of corporate representatives about uses for their products. Scott Schartel, D.O. (Temple University, Philadelphia, Pennsylvania), presented “Nonanesthesiologists Who Learn Skills in the Operating Room,” focusing on dental and oral surgery anesthesia programs. Finally, Jeffrey Schwartz, M.D. (Yale University, New Haven, Connecticut), reviewed the medical student curriculum developed by the SEA. Timothy Harwood, M.D. (Wake Forest University, Winston-Salem, North Carolina), moderated “Research Presentations and Discussion,” which included 18 abstracts and posters, five of which were presented orally. A resident research competition yielded three posters, with a prize awarded to Wade Weigel, M.D. (Pennsylvania State University, State College, Pennsylvania).
The second afternoon's lively postlunch topic, “Lessons Learned from Medical Missions,” included several types of missions:“Into the Wilds of Nicaragua with a First World Cardiovascular Program: Teaching Pediatric Cardiac Anesthesiology in Nicaragua 1998–2002” by Richard Ing, M.B., Ch.B. (Duke University); “Humanitarian Missions to Underdeveloped Countries: Anesthesiologists Doing Primary Care” by Richard Moon, M.D. (Duke University); and “Teaching Anesthesia in a Developing Country” by Berend Mets, M.B., Ph.D. (Columbia University, New York, New York). Each speaker provided practical information about supplies, personal health issues, and adaptation to conditions at the site of the medical mission, with extensive syllabus material.
The second afternoon included workshops at Duke University. Participants were bussed to the workshops and received an afternoon snack. Choices of workshops offered every attendee an attractive option at both afternoon sessions. “Anatomy for Regional Anesthesia: Human Fresh Tissue Lab” with David MacLeod, M.B., Ch.B., and Dara Breslin, M.B., B.Ch., both of Duke University, was presented at both the first and second sessions. This Human Fresh Tissue Laboratory provides conditions for studying and demonstrating anatomy using fresh frozen models that approximate live patients. Additional educational resources on regional anesthesia were shown. Each session offered simulator workshops, with “Simulator Script-writing” by Michael Olympio, M.D. (Wake Forest University, Winston-Salem, North Carolina), and Jeffrey Taekman, M.D. (Duke University), and “Simulator Debriefing” by Michael Olympio, M.D., and Kathleen Rosen, M.D. (West Virginia University, Morgantown, West Virginia). Each session had a nonsimulator, non–Human Fresh Tissue Laboratory option, with “Diversity” by Brenda Armstrong, M.D. (Pediatric Cardiology, Duke University), and Ira Cohen, M.D. (George Washington University, Washington, DC), and “Life Skills” by Redford Williams, M.D. (Psychiatry, Duke University). A postworkshop walking tour of the Sarah P. Duke Gardens and the campus was canceled due to much needed but poorly timed rain. Attendees were given maps with annotations of area restaurants so that they could explore on their own.
The third day concluded with panels and the SEA business meeting. Panelists in “When the Rubber Meets the Road (Finances)” identified the costs associated with postgraduate education and strategies to support the educational enterprise. Robert Anderson, M.D., M.B.A. (Surgery, Duke University), discussed “Managing the Research Enterprises as a Business: Lessons for Education,” presenting an entrepreneurial approach for nonclinical endeavors. Joanne Conroy, M.D. (Atlantic Health System, Florham Park, New Jersey), presented “The Administrator's View: The Cost of Education in a Hospital Budget” from her perspective as a former academic anesthesiology chairperson and now Chief Medical Officer of a hospital system. Finally, Peter Rock, M.D., M.B.A. (University of North Carolina, Chapel Hill, North Carolina), discussed “Business Aspects of Keeping a Department in the Black,” with a detailed analysis of departmental income and costs. The “Ethics” panel related ethical issues to contemporary legislative and institutional mandates for clinical practice. Angela Holder, L.L.M. (Medical Ethics and Humanities, Duke University) addressed “The Duty to Supervise (and what happens if you don't), or Who Is Doing What in the Operating Room (and what does the patient know about it).” She reviewed informed consent and the duty of care, along with breach of the duty of care and vicarious liability. Gary Loyd, M.D. (University of Louisville, Louisville, Kentucky), spoke about “HIPAA: Provisions for Privacy” and implications for education and research. Finally, Thomas Bralliar, M.D. (Cleveland Clinic, Cleveland, Ohio), discussed Medicare compliance in “Breaks, Lunches, and HCFA (now CMS),” receiving many questions from the audience. The meeting concluded with the SEA Business Meeting.
The 24th Annual Spring Meeting of the SEA gave the many new people and current members an opportunity to exchange ideas and plan collaborative projects. A new management organization provided expert support and gained important understanding of the needs of the SEA. This meeting demonstrated that the SEA, its members, and its meetings are a valuable resource for academic educators.