Read by QxMD icon Read


Damian J Castanelli, Tanisha Jowsey, Yan Chen, Jennifer M Weller
INTRODUCTION: Workplace-based assessment is integral to programmatic assessment in a competency-based curriculum. In 2013, one such assessment, a mini-Clinical Evaluation Exercise (mini-CEX) with a novel "entrustability scale", became compulsory for over 1,200 Australia and New Zealand College of Anaesthetists (ANZCA) trainees. We explored trainees' and supervisors' understanding of the mini-CEX, their experience with the assessment, and their perceptions of its influence on learning and supervision...
September 23, 2016: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
J R A Rigg
The aim of this paper is to link the history of the Multicentre Australian Study of Epidural Anaesthesia in high risk surgery, the MASTER Trial, the first National Health and Medical Research Council (NHMRC) funded multicentre randomised clinical trial in Australia led by anaesthetist researchers, and the decision of The Australian and New Zealand College of Anaesthetists (ANZCA) to establish a clinical trials network, in 2003, to the success of contemporary researchers in Australia and New Zealand in anaesthesia and perioperative medicine...
July 2016: Anaesthesia and Intensive Care
Stephan A Schug, Greta M Palmer, David A Scott, Richard Halliwell, Jane Trinca
This guideline summary describes the fourth edition of Acute pain management: scientific evidence, which was published by the Australian and New Zealand College of Anaesthetists (ANZCA) and its Faculty of Pain Medicine (FPMANZCA) in December 2015. The fourth edition summarises the best available evidence on acute pain management, following methods established over the preceding three editions. It provides additional information by scoring the quality of and reporting further details on randomised controlled trials and meta-analyses...
May 2, 2016: Medical Journal of Australia
Bridget Hogan, Matthew Keating, Neil A Chambers, Britta von Ungern-Sternberg
BACKGROUND: There are no internationally accepted guidelines about what constitutes adequate clinical exposure during pediatric anesthetic training. In Australia, no data have been published on the level of experience obtained by anesthetic trainees in pediatric anesthesia. There is, however, a new ANZCA (Australian and New Zealand College of Anaesthetists) curriculum that quantifies new training requirements. AIM: To quantify our trainees' exposure to clinical work in order to assess compliance with new curriculum and to provide other institutions with a benchmark for pediatric anesthetic training...
May 2016: Paediatric Anaesthesia
Paul S Myles, Julian A Smith, Andrew Forbes, Brendan Silbert, Mohandas Jayarajah, Thomas Painter, D James Cooper, Silvana Marasco, John McNeil, Jean S Bussières, Sophie Wallace
BACKGROUND: Most patients with coronary artery disease receive aspirin for primary or secondary prevention of myocardial infarction, stroke, and death. Aspirin poses a risk of bleeding in patients undergoing surgery, but it is unclear whether aspirin should be stopped before coronary artery surgery. METHODS: We used a 2-by-2 factorial trial design to randomly assign patients who were scheduled to undergo coronary artery surgery and were at risk for perioperative complications to receive aspirin or placebo and tranexamic acid or placebo...
February 25, 2016: New England Journal of Medicine
A B Baker
OBJECTIVES: The aim is to present recommendations of the Australian and New Zealand College of Anaesthetists (ANZCA) with respect to practice implications for ageing specialists, together with brief discussion of effects of ageing on professional medical capabilities and recommendations on preparing to retire from medical practice. CONCLUSIONS: Practitioners should recognise that planning for retirement is part of good management of a medical career, and that the ageing process will inevitably compromise their ability to treat patients safely unless they retire at the appropriate time...
April 2016: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
K M Bunbury, D J Castanelli
The 'Roles in Practice' framework was introduced into the revised ANZCA curriculum in 2013. We conducted an online survey of Supervisors of Training in Australia and New Zealand to assess understanding of this framework, and teaching and perceived value of the non-scholar intrinsic roles within the framework. One hundred and forty-three survey responses were received (response rate 60.8%). The majority of respondents (52.1%) reported only a fair understanding of the framework. Formal teaching of all the roles was consistently reported as infrequent, with most teaching occurring through the informal curriculum...
November 2015: Anaesthesia and Intensive Care
N Alakeson, T Flett, V Hunt, A Ramgolam, W Reynolds, K Hartley, M Hegarty, B S von Ungern-Sternberg
The importance of appropriate equipment to manage the difficult airway has been highlighted by the publication of the Australian and New Zealand College of Anaesthetists (ANZCA) guidelines in 2012. We set out to audit compliance with these guidelines in all public and private sites providing general anaesthesia in metropolitan Perth. Public and private health care websites identified 39 sites of which 37 were studied. Institutional and ethics approval was obtained. A tick-box design audit tool, based on the ANZCA guidelines, was used to collect information regarding the dedicated difficult airway container (DDAC) at each site...
September 2014: Anaesthesia and Intensive Care
Paul S Myles, Kate Leslie, Matthew T V Chan, Andrew Forbes, Philip J Peyton, Michael J Paech, W Scott Beattie, Daniel I Sessler, P J Devereaux, Brendan Silbert, Thomas Schricker, Sophie Wallace
BACKGROUND: Nitrous oxide is commonly used in general anaesthesia but concerns exist that it might increase perioperative cardiovascular risk. We aimed to gather evidence to establish whether nitrous oxide affects perioperative cardiovascular risk. METHODS: We did an international, randomised, assessor-blinded trial in patients aged at least 45 years with known or suspected coronary artery disease having major non-cardiac surgery. Patients were randomly assigned via automated telephone service, stratified by site, to receive a general anaesthetic with or without nitrous oxide...
October 18, 2014: Lancet
(no author information available yet)
No abstract text is available yet for this article.
May 2014: ANZ Journal of Surgery
J M Weller, M Henning, N Civil, L Lavery, M J Boyd, B Jolly
When evaluating assessments, the impact on learning is often overlooked. Approaches to learning can be deep, surface and strategic. To provide insights into exam quality, we investigated the learning approaches taken by trainees preparing for the Australian and New Zealand College of Anaesthetists (ANZCA) Final Exam. The revised two-factor Study Process Questionnaire (R-SPQ-2F) was modified and validated for this context and was administered to ANZCA advanced trainees. Additional questions were asked about perceived value for anaesthetic practice, study time and approaches to learning for each exam component...
September 2013: Anaesthesia and Intensive Care
David A Story, Veronica Gin, Vanida na Ranong, Stephanie Poustie, Daryl Jones et al.
BACKGROUND: As with other types of research, there are concerns about reporting of survey research in anesthesia journals. We hypothesized that use of survey reporting items would be inconsistent in survey research reported in anesthesia journals. METHODS: After a literature review we constructed a 17-item reporting list for a limited systematic review of survey reporting in 6 anesthesia journals. We identified survey reports by MEDLINE (PubMed) search for January 2000 to April 2009...
September 2011: Anesthesia and Analgesia
Paul S Myles, Philip Peyton, Brendan Silbert, Jennifer Hunt, John R A Rigg, Daniel I Sessler
OBJECTIVE: To compare long term recurrence of cancer and survival of patients having major abdominal surgery for cancer. DESIGN: Long term follow-up of prospective randomised controlled clinical trial in which patients were randomly assigned to receive general anaesthesia with or without epidural block for at least three postoperative days. Setting 23 hospitals in Australia, New Zealand, and Asia. PARTICIPANTS: 503 adult patients who had potentially curative surgery for cancer...
2011: BMJ: British Medical Journal
P A Baker, B T Flanagan, K B Greenland, R Morris, H Owen, R H Riley, W B Runciman, D A Scott, R Segal, W J Smithies, A F Merry
Airway complications are a leading cause of morbidity and mortality in anaesthesia. Effective management of a difficult airway requires the timely availability of suitable airway equipment. The Australian and New Zealand College of Anaesthetists has recently developed guidelines for the minimum set of equipment needed for the effective management of an unexpected difficult airway (TG4 [2010] TG4 [2010] is based on expert consensus, underpinned by wide consultation and an extensive review of the available evidence, which is summarised in a Background Paper (TG4 BP [2010] www...
January 2011: Anaesthesia and Intensive Care
D J Castanelli, K Stevenson, J P Monagle
We surveyed newly qualified consultant anaesthetists and their prospective employers in Victoria, regarding their expectations for the provision of paediatric anaesthesia by anaesthetists who have not completed subspecialty training in paediatric anaesthesia (generally-trained anaesthetists). Responses were received from 15 of 19 (79%) eligible Directors and 26 of 37 (70%) newly qualified Australian and New Zealand College of Anaesthetists (ANZCA) Fellows. Of those responding, 80% of Directors and 82% of Fellows would expect a generally-trained anaesthetist to anaesthetise children two years of age or older Regional Directors expected generally-trained anaesthetists to anaesthetise younger children than metropolitan Directors, and Directors' expectations were not influenced by their own practice...
September 2010: Anaesthesia and Intensive Care
Niall S Higgins, Kersi Taraporewalla, Michael Steyn, Rajesh Brijball, Marcus Watson
International medical graduate (IMG) specialists in anaesthesia need education to be part of the assessment process for pre-registration college fellowship. Fellowship of the anaesthetic college is required in Australia for registration as a specialist in this field. Marked differences exist between local trainees and IMG specialists in terms of training, stakes of the exam and isolation of practice. We have examined the reasons for the low pass rate for IMG specialists compared to the local trainees in the Australian and New Zealand College of Anaesthetists (ANZCA) final fellowship examinations...
May 2010: Australian Health Review: a Publication of the Australian Hospital Association
Tatsuya Yoshimura, Ju Mizuno, Seki Yunokawa, Shigeho Morita, Michael Davies
We reviewed anaesthesia training program in Australia. Anaesthetists in Australia and New Zealand need to obtain the Diploma of Fellowship of the Australian and New Zealand College of Anaesthetists (FANZCA) to be recognised as specialists. The training sequence approved by ANZCA encompasses an initial two-year Prevocational Medical Education, Training (PMET) period, and the five-year period of ANZCA Approved Training, which included two-year Basic Training and three-year Advanced Training. On completion of all Training Program requirements the Trainee is awarded the Diploma of Fellowship and is entitled to use the qualification of FANZCA...
August 2009: Masui. the Japanese Journal of Anesthesiology
Paul S Myles, Kate Leslie, Philip Peyton, Michael Paech, Andrew Forbes, Matthew T V Chan, Daniel Sessler, Philip J Devereaux, Brendan S Silbert, Konrad Jamrozik, Scott Beattie, Neal Badner, James Tomlinson, Sophia Wallace
BACKGROUND: Globally there are >200 million major surgical procedures undertaken annually, and about 20% of these involve patients who have coronary artery disease. Many receive nitrous oxide, which impairs methionine synthase, thus inhibiting folate synthesis and increasing postoperative homocysteine levels. Nitrous oxide anesthesia leads to postoperative endothelial dysfunction, and there is some evidence that it increases myocardial ischemia and, possibly, myocardial infarction...
March 2009: American Heart Journal
Jennifer Weller, Richard Morris, Leonie Watterson, Alexander Garden, Brendan Flanagan, Brian Robinson, Walter Thompson, Russell Jones
The Effective Management of Anesthetic Crises (EMAC) course is a joint initiative between the Australian and New Zealand College of Anesthetists (ANZCA) and simulation centers. This standardized 2.5-day course has become an integral component of training for Fellowship of ANZCA and as such is an innovative development on the global anesthesia scene.Since its inception in 2002, over 600 anesthetists, with equal numbers of specialists and trainees, have attended EMAC throughout Australia, New Zealand, and Hong Kong...
2006: Simulation in Healthcare: Journal of the Society for Simulation in Healthcare
Soren Sondergaard
Australia is an attractive workplace for overseas-trained specialist (OTS) anaesthetists. The path to recognition of the qualifications and experience of OTS anaesthetists is, in my opinion, bogged down in an overzealous assessment procedure. The Australian and New Zealand College of Anaesthetists (ANZCA) is a self-proclaimed professional body that is not subject to regulation by the federal government. Medical authorities such as the Australian Medical Council and state medical boards have no influence on ANZCA's assessment criteria and procedures...
October 20, 2008: Medical Journal of Australia
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"