Rural & Regional PGE Rotations:
Anesthesia
Welcome to the SWOMEN Rural Regional community Anesthesia rotation in St. Thomas!
We are currently eight staff memberswho strive to adhere to and exemplify the CAN MEDs Roles.
We supply professional services to the following sites:
- STEGH
- Tillsonburg Memorial Hospital
- Interface 2 sites
- Pediatric Dentistry -Dr. Jeff Richmond
- Pain Clinic STEGH
Designed exclusively for the resident, this rotation allows the trainee to experience anesthesia as it is practiced outside of a major teaching hospital.
Anesthesia services are provided to the community in a number of settings. A small but efficient suite of operating theatres offers the resident an opportunity to participate in the anesthetic management of patients undergoing a variety of common surgical procedures. Orthopedics,ENT,General Surgery,Opthalmology,OB-Gyn and Urology form the basis of a typical community case mix comprising patients from a complete spectrum of ages and ASA status.
Opportunities to develop special areas of expertise are presented by a large volume of oral and maxillofacial hypotensive cases and less so with a limited volume of thoracic anesthesia. Pre op consultations are done as part of an outpatient clinic.The obstetrical experience will include OB analgesia for labor and delivery including combined spinal epidural and continuous epidural infusions.
Involvement in an informal acute pain service for post surgical and trauma patients, rounds out the continuum of anesthetic care provided and includes the supervision of perioperativeneuraxial and peripheral regional anesthesia as well as PCA.
The Department of Anesthesia is actively involved in all ventilated patients in the critical care unit.
Opportunity exists to participate in a chronic pain clinic under the direction of a board certified pain specialist including the assessment and treatment of various somatic and neuropathic pain states.Techniques employed include analgesicinfusions,acupuncture,trigger point injections, nerve blocks, stellate ganglion blocks, epidural steroid injections,facet injections, andiv regional bretylium blocks. Ultrasound is utilized when image guidance is required.
Residents self assign to work with any of the consultant staff representing varied interests,backgrounds and experienceincluding a mixture of FRCPC,board eligible and CCFPAnesthesia.
Following the local practice pattern :
- Call is 1 in 5 in house with the next day off, or
- 1 in 5 from home with the expectation of working the following day.
In summary this is a highly rated elective experience which enables residents at all levels of training to explore an exciting alternative to academic anesthesia practice.
Please feel free to contact me or the SWOMEN office for more information about Rotations in Anesthesia!!!
Looking forward to working with you!
Dr. Mark Soderman
SWOMEN Academic Director, Anesthesia
www.stegh.on.ca
Email: rsoderma@yahoo.com
Visit the Department of Anesthesia and Perioperative Medicine at Western
South Western Ontario Medical Network (SWOMEN)
100 Collip Circle, Suite 225
Schulich School of Medicine & Dentistry
The University of Western Ontario
London, Ontario, Canada, N6G 4X8
Tel: (519) 661-2111 ext.87487
www.swomen.ca
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