From the Department of Anesthesiology, University of Massachusetts Medical School, Worcester; and Department of Anesthesiology, Perioperative, and Pain Medicine, Harvard Medical School-Brigham and Women's Hospital, Boston, Massachusetts.
Anesth Analg. 2014 Feb;118(2):438-447. doi: 10.1213/ANE.0000000000000052.
Residency programs in anesthesiology in the United States struggle to balance the conflicting needs of formal didactic sessions, clinical teaching, and clinical service obligations. As a consequence of the explosion in knowledge about basic and applied sciences related to our specialty, residents and fellows are expected to make substantial efforts to supplement formal lectures with self-study. There is strong evidence to suggest that members of the younger generation use nontraditional methods to acquire information. Although training programs are not required to include topics related to history of anesthesia (HOA) in the didactic curriculum, and despite the fact that such knowledge does not directly impact clinical care, many programs include such lectures and discussions. We describe and discuss our experience with 3 alternate modalities of teaching HOA.First, we provide brief descriptions of HOA-related historical narratives and novels within the domain of popular literature, rather than those that might be considered textbooks. Second, we analyze content in movies and videodiscs dealing with HOA and determine their utility as educational resources. Third, we describe HOA tours to sites in close proximity to our institutions, as well as those in locations elsewhere in the United States and abroad.We suggest that informal HOA teaching can be implemented by every residency program without much effort and without taking away from the traditional curriculum. Participating in this unique and enriching experience may be a means of academic advancement. It is our hope and expectation that graduates from programs that incorporate such exposure to HOA become advocates of history and may choose to devote a part of their academic career toward exploration of HOA.
美国的麻醉学住院医师培训项目在满足正式理论课程、临床教学和临床服务义务的需求方面存在困难。由于与我们专业相关的基础和应用科学知识的爆炸式增长,住院医师和研究员需要通过自学来补充正式讲座。有强有力的证据表明,年轻一代使用非传统方法来获取信息。尽管培训计划不需要在理论课程中包括与麻醉历史(HOA)相关的主题,而且这种知识不会直接影响临床护理,但许多计划仍包括此类讲座和讨论。我们描述并讨论了我们在教授 HOA 方面的三种替代模式的经验。首先,我们简要介绍了流行文学领域内与 HOA 相关的历史叙事和小说,而不是那些可能被视为教科书的内容。其次,我们分析了涉及 HOA 的电影和录像的内容,并确定了它们作为教育资源的效用。第三,我们描述了我们机构附近以及美国和国外其他地方的 HOA 之旅。我们认为,每个住院医师培训项目都可以不费吹灰之力地实施非正式的 HOA 教学,而不会影响传统课程。参与这种独特而丰富的体验可能是学术进步的一种手段。我们希望并期望,从那些将这种 HOA 体验融入课程的项目中毕业的学生能够成为历史的倡导者,并选择将他们学术生涯的一部分用于探索 HOA。