ANZCA Final Exam Resources

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ANZCA Roles in Practice
60
AR_ME 1.1
Demonstrate a commitment to high-quality patient care
Complete
Complete
AR_ME 1.2
Integrate the roles of collaborator, communicator, health advocate, leader and manager, medical expert, professional, and scholar into practice as an anaesthetist
Complete
Complete
AR_ME 1.3 
Apply knowledge of the clinical and biomedical sciences relevant to anaesthesia
Complete
Complete
AR_ME 1.5 
Carry out professional duties in the face of multiple, competing demands
Complete
Complete
AR_ME 2.1 
Elicit a relevant history and perform a focused examination (may include cardiovascular, respiratory, neurological, abdominal, musculoskeletal, and airway)
Complete
Complete
AR_ME 2.2 
Adapt history taking and examination and order further investigations where clinically indicated, for example, to determine severity and to clarify diagnosis
Complete
Complete
AR_ME 2.5 
Correctly interpret and discuss the implications of results of investigations
Complete
Complete
AR_ME 3.2
Demonstrate knowledge and understanding of the procedure, including indications, contraindications, anatomy, technique, side-effects and complications
Complete
Complete
AR_LM 1.1
Define the characteristics underpinning the provision of quality anaesthetic services, that is, safe, effective, efficient, timely and patient-centred
Complete
Complete
AR_LM 1.2
Discuss the processes of quality assurance and quality improvement, and their application to anaesthesia practice including:
Principles of quality assurance
Quality improvement cycle
Risk management
Nature of error
Relationship between adverse events
Incident monitoring
Root cause analysis
(Refer to College professional document: PS58: Guidelines on Quality Assurance in Anaesthesia)
Not Started
Not Started
AR_LM 1.3
Outline strategies to identify and manage adverse events and near misses and analyse these to improve future patient care
Not Started
Not Started
AR_LM 2.6
Discuss how evidence-based medicine and management processes can be used to optimise cost-appropriate care for patients with significant co-morbidities
Not Started
Not Started
AR_LM 2.7
Discuss the standardisation of equipment between different areas of care
Not Started
Not Started
AR_LM 3.2
Outline the relative costs of drugs and equipment in anaesthesia
Not Started
Not Started
AR_LM 3.3
Balance safety, effectiveness, efficiency and equitable allocation of resources in:
Choosing anaesthetic techniques
Making complex anaesthetic equipment and drugs available in multiple locations
Providing anaesthetic services in the broader healthcare environment
Not Started
Not Started
AR_LM 4.1
Discuss the dynamic nature of healthcare and the necessity of change, including the drivers and barriers to change
Not Started
Not Started
AR_LM 4.2
Describe the principles of change management
Not Started
Not Started
AR_LM 4.5
Outline the rules for formal meetings
Not Started
Not Started
AR_LM 4.7
Understand the financial, administrative and human resource requirements needed to manage a practice or hospital department, including but not limited to:
Planning health care delivery (for example, staff rosters/rotas/schedules)
Factors affecting anaesthesia expenditure
Adherence to local guidelines concerning anaesthesia practice and equipment
Quality improvement activities
Processes by which new drugs are approved for research and clinical use in Australia and New Zealand
Regulations regarding the contracting or pricing of personal anaesthesia services
Not Started
Not Started
AR_HA 1.12
Describe the ethical and professional issues inherent in health advocacy including altruism, social justice, autonomy, integrity and idealism
Not Started
Not Started
AR_HA 1.13
Discuss how access to appropriate anaesthetic services is limited and describe strategies to address this issue
Not Started
Not Started
AR_HA 1.14
Describe the role of anaesthetists in advocating collectively for patient health and safety (Refer to College professional document PS59 Statement on Roles in Anaesthesia and Perioperative Care)
Not Started
Not Started
AR_HA 1.15
Discuss the principles of health policy and their implications for patients, the health-care system, and the community
Not Started
Not Started
AR_HA 2.1
Develop an understanding of the determinants of health in the populations they provide care for including:
The social and economic environment
The physical environment
Health-care system factors
Individual patient’s characteristics and behaviours
Availability and barriers to access healthcare resources
Not Started
Not Started
AR_HA 2.2
Describe ways anaesthetists can act individually or collectively to improve health in the populations they serve
Not Started
Not Started
AR_HA 2.5
Outline measures to reduce the impact of anaesthesia care on environmental pollution in the workplace and globally (refer to College Professional Document “PS64 Statement on environmental sustainability in anaesthesia and pain medicine practice”)
Not Started
Not Started
AR_SC 1.1
Describe the principles and processes involved in the maintenance of competence and life-long learning
Not Started
Not Started
AR_SC 2.1
Describe the basic concepts of evidence-based medicine, including levels of evidence, meta-analysis and systematic review
Not Started
Not Started
AR_SC 2.2
Describe the limitations of evidence-based medicine
Not Started
Not Started
AR_SC 2.5
Integrate evidence into decision-making in clinical practice
Complete
Complete
AR_SC 3.1
Describe the principles and processes of research and scientific enquiry including:
Research ethics
Asking a research question
Conducting a systematic search for evidence
Selecting and developing appropriate methods to address a research question
Applying appropriate statistical analysis
Formatting and processing for research papers for publication
Not Started
Not Started
AR_SC 4.1
Describe the principles of adult learning relevant to medical education, including the challenges and opportunities presented by learning in clinical settings, and strategies to enhance learning
Not Started
Not Started
AR_PF 1.3
Outline the principles of medical ethics described by the following terms:
Autonomy
Beneficence
Non-maleficence
Fidelity
Justice
Utility
Complete
Not Started
AR_PF 1.8
Discuss the principles and limits of patient confidentiality and privacy as defined by professional practice standards and the law
Not Started
Not Started
AR_PF 1.9
Discuss commonly encountered ethical issues including:
Relief of pain and suffering and end of life decisions
Involvement in procedures to which there may be moral, ethical or clinical objections, for example, termination of pregnancy
Prevention of futile medical care
Organ donation and transplantation
Consent
Choices between maternal and foetal wellbeing
Off label use of drugs
Not Started
Not Started
AR_PF 1.11
Discuss the unique vulnerability of anaesthetised or sedated patients
Not Started
Not Started
AR_PF 1.14
Discuss the tension between an anaesthetist’s role as advocate for an individual patient and the need to manage scarce resources
Not Started
Not Started
AR_PF 1.16
Explain the potential abuses of social media and other technology-enabled communication, and their relation to professionalism
Not Started
Not Started
AR_PF 1.17
Use technology-enabled communication, including social media, in a professional, ethical, and respectful manner and in accordance with the ANZCA Social Media policy
Not Started
Not Started
AR_PF 1.18
Intervene when aware of breaches of professionalism involving technology-enabled communication and social media
Not Started
Not Started
AR_PF 1.19
Follow relevant policies regarding the ethical use of electronic medical records
Complete
Complete
AR_PF 2.2
Describe how the history, culture and socioeconomic status of various Indigenous populations impacts upon their current health status, education and communication
Not Started
Not Started
AR_PF 2.3
Describe the elements of indigenous cultures that may impact upon interactions between indigenous people and health services (for example, negative perceptions of hospitals in relation to death and cultural respect, strong family and community ties)
Not Started
Not Started
AR_PF 2.6
Describe the principles underpinning culturally competent care and apply these to their practices (refer to Professional document PS62 Statement on Cultural competence)
Not Started
Not Started
AR_PF 3.1
Describe the elements necessary for informed consent
Complete
Complete
AR_PF 3.4
Describe how informed consent may be affected by the context in which it is obtained including:
Emergency and resuscitation situations
Pain
Concurrent medication
Cultural context
Age and competence of the patient
Not Started
Not Started
AR_PF 3.6
Discuss the role of advanced care directives in anaesthetic practice
Not Started
Not Started
AR_PF 3.10
Outline and apply to practice the standards of ethical and professional conduct of a medical practitioner
Not Started
Not Started
AR_PF 3.11
Practise in a way that gives due consideration to the standards of anaesthetic practice outlined in ‘Supporting Anaesthetists' Professionalism and Performance: A guide for clinicians’, the ANZCA ‘Code of Professional Conduct’ and ANZCA professional documents
Not Started
Not Started
AR_PF 3.13
Describe how to respond to, cope with, and constructively learn from a complaint or legal action
Not Started
Not Started
AR_PF 3.14
Outline the rationale for accreditation and the role of self accreditation in the provision of sub-specialty anaesthetic services (for example, cardiac or neonatal anaesthesia) for both anaesthetists and institutions (Refer to College professional document: PS 02 Statement on Credentialling and defining the Scope of Clinical Practice in Anaesthesia)
Not Started
Not Started
AR_PF 3.15
Outline the professional obligations and intervention necessary to protect patients when a colleague is impaired or practicing beyond the limits of their capabilities
Not Started
Not Started
AR_PF 3.16
Identify situations where senior assistance or supervision is required for junior surgeons and/or medical staff, and encourage, support or facilitate this as necessary
Not Started
Not Started
AR_PF 4.2
Outline how access to drugs for anaesthesia and sedation may lead to dependency and describe the signs of possible drug dependency in colleagues
Not Started
Not Started
AR_PF 4.3
Discuss possible reasons for the increased suicide risk for anaesthetists and ways in which risk can be alleviated
Not Started
Not Started
AR_PF 4.4
Outline the professional responsibilities of anaesthetists who may be carriers of a communicable disease
Not Started
Not Started
AR_PF 4.5
Discuss the features indicating that another professional may be in need, particularly in relation to drug dependency and situations that may increase suicide risk (refer to resource documents RD3 Depression and Anxiety, RD13 Impairment in a Colleague and RD20 Substance Abuse)
Not Started
Not Started
AR_PF 4.6
Describe avenues of assistance available to colleagues in need and help them to seek this out
Not Started
Not Started
AR_PF 4.9
Describe the methods that may be used to mitigate stress related to clinical practice
Not Started
Not Started
AR_PF 4.10
Identify particularly stressful times in clinical practice and take measures to mitigate that stress for self and colleagues
Not Started
Not Started
Airway Management
42
IT_AM 1.2
Discuss the important features of history and examination that may identify a potentially difficult airway
Complete
Complete
IT_AM 1.3
Outline preoperative fasting requirements and the common measures employed to decrease the risk of pulmonary aspiration
Not Started
Not Started
IT_AM 1.4
Describe an appropriate airway strategy for anaesthesia taking account of patient and procedural factors in patients with a normal airway, including indications for rapid sequence induction
Not Started
Not Started
IT_AM 1.5
Describe the indications for manual in-line stabilisation of the neck and the implications for airway management
Not Started
Not Started
IT_AM 1.7
Describe the optimal patient position for intubation
Not Started
Not Started
IT_AM 1.8
Describe the common complications of intubation
Not Started
Not Started
IT_AM 1.10
Outline an appropriate ventilation strategy suitable for routine elective and emergency patients
Not Started
Not Started
IT_AM 1.11
Outline potential management plans to ensure oxygenation of the patient with an unexpected difficult airway
Not Started
Not Started
IT_AM 1.12
Outline the clinical features, possible causes, physiological consequences and management of perioperative upper airway obstruction
Not Started
Not Started
IT_AM 1.13
Describe a ‘can’t intubate, can’t oxygenate’ drill, including the technique for performing an emergency surgical airway
Not Started
Not Started
IT_AM 1.14
Describe and classify the view obtained at direct laryngoscopy according to a common grading scale (Cormack-Lehane)
Complete
Complete
IT_AM 1.15
Describe the features of oesophageal and endobronchial intubation and outline appropriate management
Incomplete
Not Started
IT_AM 1.16
Describe the clinical features and outline a management plan for a patient with aspiration of gastric contents
Not Started
Not Started
IT_AM 1.17
Describe the clinical features that indicate a patient can be extubated safely
Not Started
Not Started
IT_AM 1.18
Describe potential complications at extubation
Not Started
Not Started
IT_AM 1.19
Describe optimisation of the patient for extubation
Not Started
Not Started
IT_AM 1.20
Outline the important airway considerations in determining the suitability of a patient for discharge to recovery
Not Started
Not Started
BT_AM 1.5
Describe the potential impact of trauma to the upper or lower airway on ventilation and airway management
Not Started
Not Started
BT_AM 1.6
Describe the clinical features of patients with critical airway obstruction
Not Started
Not Started
BT_AM 1.7
Outline the clinical situations where airway anatomy may be distorted and ventilation impaired
Not Started
Not Started
BT_AM 1.8
Describe the commonly performed airway assessment methods and the findings that would suggest potential airway management difficulties
Not Started
Not Started
BT_AM 1.9
Discuss the indications and contraindications for nasal intubation
Not Started
Not Started
BT_AM 1.10
Outline a strategy for the safe use of throat packs
Complete
Complete
BT_AM 1.11
Outline different extubation strategies for ‘high risk’ extubation situations
Not Started
Not Started
BT_AM 1.12
Describe the situations where awake intubation or spontaneous breathing induction (gaseous or intravenous) of anaesthesia may be appropriate
Not Started
Not Started
BT_AM 1.13
Describe the full range of equipment used in airway management including the rationale and indications for its use, as outlined in College professional document PS56 - Guidelines on Equipment to Manage a Difficult Airway During Anaesthesia
Incomplete
Not Started
BT_AM 1.14
Outline the relative merits and limitations of alternative laryngoscopy blades used for endotracheal intubation
Not Started
Not Started
BT_AM 1.15
Outline the various supraglottic airway devices available
Complete
Complete
BT_AM 1.16
Describe equipment used for manual ventilation
Not Started
Not Started
BT_AM 1.17
Outline indications for and the limitations and possible complications of supraglottic airway devices
Not Started
Not Started
BT_AM 1.18
Describe methods for providing local anaesthesia to the airway
Not Started
Not Started
BT_AM 1.20
Discuss the clinical features, possible causes and management of perioperative upper airway obstruction including laryngospasm
Not Started
Not Started
BT_AM 1.21
Discuss the issues involved when access to the airway is shared with surgeons or proceduralists
Not Started
Not Started
AT_AM 1.1
Discuss the reliability of the various airway assessment tools
Not Started
Not Started
AT_AM 1.2
Discuss airway strategies for patients with a difficult airway and outline a management plan appropriate to the clinical situation
Not Started
Not Started
AT_AM 1.3
Outline the various supraglottic airway devices available and their relative merits
Not Started
Not Started
AT_AM 1.4
Discuss airway strategies and outline a management plan for patients with critical airway obstruction, for example epiglottitis or laryngeal trauma
Not Started
Not Started
AT_AM 1.5
Discuss strategies for the safe extubation of patients with difficult airways
Not Started
Not Started
AT_AM 1.6
Discuss the characteristics and appropriate usage of specialised tracheal tubes
Not Started
Not Started
AT_AM 1.7
Discuss airway management for patients with a tracheostomy
Incomplete
Not Started
AT_AM 1.8
Discuss ventilation strategies for complex scenarios such as ARDS, bronchospasm, pulmonary hypertension, and select appropriate ventilator parameters for patients with these conditions
Not Started
Not Started
AT_AM 2.1
Interpret relevant airway investigations, for example, nasendoscopy, CT, MRI and flow volume loops
Not Started
Not Started
General Anaesthesia and Sedation
49
IT_GS 1.6
Calculate intravenous fluid requirements and choose intravenous fluid therapy appropriate to the clinical situation for low-risk patients having low-risk surgery
Not Started
Not Started
IT_GS 1.7
Describe the clinical situations when anxiolytic or sedative premedication may be indicated or contraindicated
Not Started
Not Started
IT_GS 1.10
Outline a strategy for the management of postoperative nausea and vomiting. (Refer to the endorsed Society for Ambulatory Anesthesia Guidelines for Surgical Patients with Postoperative Nausea and Vomiting)
Complete
Complete
IT_GS 1.11
Describe the clinical features that indicate a patient can be extubated safely (also refer to the Airway management clinical fundamental)
Not Started
Not Started
IT_GS 1.12
Outline a strategy for the management of failure to wake from anaesthesia
Not Started
Not Started
IT_GS 1.13
Outline a strategy for the management of postoperative delirium
Complete
Complete
IT_GS 1.14
Outline a strategy for the management of post operative analgesia for patients in their care (also refer to the Pain medicine clinical fundamental) (refer to College professional document: PS45 Statement on Patients' Rights to Pain Management and Associated Responsibilities)
Not Started
Not Started
BT_GS 1.45
Define and describe the features that distinguish between conscious sedation, deeper levels of sedation, and general anaesthesia
Not Started
Not Started
BT_GS 1.45a
Outline the requirements for safe practice of procedural sedation contained in ANZCA professional document PS9 - Guidelines on Sedation and/or Analgesia for Diagnostic and Interventional Medical, Dental or Surgical Procedures and the ANZCA safe procedural sedation competencies
Not Started
Not Started
BT_GS 1.45b
Discuss the indications for conscious sedation
Not Started
Not Started
BT_GS 1.45c
Describe the concepts of ‘therapeutic index’ and ‘margin of safety’ with reference to the provision of procedural sedation
Not Started
Not Started
BT_GS 1.45d
Outline the rationale for titration of agents in procedural sedation
Not Started
Not Started
BT_GS 1.45e
Discuss the potential advantages and adverse consequences of the use of combinations of drugs for procedural sedation
Not Started
Not Started
BT_GS 1.58
Outline the clinical signs and appropriate management of intra-arterial injection of a harmful substance
Not Started
Not Started
BT_GS 1.63
Discuss the management of failure to wake from anaesthesia
Not Started
Not Started
BT_GS 1.64
Discuss the management of postoperative delirium
Complete
Complete
BT_GS 1.71
Outline measures to increase the rate of successful intravenous cannulation and to minimise patient discomfort during this procedure
Not Started
Not Started
BT_GS 1.73
Describe central venous cannulation by the jugular, subclavian and femoral routes, including:
Indications and contraindications
Possible complications, including measures to reduce these
Steps involved
Documentation required
Not Started
Not Started
BT_GS 1.75
Describe arterial cannulation, including:
Not Started
Not Started
BT_GS 1.76
Outline factors determining perioperative fluid requirements and choice of fluids
Not Started
Not Started
BT_GS 1.77
Discuss the appropriate choice of monitoring devices to guide fluid management in the perioperative period (also refer to monitors and monitoring standards, which are covered in the Safety and quality in anaesthetic practice clinical fundamental)
Incomplete
Not Started
BT_GS 1.79
Discuss the indications for and complications of invasive blood pressure monitoring and the interpretation of the data (also refer to monitors and monitoring standards, which is covered in the Safety and quality in anaesthetic practice clinical fundamental)
Not Started
Not Started
AT_GS 1.1
Evaluate the place of premedication and the utility of the available agents, particularly with reference to their safety in high risk patients
Not Started
Not Started
AT_GS 1.1a
Discuss the relative merits of sedation and general anaesthesia for high-risk patients undergoing investigations or procedures
Not Started
Not Started
AT_GS 1.1b
Describe the physiological and pharmacological basis for dose titration in procedural sedation, and the application in high-risk patients
Not Started
Not Started
AT_GS 1.2
Evaluate the merits of intravenous and inhalational induction
Not Started
Not Started
AT_GS 1.3
Evaluate the use of TIVA and TCI in comparison with inhalational anaesthesia
Not Started
Not Started
AT_GS 1.4
Discuss the clinical situations where incomplete reversal of neuromuscular blockade is likely and evaluate measures taken to avoid it
Incomplete
Incomplete
AT_GS 1.5
Describe the concept of ‘response surface models’ and the contribution these models make to the understanding of the process of using combinations of drugs to achieve optimal sedation and anaesthesia
Not Started
Not Started
AT_GS 1.6
Evaluate the prophylaxis and treatment of nausea and vomiting
Complete
Complete
AT_GS 1.7
Evaluate the methods available for monitoring depth of anaesthesia and sedation, including the role of electronic monitoring of depth of sedation and anaesthesia
Not Started
Not Started
AT_GS 1.7a
Discuss the aetiology of and measures to prevent intraoperative awareness under general anaesthesia
Complete
Complete
AT_GS 1.7b
Discuss your management of a patient who complains of intra-operative awareness under general anaesthesia
Complete
Complete
AT_GS 1.8
Discuss the potential causes and management of failure to wake from anaesthesia
Not Started
Not Started
AT_GS 1.9
Discuss the potential causes and the prevention and management of perioperative neurocognitive disorders (postoperative delirium, delayed neurocognitive recovery, and postoperative neurocognitive disorder)
Incomplete
Not Started
AT_GS 1.10
Outline the pathophysiology of chronic drug use and discuss its interaction with perioperative anaesthetic management
Not Started
Not Started
AT_GS 1.11
Describe the insertion of PICC lines
Not Started
Not Started
AT_GS 1.12
Discuss the advantages and disadvantages of PICC v CVC
Not Started
Not Started
AT_GS 1.13
Evaluate the place of ultrasound in vascular access
Not Started
Not Started
AT_GS 1.14
Discuss the advantages and disadvantages of the internal/external jugular, subclavian and femoral routes for central venous access (Refer to endorsed guideline from ANZICS: Central Line Insertion and Maintenance Guideline 2012)
Not Started
Not Started
AT_GS 1.15
Discuss factors determining perioperative fluid requirements and choice of fluids
Not Started
Not Started
AT_GS 1.16
Discuss goal directed fluid therapy for complex surgical procedures
Not Started
Not Started
AT_GS 1.17
Critically evaluate the strategies to minimise blood loss and blood transfusion requirements
Not Started
Not Started
AT_GS 1.18
Evaluate the place of CVP measurement in perioperative fluid management
Not Started
Not Started
AT_GS 1.19
Describe the technique of insertion of a pulmonary artery catheter
Complete
Complete
AT_GS 1.20
Evaluate the role of the pulmonary artery catheter in perioperative management
Not Started
Not Started
AT_GS 1.21
Evaluate the role of continuous cardiac output monitoring devices (for example, pulse contour cardiac output monitoring) in the perioperative period
Not Started