Back to the future: redesign of the anesthesiology residency curriculum.

摘要

I wish to thank Dr. Kuhn for her recent editorial highlighting the need for a more dynamic anesthesiology residency curriculum.1 Dr. Kuhn suggests that our curriculum be changed such that our trainees have either a pain or critical care focus. In other words, part of the CA3 postgraduate (PG) training year would be structured to permit residents to acquire additional perioperative skills. Although I strongly support her desire to give program directors greater flexibility in designing more individualized training pathways and her call to employ competency-based milestones in determining resident advancement, I am concerned that her proposals may not be sufficiently radical to truly transform our residency programs. Dr. Kuhn bases her suggestions upon retention of our 4-yr residency training continuum and our 1-yr subspecialty fellowships. But is our current training continuum the most effective way to develop perioperative physicians?