The training program for residents is important for attracting more residents to university hospitals. The survey on the training program for residents by the Ministry of Health, Labour and Welfare revealed that the degree of satisfaction was higher in teaching hospitals than university hospitals. The main difference between them was programs for primary care.
In the resident training program, the residents can learn the basic skills in airway and circulation management in the Anesthesiology Department. Moreover, with the training for total intravenous anesthesia (TIVA) and target controlled infusion of propofol (TCI) , they can acquire knowledge about the basic pharmacokinetics of intravenous anesthetics that also can be readily applied to sedation and pain relief outside the operation theater. This could remind residents of the importance of Anesthesiology in primary care at university hospitals.
The questionnaire survey about the current status in TIVA in Japan revealed that about 1/3 of anesthesiologists are mostly practicing TIVA. The anesthesiologists who choose TIVA tend to use TCI infusion of propofol, EEG monitor and simulation program of fentanyl blood concentration. Understanding and extended use of these devices seems useful in the training program for residents.
We believe that facilitating to teach TIVA/TCI is the major cue for the residents training program at university hospitals.
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