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Maintaining Professional Excellence in Contemporary Anesthesia Practice

Dr Michelle Harris is in academic practice at the University Hospital. Not only does she care for patients in many settingsthe OR, the preoperative clinic, and the ICUbut she is also the residency rotation director for ambulatory anesthesia. Since she graduated from residency and fellowship twenty years ago, she has seen many changes to her practice and she knows it is her responsibility to keep up with the newest medications, anesthesia techniques, and policies. To maintain her license, she is required to demonstrate that she has attended a certain number of hours of CME to show that she is maintaining her competence. Conferences are pretty enjoyable, but they just update some knowledge gaps. She soon realized that her complex clinical and teaching commitments required her to develop new skills. Although she was trained to care for patients in the OR and ICUs, she now finds herself working on the wards with interdisciplinary and interprofessional teams as they pilot a “surgical home” model. She needs to be able to understand patient-safety systems, how to initiate a quality improvement project, stay in compliance with policies, and give data–driven, evidence-based care to her patients so they can have better outcomes. She also needs to provide the expert teaching necessary to prepare her residents and fellows for the same future. Although she is not required to do so, she enrolled in MOCA this year: it just seemed like the best way to keep in tune with all that is going on. Such a challenge!