CANPC study materials
CANPC study resources

CANPC study plan

CANPC · Give each week a clear focus.

8 weeks · About 7 hours per week

Week 1

Preoperative Assessment and Preparation & Postoperative Complications

  • Differentiate preoperative risk stratification tools (ASA physical status, cardiac risk indices, functional capacity assessment) and apply each to a written case vignette

  • Identify modifiable preoperative risk factors and state the specific perioperative management change each would trigger

  • List the components of informed anesthesia consent and the documentation elements required before induction

  • Rank postoperative complications by frequency and morbidity in the perioperative period and describe the earliest recognizable sign of each

Your checkpoint

A one-page preoperative risk-stratification worksheet completed for 10 self-written patient vignettes, each with ASA class, identified risks, and a planned modification

Week 2

Preoperative Assessment and Preparation & Anesthesia and Sedation

  • Compare pharmacologic properties (onset, duration, metabolism, context-sensitive half-time) of common induction and maintenance agents

  • Select an anesthetic technique (general, neuraxial, regional, MAC) for a given comorbidity profile and justify the choice in two sentences

  • Explain how hepatic and renal impairment alter dosing of at least four anesthetic drugs

  • Describe NPO fasting intervals and the aspiration-risk factors that warrant rapid sequence induction

Your checkpoint

A drug comparison table covering at least 10 anesthetic agents with onset, duration, metabolism, and one clinical caveat each

Week 3

Airway Management and Ventilation & Hemodynamic and Cardiac Monitoring

  • Outline a stepwise difficult-airway algorithm from pre-induction assessment through failed intubation and failed ventilation

  • Interpret capnography waveforms and distinguish the common causes of each abnormal pattern

  • Calculate mean arterial pressure, cardiac output, and systemic vascular resistance from provided hemodynamic values

  • Match invasive and noninvasive monitoring modalities to the clinical situations that require each

Your checkpoint

A written difficult-airway decision tree plus interpretation of 8 capnography and hemodynamic scenarios with stated next actions

Week 4

Anesthesia and Sedation & Hemodynamic and Cardiac Monitoring

  • Predict hemodynamic consequences of specific anesthetic agents and neuraxial blocks and state the first-line corrective intervention for each

  • Identify the criteria for intraoperative awareness risk and the monitoring strategies that reduce it

  • Explain indications, contraindications, and complications of arterial line and central venous catheter placement

  • Describe the physiologic rationale for fluid and vasopressor selection in intraoperative hypotension

Your checkpoint

A 20-item self-quiz on intraoperative hemodynamic management scored and reviewed, with a written correction note for every missed item

Week 5

Postoperative Pain Management & Nausea and Vomiting Management

  • Build a multimodal analgesic plan for four surgical types using opioid-sparing adjuncts and regional techniques

  • Convert between opioid routes and calculate equianalgesic doses while accounting for incomplete cross-tolerance

  • Apply a validated PONV risk-scoring tool and construct a prophylaxis regimen matched to risk level

  • Distinguish PONV prophylaxis from rescue treatment and state the timing constraints for each antiemetic class

Your checkpoint

Two completed clinical pathways: a multimodal analgesia protocol and a risk-stratified PONV prophylaxis algorithm, each with drug, dose, and timing

Week 6

Postoperative Complications & Postoperative Pain Management

  • Differentiate causes of postoperative hypoxemia and state the initial diagnostic and therapeutic step for each

  • Recognize malignant hyperthermia and local anesthetic systemic toxicity by their earliest presenting signs and state immediate treatment including dosing of the antidote

  • Describe the presentation and management sequence for postoperative respiratory depression, aspiration, and anaphylaxis

  • Identify patients requiring escalation of postoperative pain therapy and the signs of opioid-induced respiratory compromise

Your checkpoint

A one-page emergency quick-reference card for MH, LAST, anaphylaxis, and postoperative respiratory depression with recognition criteria and first three actions for each

Week 7

Postoperative Complications & Patient Safety and Quality Improvement

  • Apply a root-cause analysis framework to a written perioperative adverse-event case and propose system-level corrective actions

  • Identify perioperative medication safety risks (look-alike/sound-alike drugs, labeling, syringe swaps) and the standard mitigations

  • Describe handoff and time-out elements that reduce wrong-site and retained-item events

  • Explain how quality metrics (never events, surgical safety checklist compliance, unplanned reintubation) are tracked and used

Your checkpoint

A completed root-cause analysis on one self-written adverse-event case, including a fishbone diagram and three measurable system-level interventions

Week 8

Professional Practice and Ethics & Patient Safety and Quality Improvement

  • Apply an ethical decision-making framework to two written scenarios involving informed refusal and end-of-life perioperative care

  • Distinguish the anesthetist's obligations regarding informed consent, capacity assessment, and surrogate decision-makers

  • Identify scope-of-practice and professional-boundary issues in given scenarios and state the appropriate escalation

  • Complete a timed cumulative review and analyze error patterns by domain to target final-week study

Your checkpoint

A timed 60-question cumulative self-assessment scored by domain, with a written remediation plan for the two weakest domains

Milestones

Week 2: Score at least 80% on a self-written 25-question quiz covering preoperative assessment and anesthetic pharmacology, with every missed item corrected in writing

Week 4: Correctly interpret 8 of 8 capnography and hemodynamic scenarios and recite the difficult-airway algorithm from memory without notes

Week 6: Demonstrate recall of antidote dosing and first three actions for MH, LAST, anaphylaxis, and postoperative respiratory depression with no reference material

Week 8: Achieve at least 75% overall on the cumulative self-assessment with no single domain below 65%, and submit the remediation plan for the two weakest domains