CANPC study plan
CANPC · Give each week a clear focus.
8 weeks · About 7 hours per week
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
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
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
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
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
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
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
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