RAA study plan
RAA · Give each week a clear focus.
8 weeks · About 7 hours per week
Basic and Applied Sciences (anatomy, physiology, pharmacology, physics and equipment)
Build a one-page autonomic pharmacology map linking receptor subtypes (alpha-1, alpha-2, beta-1, beta-2, muscarinic, nicotinic) to the hemodynamic effect of agonists and antagonists used in the OR
Explain from memory the Frank-Starling relationship, the determinants of cardiac output, and how each anesthetic class shifts the curve
Calculate mean arterial pressure, ejection fraction, systemic vascular resistance, and oxygen delivery from supplied numbers without a formula sheet
Trace the flow of gas from pipeline or cylinder through regulator, flowmeter, vaporizer, and breathing circuit, naming the physical principle at each step
Your checkpoint
A single-page formula and receptor cheat sheet, reproduced from memory in under 10 minutes with no more than two errors
Basic and Applied Sciences (anatomy, physiology, pharmacology, physics and equipment)
Predict the effect of volatile agent choice on MAC, blood pressure, and recovery time using the Meyer-Overton and lipid solubility concepts
Differentiate depolarizing from nondepolarizing neuromuscular blockers by mechanism, onset, duration, and elimination route
Work through ten calculation items covering dilution, infusion rate, local anesthetic maximum dose, and circuit compliance
Describe how a pulse oximeter and a capnograph generate their signal and name three common causes of each artifact
Your checkpoint
A 15-item self-written calculation set with worked solutions, scoring at least 90 percent on a timed retake
Basic and Applied Sciences (anatomy, physiology, pharmacology, physics and equipment) & Preanesthetic Assessment and Patient Preparation
Identify on a drawn airway and spine the landmarks relevant to mask fit, laryngoscopy grade, and neuraxial puncture
Assess a patient history for the predictors of difficult mask ventilation and difficult intubation and record them in a structured airway note
Interpret a basic and advanced metabolic panel, coagulation study, and ECG in terms of anesthetic risk
Formulate a preanesthetic plan that states NPO status, aspiration risk, premedication choice, and monitoring level for three sample patients
Your checkpoint
Three completed preanesthetic assessment write-ups on hypothetical patients, each with a defensible airway plan and a stated rationale for every premedication
Preanesthetic Assessment and Patient Preparation & Anesthesia Equipment, Monitoring, and Safety
Match each ASA physical status class to a patient vignette and justify the assignment in one sentence
Verify a machine checkout sequence in the correct order and state the consequence of skipping each step
Explain the safety features that prevent hypoxic mixture delivery, wrong-agent delivery, and barotrauma
Distinguish the indications, waveforms, and limitations of each standard intraoperative monitor
Your checkpoint
A written machine checkout checklist in your own words plus a 10-vignette ASA classification quiz scoring 9 of 10 or better
Airway Management and Ventilation & Anesthetic Agents, Adjuncts, and Techniques
Compare supraglottic airway, direct laryngoscopy, video laryngoscopy, and surgical airway by indication, confirmation method, and failure mode
Sequence a failed-airway algorithm and state the decision points that trigger each escalation step
Select an induction agent, maintenance technique, and muscle relaxant for five contrasting patient profiles and defend each choice
Calculate and explain the rationale for a local anesthetic dose with and without epinephrine in an adult and in a small child
Your checkpoint
A one-page difficult-airway decision tree drawn from memory and a five-case agent selection table with justifications
Intraoperative Management and Hemodynamic Support & Anesthetic Agents, Adjuncts, and Techniques
Interpret a set of intraoperative vital sign trends and name the most likely cause plus the first two interventions
Explain the hemodynamic consequences of positive pressure ventilation, blood loss, and pneumoperitoneum and the countermeasures for each
Compare fluid and vasoactive strategies for hypotension by mechanism of action and expected response time
Describe the pharmacokinetic and pharmacodynamic changes of aging and obesity that alter dosing at induction and maintenance
Your checkpoint
A written response to two full intraoperative scenarios, each with a differential of at least four causes ranked by likelihood and a stepwise management plan
Emergencies, Complications, and Crisis Management
Recognize the early signs of malignant hyperthermia, anaphylaxis, local anesthetic systemic toxicity, and last-generation bronchospasm and state the first-line drug and dose for each
Sequence the response to laryngospasm, aspiration, and a sudden loss of the capnogram
Explain the mechanism and treatment of hypotension and bradycardia after spinal anesthesia
State the cognitive aids, roles, and communication structure used during a crisis in the OR
Your checkpoint
A crisis card deck of 12 emergencies, each with recognition cues, first three actions, and drug plus dose, recalled cold in a timed drill
Postanesthesia Care and Pain Management & Emergencies, Complications, and Crisis Management
Apply a validated pain scale and a multimodal analgesic plan to postoperative scenarios including opioid-tolerant and pediatric patients
List the discharge criteria from the postanesthesia care unit and identify which criteria each common complication threatens
Differentiate the causes and management of early postoperative hypoxemia, nausea, shivering, and delayed emergence
Assemble a full-length timed practice exam and review every missed item by domain
Your checkpoint
A scored full-length practice exam with a written error log grouping every miss by domain and a one-line correction for each
Milestones
Week 2: Score at least 85 percent on a self-made 40-item quiz drawn only from Domain 1, with every miss traced to a specific concept you can restate correctly
Week 4: Complete a machine checkout and an ASA classification set without reference material, and correctly answer 80 percent of a mixed Domain 1 through 3 question set
Week 6: Talk through two intraoperative scenarios aloud in under 10 minutes each, covering differential, first interventions, and escalation, with no critical omission
Week 8: Score at least 75 percent overall on the full-length practice exam, with no single domain below 65 percent and a written remediation list for the two weakest domains