Cardiac
Anaesthesia Section: Founded in 1990
Subspeciality Programme running since 1998
Cardiac Anaesthesiology and Perfusion |
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Finnish Society of Anaesthesiologists |
Members:85
(in year 2000) |
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'SSAY'Board |
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Educational Committee |
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The
Education program
aiming for subspecialization in Cardiac Anaesthesiology
was introduced in 1995 and has been running since 1998.
EBCP accreditation was granted in 1999. The programme is
open for all Specialists in Anaesthesiology who are
members of the Finnish Medical Association
(FMA).
The Programme is approved by 'SSAY' (The Finnish Cardiac
Anaesthesia Section of the Finnish Association of
Anaesthesiologists). The Main center responsible for
planning and running the Theoretical Programme together
with the Board of 'SSAY' is the Cardiac Anaesthesia
Section of the Finnish Association of Anaesthesiologists
is the Cardiac Anaesthesia Section of the Department of
Anaesthesiology at Helsinki University Central Hospital.
Education and Training in Paediatric Anaesthesia and
Perfusion is given at The Hospital for Children and
Adolescents at Helsinki University Central Hospital.
Affiliate centers responsible for further clinical
education and training are the Cardiac Anaesthesia
Sections of the Departments of Anaesthesiology at
Kuopio, Oulu, Tampere, and Turku University Hospitals,
and Vaasa Central Hospital.
At this moment 14 students are attending the Programme
at different Cardiac Surgery Centers in Finland. The
Educational requirements are in accordance with The EBCP
Examination Syllabus-Basic Sciences and -Clinical Part,
with emphasis on clinical responsibility for the patient
throughout the cardiac surgery procedure including the
preoperative visit, the anaesthesia, the cardiopulmonary
bypass, and postoperative care.
The aims of the education is that the anaesthesiologist,
after passing the education and training programme:
- is versed in the theoretical knowledge needed in
the subspeciality of cardiac anaesthesiology.
- is
able to independently manage and control the tasks
belonging to a cardiac anaesthesiologist.
- is
able to independently run the cardiopulmonary bypass
during a heart operation, and also take
responsibility and handle other tasks nearly
belonging to the field of perfusion.
- is
able to act as an expert regarding special questions
and topics in his/her own speciality and other
closely related subspecialities
- is
able to organize and accomplish developmental and
educational tasks of the speciality.
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| Subspecialization
in Cardiac Anaesthesia and Perfusion |
| Entry
requirements |
| Medicine studies |
6 years |
| Specialization in
Anaesthesiology |
4-6years |
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| Duration |
Full-time
supervised service
Or |
2
years |
| Full-time
supervised service and |
1 year |
| Independent
service |
2
years |
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| Clinical
service may be substituted by a maximum of six
months of scientifical work with a research
project in cardiac anaesthesiology |
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| Theoretical
Education |
| Clinic
meetings |
16 h/year |
Course bound education Lectures including: Cardiac
anaesthesiology incl. pharmacology, monitoring;
TEE and pre- and postoperative care. Blood filtration and cell saving
Perfusion pathophysiology and technology incl.
assist devices Complications and emergency
situations |
60 hours |
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| Logbook |
| A
modified EBCP logbook |
Minimum |
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Anaesthesia cases |
100 |
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TEE cases (optional) |
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Clinical perfusions |
100 |
Special techniques:
incl.hemofiltration, cell saving,
myocardial protection IABP, ECMO,VAD,
Total arrest, Left side bypass |
10 |
| Training for
emergency situations |
10 |
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| Examination
and certification |
Written
examination Verification of theoretical education
Verification of practical training (logbook)
Programme Director's statement verifying the
students competence
for the subspeciality of cardiac
anaesthesiology. |
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| Higher
education |
| More
than 50% of Finnish ECCP holders have presented an
academic dissertation for PhD. |
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Cardiac
surgery in Finland
| Clinic |
Open
Heart Cases
(1998) |
Cardiac
Anaesthesiologists/ Perfusionists |
ECCP* |
In
training |
Helsinki
University Hospital
|
1518 |
11 |
7 |
4
(5) |
| The
Hospital for Children and Adolescents, Helsinki |
365 |
6 |
4 |
2
(1) |
| Kuopio
University Hospital |
1107 |
10 |
5 |
1 |
| Oulu
University Hospital |
788 |
11 |
7 |
3 |
| Tampere
University Hospital |
877 |
9 |
8 |
2 |
| Turku
University
Hospital |
401 |
10 |
8 |
2 |
| Vasa
Central Hospital |
300 |
4 |
3 |
1 |
Private
centers:
Mehiläinen Hospital, Helsinki |
134 |
Various |
? |
- |
| Cordia
Hospital, Kuopio |
305 |
Various |
1 |
? |
*ECCP
= European Certificate in Cardiovascular Perfusion |
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