Message from the chair
The UC Davis advantage
The importance of learning
The department has designed an educational program emphasizing problem-based learning. We have utilized new developments in information technology and virtual reality to establish a rich learning environment to further knowledge, concepts and clinical decision-making.
We gain our momentum for all our activities from clinical teaching programs. We place emphasis on subspecialty training and a balanced clinical experience in the CA-1 and CA-2 years. The residency program features CA-3 years in the advanced clinical track, the clinical scientist track and clinical subspecialty tracks in cardiac anesthesia, critical care anesthesia, neuroanesthesia, obstetric anesthesia, and pediatric anesthesia.
Innovations in education
Striking a balance
Stress and fatigue are factors in clinical anesthesiology that can result in errors and lapses in judgment. Our clinical schedules recognize these factors and limit on-duty time by providing appropriate pre and post call time for recovery and adequate sleep; an on-duty shift never exceeds 13 hours.
The war on pain
Both the department and the division are committed to the development of pain medicine as a specialty in its own right through a commitment to multidisciplinary and multimodal management of acute and chronic pain patients. The division accepts resident applicants from Anesthesiology, Physical Medicine and Rehabilitation, and Psychiatry and Neurology into its fellowship programs. In addition, residents in Anesthesiology, Physical Medicine and Rehabilitation, Psychiatry and Neurology, Orthopaedic Surgery, and students in Behavioral Psychology all rotate through the division for clinical experience in advanced pain management. The Pain Management Center including the Invasive Pain Management Procedures Suite presently cares for more than 6,000 patients per year. The Pain Center works closely with UC Davis Medical Group and telemedicine to further develop outreach services to rural communities in the region.
The growth in clinical anesthesiology
Clinical anesthesiology falls under the direction of Jeffrey Uppington, M.D., Vice Chair for Clinical Affairs for the department. Dr. Uppington leads a large cohort of attending staff with specialty expertise in all branches of clinical anesthesiology.
Clinical care is a major priority of the department as faculty, residents, and nurse anesthetists administer over 20,000 anesthetics to patients at UC Davis. The phenomenal success of the UC Davis Health System has resulted in a growth in surgical and obstetric services of over 60% in the last seven years. We have pioneered the development of a unique hospital management structure to integrate the clinical activities of the surgical departments, clinical anesthesiology and hospital services to efficiently mange the patients that require surgical services from both the clinics and the emergency room. As the leading level one trauma and pediatric trauma center in Northern California and one of the busiest trauma and burns centers in the country, it was a key element to develop an integrated information management system and leadership to maximize access for patients requiring surgery.
Perioperative care begins in the Surgery Admissions Center, continues in the 24 operating rooms and other locations such as the University Birthing Unit, interventional radiology, MRI Suite, Cancer Center, gastroenterology laboratory, cardiac catheterization laboratory, and lithotripter, and is completed in the Post-Anesthesia Care Units or Surgical Intensive Care Units where patients are closely followed by the department and the in-patient pain service to ensure quick recovery and optimum outcomes for our patients. A total quality management program for surgical patients has been in place since 1995 and the adoption of evidence-based medicine protocols improves outcome and the efficiency of care for patients.
There is great excitement with the recent opening of the Surgery and Emergency Services Pavilion with 24 operating rooms that brings our O.R. capacity to over 40 rooms. We are also excited by the short and long term plans for pediatric surgical services in the UC Davis Children's Hospital Surgery Center, slated to open in the current year, which will provide a warm and supportive environment for children requiring surgery and for their families.
Breakthroughs in research
Other major funded research activities include the membrane biology of cellular integrity and injury (ischemic and reperfusion injury), gene therapy in spinal cord injury, the role of agrin in the regulation of the synaptic localization of the nicotinic receptors at the developing neuromuscular junction, and clinical studies of emerging therapies for the management of chronic pain.
For those interested in joining us as residents or faculty, we welcome you to contact us to explore the various options available to you to join us at UC Davis.
Peter G. Moore, M.D., Ph.D.
Professor and Chair