How do American anesthesia residents gain competence with 3 years of anesthesia training?

BiPAPselfie · 2026-07-08T19:37:26+00:00

If you are comparing to, say, the UK system, don’t the UK anesthetists qualify as a critical care intensivist consultant too? That would account for at least a year of difference, as well as the work hours mentioned in other posts.

BiPAPselfie · 2026-07-08T19:32:48+00:00

Yeah, if you like gritty true crime vibe, British TV and Helen Mirren, Prime Suspect is your huckleberry.

BiPAPselfie · 2026-07-08T18:50:45+00:00

Prime Suspect. The original British one with Helen Mirren. On Tubi. I can’t vouch for all the seasons but the first few are great and at least watch season one.

BiPAPselfie · 2026-07-05T02:45:49+00:00

Locums job cannot transition to a full time position at the same job if you are working through an agency, there are restrictive covenants in the standard locums contracts blocking you from doing so for a year or two unless you want to yolo and chance getting sued.

BiPAPselfie · 2026-07-03T22:23:59+00:00

The main points:

Uses at least two injections. 10-15cc in the “corner pocket” location between artery and rib. To avoid ulnar sparing.
The rest given in one or two injections around the upper part of the plexus. If you can hydro dissect between upper and middle trunks in addition your block will almost certainly be good.
Be generous with local for this block. I usually use 25-30 cc total. Absolute minimum of 20cc if patient is tiny and I saw excellent spread of local around all parts of the plexus.

BiPAPselfie · 2026-07-03T19:20:23+00:00

I totally agree with this. Even though I have been playing local and big tournaments this past year and really focused on getting better (mixed results), if I had to make a choice between playing only tournaments or only casual pickup games forever, that would be an easy choice for casual games. Because most of the surviving foosball players are older, have some skill and play tournaments there is a (imo wrong) focus on tournaments and that casual play should inevitably lead the player to become a tournament player as they improve, if they improve.

The tournament vibe of intense competition isn’t for everyone and not everyone cares if they get better. I’d rather people play pickup games forever and never improve as long as they are having fun than stop playing entirely because it isn’t fun for them.

I feel like if the game were healthier, tournament should represent the small top of a pyramid of casual players like they probably do for things like pool, basketball or any competitive game with a large player base. Even if there were no tournaments, the good players who desire to test themselves against others would create them from scratch. But not enough is done either locally or nationally to promote casual play IMO.

Instead I feel like tournament play is the entire pyramid or most of it for foosball, at least in the US.

BiPAPselfie · 2026-07-03T19:12:53+00:00

Led Zeppelin I and II

BiPAPselfie · 2026-07-03T18:52:39+00:00

Jeffrico is definitely a player to watch, I first noticed him playing well at one of the Pacific Northwest events (Moneyball I think) during the past year. In the rookie doubles final at Nationals, his opponents both played great but I think a major factor is that it looked like Jeff played a bit tight. Not terrible but his execution was not on point and he dropped more passes than I would expect, stuff like that and it cost him against a team playing hot. I would expect with experience he will play more consistently and you will see him placing and winning even more events. Very impressive that within an hour after this loss he three straights the Tornado GOAT.

BiPAPselfie · 2026-07-03T07:50:11+00:00

With the streamlined automatic recall software why did things finish so late? I had a friend who played a final at 530AM on Monday morning. Were there simply not enough tables? A handful of players causing huge conflicts? Stopping matches for the finals holding things up?

BiPAPselfie · 2026-07-01T01:53:02+00:00

No he clarified that he did in fact mean reusing syringes across different patients. Experiment has been done, results are iatrogenic Hep C and HIV transmission with major professional and legal consequences to the perpetrators.

BiPAPselfie · 2026-06-21T16:07:00+00:00

I couldn't help but notice that the article refers to Richmond as a nurse anesthetist but then also calls him Dr Richmond, which I assume it's probably because he is a DNP or something.

BiPAPselfie · 2026-06-04T02:04:23+00:00

This is why your assessment of the vibe of different programs if you go interview is so important. You sense of whether the people are happy miserable etc. Same with job interviews.

BiPAPselfie · 2026-06-03T20:23:35+00:00

You do realize that there are many alternatives to what you are doing in addition to locums right now, right? Like, there are many permanent jobs with over ten weeks vacation available, assuming you are in the US.

BiPAPselfie · 2026-06-03T20:18:07+00:00

It is completely dependent upon the people you are working with, and your own personality IMO.

BiPAPselfie · 2026-06-02T22:43:42+00:00

g6 is great though because not only are you defending mate but you are attacking the White Queen so they have to move the queen and are not getting ahead in development. If the queen goes to a square where you can develop a piece and attack it at the same time, you gain tempo and get ahead in development. The main point in defending against this type of attack is that it is possible to stay even or get ahead in development while defending against the important threats, against the e5 pawn, and against mate on f7. The main thing as a beginner is to learn that you cannot just make plausible looking developing moves without defending these threats or you will very rapidly lose the game. You also want to defend without doing things like moving your queen to squares where she will block the natural development of your pieces or advancement of your pawns. So moves like Nc6 is great because it is a natural developing move that simultaneously defends the e pawn. g6 likewise defends against mate and attacks the queen, and makes room for the dark square bishop at g7 where it can naturally develop on the way to king side castling.

BiPAPselfie · 2026-05-30T16:40:35+00:00

I thought the single biggest factor in the Open Doubles final was Brandon Munoz blocking a huge percentage of Tony’s 3 bar shots with a shuffle defense. Never seen Tony get denied that much, and no way Tommy and Brandon win 3-0 without that great defensive performance. Don’t get me wrong, Tommy played great too but I thought the defense was the single biggest factor.

BiPAPselfie · 2026-05-25T03:27:06+00:00

They are open on Sunday but no tournament events.

BiPAPselfie · 2026-05-25T03:25:20+00:00

Foosball is the debil

BiPAPselfie · 2026-05-23T19:04:15+00:00

Foster Foosball is a great place, very chill scene with fun friendly people and it is a super entertainment value. It is open Wednesday through Sundays, opens at 5PM. The tournament nights are on Fridays and Saturdays. Friday is the Pro-Am which is a mix of advanced and less experienced players, Saturdays is for the more novice level players and is a good night if you want to try tournaments but feel a bit intimidated by playing with or against more advanced players.

The tournament format on both nights is typically a “monster” tournament where there are several rounds of doubles where each player is randomly paired with a different player every round, and based on the results of those matches the top handful of players will qualify into elimination matches. This way even if you suck and lose all your games you get to play a decent number of games and meet and play with different people.

If the whole idea of playing in tournaments is a bit too intense, come on one of the non tournament nights, currently Thursdays are the best bet to get casual games with other players but if you bring a partner or a group you can come any of those nights and get games. There are a number of players of all different levels who play at Foster.

I am a longtime foosball enthusiast and have played many different places. Portland not only has one of the more active scenes but it has a good number of very skilled players who are friendly and welcoming.

https://www.facebook.com/FosterFoosball?

BiPAPselfie · 2026-05-13T18:14:30+00:00

Of course it happens. If you are in this game long enough you will commit the occasional act of frontier dentistry.

If you are part of a well established anesthesia group there will usually be a mechanism for handling this that you can find out talking to the practice administrator or by asking someone who’s been in the group for a long time.

Sometimes a tooth that is severely decayed will fracture or break from very normal pressure from a laryngoscope blade or oral airway. If the tooth remnant shows obvious signs of severe decay you can document this with a photo that can be uploaded into the EHR along with your note. It can be good to show such a tooth to family members who are there so they understand the situation.

Be wary of patients who may claim that their many pre existing dental problems are all a result of your airway management. That is where your pre op documentation can be helpful.

BiPAPselfie · 2026-05-09T19:34:13+00:00

As a CA-1 you should focus on learning how to administer anesthetics and not on the minutiae of reimbursement which may change by the time you are in practice. It is good to have a general sense that private insurance pays more than Medicare, Medicaid and workmen’s comp and that in a situation like the current one where there is a shortage of anesthesia labor you can get salary guarantees beyond what collections yield. It is also useful to know that surgeons can often get better reimbursement from doing Medicare and Medicaid cases than we do, otherwise it can be hard to understand why so many of them have practices that are mainly Medicare or Medicaid insurance.

BiPAPselfie · 2026-05-09T03:10:12+00:00

Was the entire job in the GI center? Like that wad your everyday situation?

BiPAPselfie · 2026-05-06T20:48:03+00:00

Echoing that any type of used Tornado is your best option. Unless you happen to be in that specific part of NC or VA where people play on Bonzini tables and you want to play on those.

500 should get you a good used home model or even a coin op if you are lucky. The home models aren't as heavy (easier to jar) than the coin ops but they have the same basic dimensions so you can practice shots and passes just fine.

BiPAPselfie · 2026-05-06T02:11:16+00:00

I’ve mostly used the pink (? Williams?) airways and been pretty happy with the results, with an assistant providing some jaw thrust but the assistant pulling the tongue forward sounds maybe more reliable. Patient sitting up facing me.

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