Ethics, Practice Management, and Medicolegal Issues

Question 1

What was the orignally intended use of the ASA classification system?

Answer 1

comparison of anesthetic data

Question 2

What is the relapse rate of residents with a substance abuse disorder who continue to practice?

Answer 2

40%

Question 3

What are the contraindications to surgery in a freestanding surgical center?

Answer 3

recent placement of cardiac drug-eluting stents

Question 4

How long is physician data maintained in the NPDB?

Answer 4

5 years

Question 5

How long is an anesthesia time unit?

Answer 5

15 minutes

Question 6

What is the incidence of substance abuse among anesthesiologists?

Answer 6

1-2%

Question 7

What is the most common substance abused by anesthesiologists?

Answer 7

1. alcohol
2. fentanyl

Question 8

When are anesthesiolgist at the highest risk of drug-related death?

Answer 8

within the first 5 years after graduating medical school

Question 9

What is the difference between an ASA guideline and a practice advisory?

Answer 9

Guidelines should be strictly followed; practice advisories can aid in decision making.

Question 10

What are the components of MOCA?

Answer 10

• professional standing (license)
• lifelong learning assessment (CME)
• cognitive examination (MOCA test)
• practice performance assessment (simulation)

Question 11

What are the ACGME competencies?

Answer 11

patient care

medical knowledge

practice-based learning and improvement

interpersonal and communication skills

professionalism

systems-based practice

Question 12

Which drugs of addiction have the highest rate of relapse among anesthesiologists?

Answer 12

opioids (esp. fentanyl)