An innovative textbook: design and implementation.

Background: The 'flipped classroom' instructional strategy has gained much momentum in educational discourse, yet no single educational offering exists in postgraduate medical education (PME) to systematically replace the lecture element of didactic sessions. This article describes the design and implementation of Clinical Anesthesia Fundamentals, the first known textbook in PME addressing this gap in resources through the integration of full-length interactive multimedia-enhanced video lectures. The 'flipped classroom' instructional strategy has gained much momentum in educational discourse INNOVATION: The textbook was developed in alignment with the content outline for the specialty provided by the American Board of Anesthesiology.

The Surgical Care Improvement Project Antibiotic Guidelines: Should We Expect More Than Good Intentions?

Since 2006, the Surgical Care Improvement Project (SCIP) has promoted 3 perioperative antibiotic recommendations designed to reduce the incidence of surgical site infections. Despite good evidence for the efficacy of these recommendations, the efforts of SCIP have not measurably improved the rates of surgical site infections. We offer 3 arguments as to why SCIP has fallen short of expectations.

Aortic valve replacement for critical aortic stenosis after bilateral lung transplantation.

Four years after bilateral lung transplantation, a 62-year-old man with critical aortic stenosis required aortic valve replacement. This is the first report of aortic valve replacement after bilateral lung transplantation. Anesthetic and surgical management are described.