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Working towards EXCELLENCE in anesthesia 
Yoo Kuen Chan 
Dept of Anaesthesia 
University of Malaya Medical Centre
Location of Malaysia
02 yoo kuen chan
KILLED by CARE…
02 yoo kuen chan
Closing GAPS in CARE & LEARNING
Format of lecture Definition of EXCELLENCE Building a profile of EXCELLENCE Why work towards excellence? 
How to work towards excellence
4 roles of anesthesiologists 
The patient as a physiologic object – professional artist 
The patient as a person – good Samaritan 
Involvement in a hospital system – servant to close gaps in care 
Involvement in the operating team – the coordinator
Profiling EXCELLENCE 
Excellence is when we are able to connect with our knowledge and skills in ways far above that of mere technicians…
Profiling EXCELLENCE
02 yoo kuen chan
02 yoo kuen chan
02 yoo kuen chan
02 yoo kuen chan
Working towards EXCELLENCE 
Encompasses practice elements such as task management, team working, decision making and situation awareness.
Anesthetists’ Non Tech skills ( ANTs) Glavin RJ
02 yoo kuen chan
Anesthetists’ Non Tech skills ( ANTs) 
Glavin RJ
Enhancing EXCELLENCE 
Non measurable competency 
Can be enhanced only through training, experience and reflection – tacit knowledge
Tacit Knowledge 
Based on internalized formal knowledge after reflections on clinical situations.
Tacit Knowledge 
Tacit knowledge is a dimension of knowledge 
Knowledge stays in the background as an integrated part of the professional, guiding management of a clinical phenomenon and situation
Obstacle to EXCELLENCE 
Just using explicit rules, protocols and guidelines as the base for learning anesthesia may be an obstacle for reaching the more advanced levels of expertise seen in excellent practitioners. 
Trainees who work by the “book” may be at risk of not acquiring the tacit knowledge they will need when confronted with complex and challenging situations
Let’s have inspiring coaches… 
Trainees need easy access to the support of more experienced, colleagues.
What coaches do…
Thank you 
chanyk@ummc.edu.my

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