Silvia Fernandez Mulero

• Designed the content and assessment of the Anesthesia Residents rotation on Perioperative Medicine - Pre-Anesthesia Section, following both the ACGME and Arab Board requirements.
• Actively listened to my area mentors, residents, medical students and pre-graduates, handled concerns quickly and escalated major issues to the Program Director.
• Created the structure necessary to allow a clinical learning environment supportive and conducive to teaching and learning.
• Encourage resident's independence, autonomy and accountability on the learning process

• Established the service in 2016 and since then offered high-quality, cutting edge preoperative care and efficient service to patients, handled challenging situations with ease.
• Lead through change and managed a team of physicians, overseeing onboarding, training and professional growth of physicians working in the Preoperative Anesthesia Testing Clinic.
• Improved operations through consistent hard work and dedication, adapting them to sudden peaks in demand and changes in tasks in response to the pandemics.
• Led projects and analyzed data to identify opportunities for improvement (Preoperative Anesthesia and Surgery Screening, HealthQuest in Surgical Clinics, Clear First).
• Actively listened to patients' experience feedback, confirming full understanding before addressing concerns. Lead the patient experience scores, sustaining TopBox Likelihood to Recommend score for the Unit score above 75% consistently.
• Designed and organized the delivery of preoperative services to patients' within specific timeframes adjusted to the surgical emergency and patient-specific needs.
• Created the guideline on Preoperative COVID screening and recovery program in late 2020 that has kept our perioperative COVID morbidity related in elective procedures close to pre-COVID era.
• Encouraged and participated in team-building activities to enhance working relationships. Delivered explicit training in the role of Happiness in Work Efficiency.
• Participated in continuous improvement by generating content for lectures, engaging in problem-solving activities to support teamwork and promoting continuous medical education opportunities within the team of physicians and nurses.
• Initiated and achieved fruitful collaborations with other teams to achieve target results (Surgical Teams, Operating Room Schedulers, Administration, Finance, Quality, Patient Experience. IT and Executives).
• Resolved conflicts and negotiated mutually beneficial agreements between parties.

• Independent work delivering all types of surgical anesthesia to patients with any complexity both for elective as well as emergency operations, for adult and pediatric patients.
• Member of the Operating Room Patient Safety Group; in charge of analyzing the safety events reported in the area and provide recommendations for prevention
• Teaching responsibilities with both Anesthesiology junior doctors and residents.
• Participated in continuous improvement by generating suggestions, engaging in problem-solving activities to support teamwork, such as the guideline that updated the preoperative fasting rules for adults and children
• Initiated two different projects for research within the department
• Worked flexible hours across night, weekend and holiday shifts.
• Maintained energy and enthusiasm in fast-paced environment.
• Exceeded goals through effective task prioritization and great work ethic.

KAMC is an 850 bedded, well renowned high complexity teaching medical city, a JCI accredited tertiary trauma centre, actually the best in the KSA and the 4th Emergency Care Centre (ECC) outside the USA, to provide Pre-Hospital Trauma and Life Support Program.

• Worked flexible hours across night, weekend and holiday shifts.
• As the leader of the Chronic Pain Therapy Unit, established the case mix priority and developed the standard operating procedures (SOP) for the diagnosis and treatment of pain syndromes. Developed the referral criteria from Primary Care. Designed the Invasive Pain Techniques Catalogue.
• Exceeded goals through effective task prioritization and great work ethic in the areas of Obstetric Anesthesia and Chronic Pain Therapy invasive procedures.
• Evaluated patients with chronic pain syndromes and recommended and performed chronic pain therapy procedures.
• Collaborated with other departments to achieve common goals, such as the development of the Chronic Pain Therapy Unit Electronic Medical Record documentation with the IT Team
• Delivered surgical anesthesia to patients with any ASA-PS grade undergoing operations.
• Performed preoperative medical assessments at the pre-anesthesia clinic.
• Used coordination and planning skills to achieve results according to schedule.
• Initiated clinical guidelines that impacted the anesthesia department in the areas of antiplatelet perioperative management and local anesthetic toxicity
• Patient Safety Commission (PSC) member. Analyzed operating room related safety events, proposed measures to prevent them and participated in the teaching of PS basic principles to colleagues.

I was part of the team that opened the Hospital, so it was required from us to design all processes, procedures and protocols from scratch

• Delivered surgical anesthesia mainly in the Ambulatory Surgery Unit, on average for two pm sessions a week
• Maintained energy and enthusiasm in fast-paced environment.
• Collaborated with team members to achieve target results.
• Worked within applicable standards, policies and regulatory guidelines to promote safe and pleasant working environment.
• Demonstrated respect, friendliness and willingness to help wherever needed.
• Worked with patients to understand needs and provide excellent service, gaining several written gratitude notes from them.
• Used coordination and planning skills to achieve results according to schedule in a limited resources setting.

• Delivered surgical anesthesia to any complexity case. Extremely busy district hospital where the resource scarcity was the main challenge.
• Used coordination and planning skills to achieve results according to schedule in a safe and pleasant environment despite the high workload
• Worked flexible hours across night, weekend and holiday shifts.
• Maintained energy and enthusiasm in fast-paced environment.

• As Anesthesia Resident Program Co-Director I was in charge of overseeing the smooth progress of the learning process and ensuring a clinical environment conducive to learning by liaising with both mentors and residents, making adjustments and giving feedback when necessary. I coached both residents and mentors.
• As Anesthesia Resident Program Co-Director I designed and implemented a self-assessment system to assess the anesthesia trainees' clinical knowledge to prepare them to sit the European Diploma in Anesthesia and Critical Care Exam.
• As Anesthesia Residency Program Co-Director I enhanced the learning assessment process to make it more visible, easy to monitor and more efficient. This project earned distinct recognition in the 2009 Health Ministry Teaching Audit and Site Visit.
• Developed and maintained courteous and effective working relationships.
• Participated in team-building activities to enhance working relationships.
• Worked with residents to understand needs and provide excellent learning experience.
• Learned new skills and applied to daily tasks to improve efficiency and productivity.
• Created spreadsheets using Microsoft Excel for daily, weekly and monthly reporting of residents progress, being responsible for the collection of assessments that led to their yearly evaluations, that in turn decided their promotion to the next training year.
• Improved operations through consistent hard work and dedication.

• Deliver surgical anesthesia to patients with any ASA-PS grade undergoing surgery.
• Supervision of post-graduate research
• Supervision of Anesthesia residents clinical activity in the operating room, the High Dependency Unit (HDU) and the Post-Anesthesia Care Unit (PACU).
• Postoperative Acute Pain Management both in PACU and wards.
• Participated in preoperative medical assessments at the pre-anesthesia clinic.
• Evaluated patients and recommended therapeutic plans in the Chronic Pain Therapy Unit. Performed Invasive Pain Procedures.
• Reviewed and implemented clinical guidelines that impacted the anesthesia department in the areas of antiplatelet perioperative management and perioperative acute kidney injury prevention.
• Supported and mentored Anesthesia Nurses for the presentation lectures and scientific courses.
• Developed a web based patient safety reporting tool in my role as member of the Anesthesia Patient Safety Group.
• Assessed and decided on the addition new drugs in the Hospital's Formulary as a member of the Pharmacy Commission.
• Collaborated with team members to achieve target results, such as prioritization of outpatient visits in the Pre-Anesthesia Clinic and Chronic Pain Therapy Unit and participated in the efficient running of the Anesthetic Department as part of the Clinical Governance Task Force.

• Member of the Major Trauma and Code Blue Teams. Lead of the Code Blue Team in Senior PGY.
• Revised and updated the SOP for Post operative Pain Management on Patients with High Tolerance to Opiate Medications.
• Cared for ICU surgical patients, in the Emergency ICU, NeuroICU, Post Transplant Unit and Burns Unit.
• Passed the Catalonian Society of Anesthesia and Resuscitation Final Residency Program Exam
• Cared for patients at Junior MD level (under supervision) in the Emergency Department, Cardiology, Nephrology Acute Care Units and in Pulmonology ICU.
• Presented communications to Scientific Meetings, winning awards for best poster and best short communication.
• Completed pre and post-procedural anesthesia or sedation evaluation before and after each procedure.
• Planned and administered general anesthesia, sedation and regional anesthesia.
• Administered intravenous inhalation and regional anesthetics to render patients insensible to pain.
• Provided anesthesia care for surgical cases undergoing outpatient procedures.
• Collaborated with other medical professionals to check patient wishes and care.
• Followed strict schedules during surgeries.
• Interviewed patients before, during and after procedures to maintain current knowledge of relevant conditions.
• Oversaw and delegated work activities for junior staff and nurse anesthetists.
• Administered pain relief medication and performed simple invasive pain procedures under supervision.