Message From Dr. Scott Reeves

The Department of Anesthesia's “can-do” mentality along with all that our beautiful city has to offer creates a wonderful environment in which to train, work and live.

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Resident Wellness

Resident Wellness

Wellness Initiative Committee

In the MUSC Department of Anesthesiology and Perioperative Medicine, we do our best to maintain a culture of comradery, support, and wellness. Our residents are a close group, and we foster this as a department, as this support is key to our resident’s resilience. Having a four-year program, we recognize that each class may have different needs throughout our varied training locations and intensities. To address this a class representative system was created in 2017 to give each class and individual residents a direct voice to the program director and the program evaluation committee. Residents are also encouraged to bring their individual needs directly to the Education Office, Program Director, or Associate Program Director. All of our residents have access to free mental health resources through the employee assistance program (EAP). Additionally, all of our residents have free membership at the MUSC Wellness Center, which is an expansive facility providing exercise equipment, free weights, swimming, basketball, racquetball, tennis, soccer and intramural sports. When on call we provide meal vouchers and have healthy snacks available to feed busy residents. 

Wellness Resources

Wellness During Pregnancy

We want all residents to be able to raise a family during training, if they desire, in a safe and supportive environment. The following principles are our program's commitment to supporting healthy pregnancies in our program.  

  • Please let the program director know of your pregnancy as soon as you are comfortable

    This allows us to ensure you and your child are being protected while at work. The pregnant anesthesiologist may have concerns about exposure and workplace challenges. The overall approach is for staff to do what they're comfortable with, make choices known to their supervisors early, and if staff find they are unable to perform regular daily duties, discuss this with the chiefs/program director/supervisors to come up with a plan.
  • Environmental Exposure

- Radiation: Please contact Elizabeth Morrison to assist you with obtaining a pregnancy radiation badge so we can ensure your exposure levels are kept within a safe range. If you would like to minimize radiation exposure, please communicate this to the program director and chief residents who will then distribute this to the DOD’s to minimize the amount of daily communication you have to perform. Please realize that full avoidance of radiation especially on call will be difficult. Wearing wrap-around “pregnancy lead aprons “and standing back 6 feet from the source should reduce radiation exposure to minimal levels. In fluoroscopy cases, if it is unavoidable utilize the standing floor screens to act as a second layer of protection, and whenever possible ask for someone to replace you during the radiation-heavy portions of the case. The program will ensure that a wrap-around pregnancy lead is available at each clinical site.

- MRI: The risk of fetal exposure if outside of the magnet area is very low. Remember magnetic fields drop off exponentially with distance so stay as far away as practical from the source.

- Anesthetic Gases: Exposure to gases should be low in the rapid air turnover environment of the OR with active scavenging systems but mask ventilation and inhalational inductions should be avoided when possible. There is a theoretical risk that N2O specifically is teratogenic, so it is best to avoid utilizing this during pregnancy. If the resident prefers not to mask ventilate especially on pediatric rotations, please make sure your attending is aware so you can have a different plan in mind.

- Chemotherapeutic Agents: Rarely we can be involved in surgical procedures involving chemotherapeutic application in body cavities. Pregnant residents should not participate in the care of these patients as avoiding contact with excretions, sweat and urine are not always possible.

- Infectious Risk: Various pathogens such as the flu and COVID-19 pose special risks for pregnant residents. Whenever possible we will minimize your exposure to these patients provided backup care is available. Please always follow good hand hygiene and wear appropriate protective equipment.

  • Schedule Changes

Based on current literature, it is advisable to modify the work patterns of residents during pregnancy to acknowledge the strain it places on the body, especially during the third trimester to optimize outcomes. We will ensure the following:

 1.) Residents have no more than 6 overnight calls per month during the third trimester.

 2.) Residents are not required to "preload" calls during pregnancy in anticipation of leave.

 3.) Residents will only have to make up weekend calls missed during their leave.

4.) The resident's physician will determine a resident's fitness for duty during the pregnancy in consultation with the program director. If light duty is prescribed, we will utilize the perioperative medicine clinic or other non-OR rotations to avoid excessive time away from training. Call will be 100% covered for residents on light duty restrictions.