CAS Samba ambulatory anesthesia collaborative rounds series

The Canadian Anesthesiologists’ Society is excited to announce the return of its popular education program, developed in collaboration between the CAS Ambulatory Section and the Society for Ambulatory Anesthesia. This series of educational rounds provides professionals in ambulatory anesthesia with the opportunity to enhance their knowledge and skills through shared expertise and resources.

The CAS SAMBA Ambulatory Anesthesia Collaborative Rounds Series is a self-approved group learning activity (Section 1) as defined by the Maintenance of Certification Program of the Royal College of Physicians and Surgeons of Canada. Each round will be 1 hour.  

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round archive 

Note - Your CAS Membership must be in good standing for the event date in order to access the member discount. You will be able to register as soon as you receive the renewal confirmation. Click here to renew.  

  • October 7, 2026 - Cross-Border Pathways: Same-Day Joint Arthroplasty in Canada and the United States
  • December 3, 2026 - TBA

Cross-Border Pathways: Same-Day Joint Arthroplasty in Canada and the United States

October 7, 2026
8 PM ET

Register

 

The CAS SAMBA Ambulatory Anesthesia Collaborative Rounds Series is a self-approved group learning activity (Section 1) as defined by the Maintenance of Certification Program of the Royal College of Physicians and Surgeons of Canada. This round will be 1 hour long. You may claim a maximum of 1 hour (credits are automatically calculated).

This collaborative round compares Canadian and U.S. approaches to same-day joint arthroplasty, focusing on patient selection, anesthesia techniques, care-team models, and perioperative workflows that support safe discharge and efficient care. 

After participating in this activity, participants will be able to:  

  1. Compare protocols for patient selection, pre-operative optimization, and screening criteria to safely determine appropriate surgical locations (Hospital vs. Ambulatory Surgical Center) for same-day arthroplasty. 

  2. Compare and evaluate personal practice against real-time peer audit data collected from North American colleagues. (Audience Poll) 

  3. Compare and Contrast various patient and operating room flow configurations with regards to workflow efficiency and patient length of stay (i.e. Block Room, 2 OR Model) 

  4. Compare and contrast various anesthesia care team configurations (i.e. Medical Learners, Anesthesia Assistants, Certified Registered Nurse Anesthetists, Anesthesiologists) and the subsequent impact on room turnover and workflow efficiency. 

  5. Evaluate distinct multi-modal, regional anesthesia techniques and spinal anesthesia dosing strategies used across North America to optimize early ambulation and same-day arthroplasty. 

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Presenter: Dr. Ashley M. Shilling 

University of Virginia Medical Center

Dr. Ashley Shilling is a Professor of Anesthesiology and Orthopedic Surgery at the University of Virginia Medical Center. Her interests and areas of expertise include Regional Anesthesia, Ambulatory Anesthesia, Orthopedic Anesthesia and Mentorship development. She enjoys providing care for patients in both inpatient and ambulatory settings, and is passionate about the use of regional techniques in the peri-operative period to improve patient care and patient experiences. 

Dr. Shilling serves as the Co-Medical Director of UVA’s Ambulatory Surgical Center. She also serves on American Society of Anesthesiologists’ (ASA) Committee on Regional Anesthesia and Acute Pain Medicine and ASA’s Committee on Ambulatory Surgical Care. Dr. Shilling is also involved with the Society of Ambulatory Anesthesia (SAMBA) Regional and Education Committees. 

 

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Presenter: Dr. Natalie Clavel 

University of Toronto

Dr. Natalie Clavel is an Assistant Professor at the Department of Anesthesiology and Pain Management at the University of Toronto. Natalie completed a Masters in Health Systems Research and Administration with the Institute of Health Policy Management and Evaluation (IHPME), at the University of Toronto and was awarded a Certified Health Executive (CHE) designation.

Her academic interests include: operating room efficiency, performance measurement, patient experience, physician wellness, faculty development and medical education. Natalie is currently the Chair of the Ambulatory Anesthesia Section of the Canadian Anesthesiologists' Society. 

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Moderator: Dr. Sarah Tierney

The Ottawa Hospital

Dr. Tierney is a staff anesthesiologist at The Ottawa Hospital and Assistant Professor at the University of Ottawa. She currently serves as the corporate director of the Acute Pain Service and fellowship lead for the Acute Pain fellowship at The Ottawa Hospital. Her interests include regional anesthesia, and acute pain medicine with a focus on integrating new regional techniques and evidence-based practices to improve quality of care. 

Thank you to our Scientific Planning Committee!


Dr. Mandeep Singh – CAS Ambulatory Section Chair, Research Advisory Committee member, Physician Wellness Committee member
Dr. Natalie Clavel – CAS Ambulatory Section Vice-Chair
Dr. Jaimie Hyman – SAMBA Board of Directors Member, Education Committee Chair, Meetings Committee member
Dr. Chhaya Patel – SAMBA Education Committee Vice-Chair, Pediatric Anesthesia Committee Vice-Chair, Scientific Papers Committee member