Are logbooks of training in anaesthesia a valuable exercise?

Bould,; Crabtree, Nicholas

doi:10.12968/hmed.2008.69.4.28994

Cited by 4 publications

(3 citation statements)

References 3 publications

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“…93 In conclusion, procedural lists are most useful for assessing opportunities provided by training posts and to guide programme directors rather than to assess individuals. 8…”

Section: Procedures Listsmentioning

confidence: 99%

Assessment of procedural skills in anaesthesia

Bould

Crabtree

Naik

2009

British Journal of Anaesthesia

154

156

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A key aspect of the practice of anaesthesia is the ability to perform practical procedures efficiently and safely. Decreased working hours during training, an increasing focus on patient safety, and greater accountability have resulted in a paradigm shift in medical education. The resulting international trend towards competency-based training demands robust methods of evaluation of all domains of learning. The assessment of procedural skills in anaesthesia is poor compared with other domains of learning and has fallen behind surgical fields. Logbooks and procedure lists are best suited to providing information regarding likely opportunities within training programmes. Retrospective global scoring and direct observation without specific criteria are unreliable. The current best evidence for a gold standard for assessment of procedural skills in anaesthesia consists of a combination of previously validated checklists and global rating scales, used prospectively by a trained observer, for a procedure performed in an actual patient. Future research should include core assessment parameters to ensure methodological rigor and facilitate robust comparisons with other studies: (i) reliability, (ii) validity, (iii) feasibility, (iv) cost-effectiveness, and (v) comprehensiveness with varying levels of difficulty. Simulation may become a key part of the future of formative and summative skills assessment in anaesthesia; however, research is required to develop and test simulators that are realistic enough to be suitable for use in high-stakes evaluation.

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“…93 In conclusion, procedural lists are most useful for assessing opportunities provided by training posts and to guide programme directors rather than to assess individuals. 8…”

Section: Procedures Listsmentioning

confidence: 99%

Assessment of procedural skills in anaesthesia

Bould

Crabtree

Naik

2009

British Journal of Anaesthesia

154

156

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“…Unfortunately, doctors are not good at assessing their own performance [100]. They tend to overestimate their own ability, and this tendency is often strongest in those individuals with the lowest competence [101]. Some training programmes require trainees to record their experience in log books, but self-reported log books are unreliable and their validity as a tool for assessing competence has not been well established [102].…”

Section: Assessment Of Airway Competencementioning

confidence: 99%

Education in airway management

et al. 2011

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SummaryIn airway management, poor judgment, education and training are leading causes of patient morbidity and mortality. The traditional model of medical education, which relies on experiential learning in the clinical environment, is inconsistent and often inadequate. Curriculum change is underway in many medical organisations in an effort to correct these problems, and airway management is likely to be explicitly addressed as a clinical fundamental within any new anaesthetic curriculum. Competency‐based medical education with regular assessment of clinical ability is likely to be introduced for all anaesthetists engaged in airway management. Essential clinical competencies need to be defined and improvements in training techniques can be expected based on medical education research. Practitioners need to understand their equipment and diversify their airway skills to cope with a variety of clinical presentations. Expertise stems from deliberate practice and a desire constantly to improve performance with a career‐long commitment to education.

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“…The former is best-suited to detailing the learning cases encountered. 3 It does not normally include a record of success or failure and is unable to identify unsafe or poor practice. The WBAs, designed to document proficiency in specific skills, are also prone to weakness.…”

Section: Résumémentioning

confidence: 99%

Assessment of procedural skills training and performance in anesthesia using cumulative sum analysis (cusum)

Starkie

Drake

2013

Can J Anesth/J Can Anesth

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Assessment of procedural skills training and performance in anesthesia using cumulative sum analysis (cusum) É valuation de la formation en habiletés techniques et de la performance en anesthésie au moyen de l'analyse des sommes cumulées (cusum) Abstract Purpose The current methods (work based assessments and logbooks) used to assess procedural competency and performance have well-documented deficiencies. Cumulative sum analysis (cusum), a statistical method that generates performance graphs over time, is an alternative tool that is not currently widely used. The purpose of this review is to investigate its current role in anesthetic procedural skills training and performance.Tim

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Are logbooks of training in anaesthesia a valuable exercise?

Abstract: A logbook of cases experienced and procedures performed is currently required for training in anaesthesia in the UK (Nixon, 2000). But is this process valuable and what are the potential benefits and disadvantages?

Cited by 4 publications

References 3 publications

Assessment of procedural skills in anaesthesia

Assessment of procedural skills in anaesthesia

Education in airway management

Assessment of procedural skills training and performance in anesthesia using cumulative sum analysis (cusum)

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