Non-Fellowship regional anesthesia training and assessment: an international Delphi study on a consensus curriculum

Chuan, Alwin; Jeyaratnam, Bahaven; Fathil, Shahridan Mohd; Ferraro, Leonardo Henrique Cunha; Kessow, A; Lim, Yean Chin; O'Rourke, Michael; Ponde, Vrushali; Raft, Julien; Segurado, Arthur Vitor Rosenti; Tangwiwat, Suwimon; Torborg, Alexandra; Turbitt, Lloyd; Lansdown, Andrew; Mariano, Edward R.; McCartney, Colin J. L.; Macfarlane, Alan; Mok, Louis Y H; Orebaugh, Steven L.; Pawa, Amit; Suresh, Santhanam; Subramanian, J Balavenkat; Volk, Thomas; Woodworth, Glenn E.; Ramlogan, Reva

doi:10.1136/rapm-2021-102934

Cited by 10 publications

(9 citation statements)

References 20 publications

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“…Appendix 4, http://links.lww.com/EJA/A875 (SDC) provides a template for a regional anaesthesia SBET course that incorporates these principles. Of note, the specific number of repetitions to achieve proficiency in a certain type of nerve block continues to be the subject of much debate and varies from one national training programme to another 39 …”

Section: Resultsmentioning

confidence: 99%

“…Of note, the specific number of repetitions to achieve proficiency in a certain type of nerve block continues to be the subject of much debate and varies from one national training programme to another. 39 Point of care ultrasound…”

Section: Learning Objectives Educational Strategies Assessment and Ev...mentioning

confidence: 99%

“…Foundation training should aim at learning and deliberate practice of a small number of versatile techniques that cover the vast majority of surgical procedures and therefore provide patient access to reliable and safe regional anaesthesia. 38,39 Competence in the more advanced blocks should be acquired during advanced fellowship in regional anaesthesia. Appendix 4, http://links.lww.com/EJA/A875 (SDC) provides a template for a regional anaesthesia SBET course that incorporates these principles.…”

Section: Learning Objectives Educational Strategies Assessment and Ev...mentioning

confidence: 99%

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Integration of simulation-based education in anaesthesiology specialist training

Savoldelli,

Burlacu,

Lazarovici

et al. 2023

European Journal of Anaesthesiology

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BACKGROUND Despite its importance in education and patient safety, simulation-based education and training (SBET) is only partially or poorly implemented in many countries, including most European countries. The provision of a roadmap may contribute to the development of SBET for the training of anaesthesiologists. OBJECTIVE To develop a global agenda for the integration of simulation into anaesthesiology specialist training; identify the learning domains and objectives that are best achieved through SBET; and to provide examples of simulation modalities and evaluation methods for these learning objectives. DESIGN Utstein-style meeting where an expert consensus was reached after a series of short plenary presentations followed by small group workshops, underpinned by Kern's six-step theoretical approach to curriculum development. SETTING Utstein-style collaborative meeting. PARTICIPANTS Twenty-five participants from 22 countries, including 23 international experts in simulation and two anaesthesia trainees. RESULTS We identified the following ten domains of expertise for which SBET should be used to achieve the desired training outcomes: boot camp/initial training, airway management, regional anaesthesia, point of care ultrasound, obstetrics anaesthesia, paediatric anaesthesia, trauma, intensive care, critical events in our specialty, and professionalism and difficult conversations. For each domain, we developed a course template that defines the learning objectives, instructional strategies (including simulation modalities and simulator types), and assessment methods. Aspects related to the practical implementation, barriers and facilitators of this program were also identified and discussed. CONCLUSIONS We successfully developed a comprehensive agenda to facilitate the integration of SBET into anaesthesiology specialist training. The combination of the six-step approach with the Utstein-style process proved to be extremely valuable in supporting content validity and representativeness. These results may facilitate the implementation and use of SBET in several countries. TRIAL REGISTRATION Not applicable.

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Section: Resultsmentioning

confidence: 99%

Section: Learning Objectives Educational Strategies Assessment and Ev...mentioning

confidence: 99%

Section: Learning Objectives Educational Strategies Assessment and Ev...mentioning

confidence: 99%

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Integration of simulation-based education in anaesthesiology specialist training

Savoldelli,

Burlacu,

Lazarovici

et al. 2023

European Journal of Anaesthesiology

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“…An international Delphi consensus study surveyed directors of regional anesthesia training and experts to design a nonfellowship curriculum for residency training [16 ▪▪ ]. Suprisingly, many items that are often considered best practices in the education literature did not reach strong consensus, including the use of part-task trainers (simulation trainers designed to focus on a single task like a nerve block) and high-fidelity simulation.…”

Section: Simulation For Differing Training Pathwaysmentioning

confidence: 99%

A modern roadmap for the use of simulation in regional anesthesiology training

Kumar

Sultan

Mariano

et al. 2022

Current Opinion in Anaesthesiology

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Purpose of reviewA variety of educational modalities are used to teach regional anesthesia. Simulation is an educational tool that facilitates hands-on learning in a well tolerated, reproducible environment, eliminating potential harm to patients during the process of learning. Available literature and expert consensus statements support customizing simulation programs according to the level of training and experience of the learners. Recent findingsSimulation is useful for learners of all levels of expertise, though the application and frequency of simulation must be adapted to meet the learners' objectives. SummaryThis review presents recommendations for the use of simulation for residents, fellows, practicing anesthesiologists without formal training in regional anesthesia, and practicing anesthesiologists with regional anesthesia expertise. Passports and portfolio programs that include simulation can be used to verify training. Virtual applications of simulation are growing, expanding the scope of regional anesthesia simulation and increasing access to lower resource areas.

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“…14,15 A number of recently published international collaborations will help guide teaching, education, and clinical practice, improving the potential for comparative research and advancing our understanding of the clinical applications of RA. [16][17][18][19][20] Whilst generation of new evidence is vital, it is equally important to ensure that important research findings are translated in to clinical practice. The production of clinical guidelines has long bridged the gap between evidence synthesis and implementation in practice, and the role of local "champions" is recognised as a powerful influence for instituting change.…”

mentioning

confidence: 99%