Simulation-based ultrasound-guided regional anesthesia education: a national survey of Canadian anesthesiology residency training programs.

IF 3.4 3区医学 Q1 ANESTHESIOLOGY

Canadian Journal of Anesthesia-Journal Canadien D Anesthesie Pub Date : 2024-08-06 DOI:10.1007/s12630-024-02818-x

Pooyan Sekhavati, Reva Ramlogan, Jonathan G Bailey, Jason W Busse, Sylvain Boet, Yuqi Gu

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Abstract

Purpose: Simulation-based education in ultrasound-guided regional anesthesia (UGRA) improves knowledge, skills, and patient outcomes. Nevertheless, it is not known how simulation-based UGRA education is used across Canada. We aimed to characterize the current use of simulation-based UGRA education in Canadian anesthesiology residency training programs.

Methods: We developed and distributed a structured national survey to simulation leads of all 17 Canadian anesthesiology residency training programs. The survey inquired about program demographics, simulation modalities, facilitators and barriers to simulation use, use for assessment, and beliefs around simulation-based UGRA education. We gathered data from August to November 2023 and summarized our findings descriptively.

Results: Fifteen programs (88%) responded to our survey. Eight programs (53%) used UGRA simulation for technical training and nine programs (60%) for nontechnical training. The most common simulators used were live model scanning (13 programs, 87%) and gel phantom models (7 programs, 47%). Five programs (33%) mandated simulation-based UGRA in their curriculum. We found that deliberate practice and improved patient safety were most valued in simulation training while lack of funding and faculty availability were the most common barriers to implementation. Most respondents agreed that formative simulation-based education would improve trainee skills and called for greater standardization. Nevertheless, there were mixed responses regarding summative UGRA simulation and the need for simulation proficiency before clinical practice.

Conclusions: Our findings show significant variations in simulation implementation and views on UGRA simulation-based education among Canadian anesthesiology residency training programs. Future studies should explore avenues to overcome barriers and improve knowledge translation in UGRA.

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基于模拟的超声引导区域麻醉教育：加拿大麻醉学住院医师培训项目全国调查。

目的：基于模拟的超声引导区域麻醉（UGRA）教育可提高知识、技能和患者治疗效果。然而，目前还不清楚加拿大各地是如何使用基于模拟的 UGRA 教育的。我们旨在了解目前加拿大麻醉学住院医师培训项目中使用模拟 UGRA 教育的情况：我们制定并向加拿大所有 17 个麻醉学住院医师培训项目的模拟负责人分发了一份结构化的全国调查表。该调查询问了项目人口统计学、模拟模式、模拟使用的促进因素和障碍、评估使用以及对基于模拟的 UGRA 教育的看法。我们收集了 2023 年 8 月至 11 月的数据，并对调查结果进行了描述性总结：15个项目（88%）对我们的调查做出了回应。八个项目（53%）将 UGRA 模拟用于技术培训，九个项目（60%）用于非技术培训。最常用的模拟器是活体模型扫描（13 个项目，87%）和凝胶模型（7 个项目，47%）。有 5 个项目（33%）在其课程中规定了基于模拟的 UGRA。我们发现，模拟训练中最看重的是刻意练习和提高患者安全性，而缺乏资金和师资是实施模拟训练最常见的障碍。大多数受访者都认为，基于形成性模拟的教育可以提高受训者的技能，并呼吁加强标准化。然而，对于终结性 UGRA 模拟以及临床实践前模拟熟练程度的需求，受访者的反应不一：我们的研究结果表明，加拿大麻醉学住院医师培训项目在模拟实施和对 UGRA 模拟教育的看法上存在很大差异。未来的研究应探索克服障碍和改善 UGRA 知识转化的途径。

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来源期刊

Canadian Journal of Anesthesia-Journal Canadien D Anesthesie 医学-麻醉学

CiteScore

8.50

自引率

7.10%

发文量

161

审稿时长

6-12 weeks

期刊介绍： The Canadian Journal of Anesthesia (the Journal) is owned by the Canadian Anesthesiologists’ Society and is published by Springer Science + Business Media, LLM (New York). From the first year of publication in 1954, the international exposure of the Journal has broadened considerably, with articles now received from over 50 countries. The Journal is published monthly, and has an impact Factor (mean journal citation frequency) of 2.127 (in 2012). Article types consist of invited editorials, reports of original investigations (clinical and basic sciences articles), case reports/case series, review articles, systematic reviews, accredited continuing professional development (CPD) modules, and Letters to the Editor. The editorial content, according to the mission statement, spans the fields of anesthesia, acute and chronic pain, perioperative medicine and critical care. In addition, the Journal publishes practice guidelines and standards articles relevant to clinicians. Articles are published either in English or in French, according to the language of submission.