{"title":"2019 - 2023年全国重复横断面调查显示，我国麻醉医师术后康复的现状及未来教育意义","authors":"Yuelun Zhang, Zijia Liu, Lulu Ma, Xu Li, Qianmei Zhu, Guonian Wang, Jing Cang, Yugang Diao, Tiezheng Zhang, Le Shen, Yuguang Huang","doi":"10.1186/s12909-025-07351-z","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Enhanced recovery after surgery (ERAS) protocols have been widely adopted to improve surgical outcomes. In this study, we aimed to assess the current state of awareness and specific knowledge of ERAS among Chinese anesthesiologists, examine difficulties in implementation, and identify future priorities for ERAS education and training.</p><p><strong>Methods: </strong>A self-designed, repeated national survey regarding awareness and practice of the ERAS concept, specific knowledge, learning modalities, and difficulties in ERAS implementation was conducted in 2019, 2021, and 2023. Factors related to mastery of knowledge were analyzed via subgroup analysis and multivariable linear regression.</p><p><strong>Results: </strong>A total of 6385 participants were included; 96.2% were anesthesiologists. Approximately half of the participants reported implementing ERAS in more than 40% of patients. Compared with those in the 2019 survey, the overall proportion of participants who had heard about the concept of ERAS remained relatively stable across the three surveys (P = 0.078). However, significant improvements were observed in participants reported good understanding (defined as responding \"very familiar\" or \"quite familiar\") of ERAS and implementing rate of ERAS in clinical practice (P < 0.001). The mean score on the 15-question quiz was 8.5 ± 2.5. Significant differences in scores were observed across various geographic regions, levels of hospitals, education, professional titles, and age. Most anesthesiologists expressed a strong desire for additional education on ERAS in several ways. Feedback from the open-ended question in the survey indicated that multidisciplinary collaboration was a major challenge in implementing ERAS.</p><p><strong>Conclusions: </strong>This nationwide study indicates a notable enhancement in the comprehension and implementation of ERAS among Chinese anesthesiologists, although there is still room for improvement. Future efforts should focus on improving education and training to enhance ERAS knowledge and practice levels among health care providers.</p><p><strong>Clinical trial number: </strong>Not applicable.</p>","PeriodicalId":51234,"journal":{"name":"BMC Medical Education","volume":"25 1","pages":"765"},"PeriodicalIF":2.7000,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12103054/pdf/","citationCount":"0","resultStr":"{\"title\":\"Current state and future education implication of enhanced recovery after surgery (ERAS) among Chinese anesthesiologists: national repeated cross-sectional surveys from 2019 to 2023.\",\"authors\":\"Yuelun Zhang, Zijia Liu, Lulu Ma, Xu Li, Qianmei Zhu, Guonian Wang, Jing Cang, Yugang Diao, Tiezheng Zhang, Le Shen, Yuguang Huang\",\"doi\":\"10.1186/s12909-025-07351-z\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Enhanced recovery after surgery (ERAS) protocols have been widely adopted to improve surgical outcomes. In this study, we aimed to assess the current state of awareness and specific knowledge of ERAS among Chinese anesthesiologists, examine difficulties in implementation, and identify future priorities for ERAS education and training.</p><p><strong>Methods: </strong>A self-designed, repeated national survey regarding awareness and practice of the ERAS concept, specific knowledge, learning modalities, and difficulties in ERAS implementation was conducted in 2019, 2021, and 2023. Factors related to mastery of knowledge were analyzed via subgroup analysis and multivariable linear regression.</p><p><strong>Results: </strong>A total of 6385 participants were included; 96.2% were anesthesiologists. Approximately half of the participants reported implementing ERAS in more than 40% of patients. Compared with those in the 2019 survey, the overall proportion of participants who had heard about the concept of ERAS remained relatively stable across the three surveys (P = 0.078). However, significant improvements were observed in participants reported good understanding (defined as responding \\\"very familiar\\\" or \\\"quite familiar\\\") of ERAS and implementing rate of ERAS in clinical practice (P < 0.001). The mean score on the 15-question quiz was 8.5 ± 2.5. Significant differences in scores were observed across various geographic regions, levels of hospitals, education, professional titles, and age. Most anesthesiologists expressed a strong desire for additional education on ERAS in several ways. Feedback from the open-ended question in the survey indicated that multidisciplinary collaboration was a major challenge in implementing ERAS.</p><p><strong>Conclusions: </strong>This nationwide study indicates a notable enhancement in the comprehension and implementation of ERAS among Chinese anesthesiologists, although there is still room for improvement. Future efforts should focus on improving education and training to enhance ERAS knowledge and practice levels among health care providers.</p><p><strong>Clinical trial number: </strong>Not applicable.</p>\",\"PeriodicalId\":51234,\"journal\":{\"name\":\"BMC Medical Education\",\"volume\":\"25 1\",\"pages\":\"765\"},\"PeriodicalIF\":2.7000,\"publicationDate\":\"2025-05-23\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12103054/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"BMC Medical Education\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1186/s12909-025-07351-z\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"EDUCATION & EDUCATIONAL RESEARCH\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"BMC Medical Education","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1186/s12909-025-07351-z","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"EDUCATION & EDUCATIONAL RESEARCH","Score":null,"Total":0}
Current state and future education implication of enhanced recovery after surgery (ERAS) among Chinese anesthesiologists: national repeated cross-sectional surveys from 2019 to 2023.
Background: Enhanced recovery after surgery (ERAS) protocols have been widely adopted to improve surgical outcomes. In this study, we aimed to assess the current state of awareness and specific knowledge of ERAS among Chinese anesthesiologists, examine difficulties in implementation, and identify future priorities for ERAS education and training.
Methods: A self-designed, repeated national survey regarding awareness and practice of the ERAS concept, specific knowledge, learning modalities, and difficulties in ERAS implementation was conducted in 2019, 2021, and 2023. Factors related to mastery of knowledge were analyzed via subgroup analysis and multivariable linear regression.
Results: A total of 6385 participants were included; 96.2% were anesthesiologists. Approximately half of the participants reported implementing ERAS in more than 40% of patients. Compared with those in the 2019 survey, the overall proportion of participants who had heard about the concept of ERAS remained relatively stable across the three surveys (P = 0.078). However, significant improvements were observed in participants reported good understanding (defined as responding "very familiar" or "quite familiar") of ERAS and implementing rate of ERAS in clinical practice (P < 0.001). The mean score on the 15-question quiz was 8.5 ± 2.5. Significant differences in scores were observed across various geographic regions, levels of hospitals, education, professional titles, and age. Most anesthesiologists expressed a strong desire for additional education on ERAS in several ways. Feedback from the open-ended question in the survey indicated that multidisciplinary collaboration was a major challenge in implementing ERAS.
Conclusions: This nationwide study indicates a notable enhancement in the comprehension and implementation of ERAS among Chinese anesthesiologists, although there is still room for improvement. Future efforts should focus on improving education and training to enhance ERAS knowledge and practice levels among health care providers.
期刊介绍：
BMC Medical Education is an open access journal publishing original peer-reviewed research articles in relation to the training of healthcare professionals, including undergraduate, postgraduate, and continuing education. The journal has a special focus on curriculum development, evaluations of performance, assessment of training needs and evidence-based medicine.
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