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Perioperative Pain Management Education: A Short Structured Regional Anesthesia Course Compared with Traditional Teaching Among Medical Students
  1. Marie N. Hanna, M.D.,
  2. Michael B. Donnelly, Ph.D.,
  3. Christopher L. Montgomery, M.D. and
  4. Paul A. Sloan, M.D.
  1. Department of Anesthesiology, Johns Hopkins University, Baltimore, MD
  2. Department of Anesthesiology, University of Kentucky, Lexington, KY
  3. Department of Surgery, University of Kentucky, Lexington, KY.
  1. Reprint requests: Marie N. Hanna, M.D., Department of Anesthesiology, Johns Hopkins University, 600 N. Wolfe Street, Carnegie 280, Baltimore, MD 21287. E-mail: mhanna9{at}jhmi.edu

Abstract

Background and Objectives: Previous research has demonstrated that a brief course on pain management improved knowledge and attitudes toward analgesic use among medical students. The purpose of this study is to compare a structured clinical instruction course on regional anesthesia techniques for perioperative pain management with traditional teaching given to senior medical students.

Methods: During a 1-month clerkship in anesthesiology, 40 fourth-year medical students were randomly and equally divided into 2 groups. The study group received a 2-hour structured course on regional anesthesia techniques for pain management, whereas the control group received a 1-hour lecture tutorial on regional anesthesia techniques for perioperative pain management and 1 hour of bedside teaching on acute pain management. Each student completed an objective structured clinical examination (OSCE) 2 weeks after completion of the course.

Results: The study group performed better on each of the 11 items of the OSCE and on the total performance scores (mean ± SD of 36.2 ± 7.3 for study group versus 14.8 ± 8.4 for the control group; P < .05). All students rated the clinical course highly valuable (4.7 ± 0.5).

Conclusion: A structured clinical instructional course on regional techniques for perioperative pain management given to fourth-year medical students can significantly improve their understanding and knowledge compared with traditional teaching.

  • Education
  • Regional anesthesia
  • Pain management
  • OSCE

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Footnotes

  • See Editorial page 509