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Abstract
Background and Aims The new anaesthetic training curriculum in the UK demands high levels of competency in regional anaesthesia (RA)1. Training in RA may be incomplete, as evidenced by a departmental survey showing that three-quarters of trainees felt RA skills were not easily obtained. Although most trainees had previously received teaching or accessed RA educational resources, 72% still stated they had little or no confidence in RA.
We designed and delivered a modular RA teaching programme, aiming to increase confidence and skill acquisition for anaesthetic trainees.
Methods Sixty trainees enrolled onto our programme over a 16-month period. RA fellows and consultants taught five modules; the first two sessions covered ultrasound imaging, equipment and needling, with the remainder targeting commonly encountered Plan A blocks2(popliteal sciatic, axillary and interscalene brachial plexus blocks). Relevant educational material was emailed prior to each module. Small group teaching was employed, using simulator equipment, anatomical models, and live scanning to ensure that key concepts, especially anatomy, were adequately grasped. Feedback was sought after each module. Due to regular trainee rotation, individuals could resume where they left off upon return to our Trust at a later date.
Results Average confidence across multiple modules (where 1 is low and 5 is high) increased from 2.91 before attending to 4.28 after attending sessions. All trainees either agreed or strongly agreed that the sessions were appropriate for their training needs.
Conclusions The regional anaesthesia passport programme has led to a demonstrable improvement in confidence relating to core aspects of RA amongst trainees.