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Background and Aims The range of complexity and skill in anaesthesiology is becoming increasingly advanced. Competency-based post-graduate programs serve to propagate these skills. In Africa, anaesthesiology training programs are heterogenous. The College of Anaesthesiologists of East, Central, and Southern Africa (CANECSA) is a context-specific anesthesia education institution recently set up to co-ordinate anaesthesia education across institutions. Rotations in regional anaesthesia vary per institution and are a factor of the case-load and resources available at the institution. This project assessed the self-proficiency of trainee anaesthesiologists in Kenya in performing ultrasound-guided peripheral nerve blocks.
Methods A short online survey was sent out to anaesthesiologist trainees from The Aga Khan University Hospital, The University of Nairobi and Moi University who have completed their first year of training. We assessed trainees perception of their confidence in performing ultrasound guided regional anaesthesia and estimated the amount of peripheral nerve blocks performed at different stages of the training.
Results 31 residents completed the survey. Residents were least comfortable performing adductor canal, fascia iliaca and rectus sheath blocks. Junior residents felt least comfortable performing brachial plexus blocks. Except for the TAP Block, more than 50% of trainees performed between 0-10 blocks of each kind in the course of their training. Lack of exposure/opportunity and lack of resources were quoted as the reason for this by 54 and 45% of the trainees.
Conclusions Curricula should advocate for more exposure to ultrasound guided regional block, by incorporating more blended time for this in today’s anaesthesia practice.
Attachment final esra.pdf