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EP059 National survey of welsh anaesthetic trainees experience of regional anaesthesia (RA) training after introduction of the Royal College of Anaesthetists 2021 curriculum
  1. Roman Hryniv1,
  2. Josh Patch2 and
  3. Simon Ford1
  1. 1Anaesthetics, Morriston Hospital, Swansea Bay Health Board, Swansea, UK
  2. 2Anaesthetics, University hospital of wales, Bristol, UK


Background and Aims With the advent of the 2021 RCoA curriculum, there has been a move to produce consultants with broader skill sets. The curriculum now places greater emphasis on experience and competence in RA.

Methods To gain insight into the trainee experience a nationwide survey was sent using Google Forms to all welsh anaesthetic trainees. The results were compared to a previous survey carried out by Fox et al in 2016, focusing on changes in the last seven years in relation to availability of training. The results in teaching, experience and confidence were assessed and thematic analysis was also carried out on free text comments.

Results Results represented as tables Tables 1-3.

Abstract EP059 Table 1

Showing the broad changes in responses, demographic, ultrasound availability and exposure to specific RA training from 2016 to 2023. Percentage given to nearest whole number

Abstract EP059 Table 2

Showing how teaching received and desired by trainees has changed from 2016 to 2023. Percentages given to nearest whole number

Abstract EP059 Table 3

Showing trainees’ comfort and experience with the “Plan A” blocks. (a) at the level of supervision appropriate for their current stage of training, as recommended by the Royal College of Anesthetists, (b) with ultrasound, at any level of supervision. Percentage given to nearest whole number

Conclusions The new curriculum has been a step change in expectations placed on trainees to reach significantly increased levels of competence. From our work, only 10% of trainees feel confident performing all plan A techniques at supervision levels appropriate for their stage. Ideally, opportunities should be provided to develop skills in line with requirements. Through our results we intend to work alongside the deanery to implement certain key improvements; engagement with surgical colleagues, blocks of time on regional lists to cement skills, use of virtual trainers, and encouragement of under represented trainee groups to undertake regional advanced modules. This work will act as the basis for feedback and engagement with the deanery.

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