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Background and Aims The utilisation of peripheral nerve blocks (PNBs) and regional anaesthesia (RA) is increasingly recognised. PNBs offer a non-invasive option for co-morbid patients, associated with less postoperative pain and less opiate-induced side effects, resulting in quicker discharge. The Royal College of Anaesthetists (RCOA) updated the curriculum in 2021 recognising the importance of RA in training. We developed a teaching program aiming to improve confidence, familiarity with sonoanatomy and develop practical ultrasound scanning skills needed for the seven Plan A blocks.

Methods A teaching program was developed based on the seven Plan A blocks. Trainees were allocated one session per month for teaching. Funding was secured for two Bluetooth ultrasound scanners, allowing independent practice and development. Teaching content includes appropriate use of blocks, demonstration of surface anatomy and sonoanatomy. Each attendee has the opportunity to practice scanning. Feedback was sought using Likert scales and free text.

Results Feedback has been received on three sessions. • 100% of respondents found teaching useful. • 70% ‘strongly agreed’ their confidence improved. • 30% ‘agreed’ their confidence improved. • 100% of respondents found individual practice scanning beneficial to learning. Free text analysis highlighted improved confidence levels, relevance to training and clinical practice. Some preferred more assessment post teaching.

Conclusions Developing a teaching program dedicated to the Plan A blocks has proven valuable. Trainees found the sessions beneficial to learning and confidence improved globally. Access to ultrasound allowed greater freedom to develop scanning skills. Ongoing sessions and feedback will allow further assessment of the impact of this project on training.