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Background and Aims ‘What is the most effective way of delivering regional anaesthesia (RA) training?’ was highlighted as a top priority in research in a recent international Delphi study. We have entered an era where RA is gaining popularity and curriculum requirements are increasing. Structured skills training has been associated with improved assessment outcomes. We developed a teaching programme to increase access to training and improve engagement.

Methods Using the ‘tea trolley training’ model, we devised our own mobile training station. Phantom models that simulated sonoanatomy and allowed real-time needling practise were combined with videos and printed learning materials. Refreshments were provided as an incentive to aid participant enthusiasm. This was taken to operating theatres where teaching was delivered to the anaesthetic multidisciplinary team. The erector spinae plane block, one of the recommended Plan A blocks, was chosen as the technique to teach. The involvement of anaesthetics assistants helped to simulate the performance of the block and included the ‘Prep-Stop-Block’ initiative. Satisfaction levels and pre- and post-training confidence scores were collected via questionnaire.

Results Twelve anaesthetists and ten anaesthetic nurses participated. Feedback was universally positive with a mean score of 9.8/10. Mean confidence levels increased by 2.0/10 from 6.8 to 8.8. Anaesthetists in training demonstrated lower confidence levels and increased improvement after training, compared to consultants.

Conclusions RA training can be easily and effectively delivered via the tea trolley model, complimenting other teaching modalities. Bringing the teaching to the anaesthetist increases access and uptake, spreading teaching to a wider audience.