Key result
First-year anaesthesia trainees required 91.5% direct supervision in their first three months, which decreased to 68.5% in their final three months as they progressed to more complex procedures.
Observational (n=3)
No
Absolute Event Rate: 68.5% vs 91.5%
First-year anaesthesia trainees in Ireland show a progression towards less direct supervision and different procedure mixes over their first year, highlighting the need for defined logbook targets.
Informs supervision planning for new anaesthesia trainees; leaves open standardized logbook targets for competency.
Objective:Acquisition of a new range of skills occurs during first year anaesthesia training. At present, no defined logbook targets exist for the Irish anaesthesia trainee.The aim of this study was to quantify the number of practical procedures performed and supervision required during first year anaesthesia training.Methods:A retrospective analysis of prospectively maintained logbooks of three first year anaesthesia trainees was performed.Results:In the first three months, mean numbers of cases were 224, enodotrachael tube (ETT) 64, laryngael mask airway (LMA) 55, spinal anaesthetic 12, arterial lines 9.5, central lines 0.5, peripheral nerve blockade (PNB) 2, epidurals 0. There was 91.5% direct supervision and 8.5% indirect supervision.In the final three months, mean numbers of cases were 205.5, ETT 28, LMA 35, spinals 50, arterial line insertions 4.5, central line insertions 1.5, PNB 3.5, epidurals 80. There was 68.5% direct supervision and 31.5% indirect supervision.Conclusions:Defined logbook targets are needed to quantify trainee progress.
No takes yet. Share an insight, caveat, or question.
O’Shaughnessy et al. (2017) conducted an observational in Anaesthesia training (n=3). Final three months of first year training vs. First three months of first year training was evaluated on Proportion of cases requiring direct supervision. First-year anaesthesia trainees required 91.5% direct supervision in their first three months, which decreased to 68.5% in their final three months as they progressed to more complex procedures.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: