Key result
An intensive preparatory course combining e-learning, simulation workshops, and observational learning enabled 83.3% of new anesthesia trainees to achieve global competence in essential procedural skills.
Why the study?
The study aimed to determine whether a preparatory training course combining three educational strategies at the onset of residency is useful to achieve competent procedural performance in the clinical setting.
Does a preparatory training course combining e-learning, simulation, and observational learning improve procedural skills competence in new anesthesia trainees?
Observational (n=24)
No
Does a preparatory training course combining e-learning, simulation, and observational learning improve procedural skills competence in new anesthesia trainees?
An intensive preparatory course combining e-learning, simulation, and observational learning effectively achieves competent performance in essential early anesthetic management skills for new trainees.
Answers are grounded in this paper and cite their sources.
May support stepwise simulation integration for new anesthesia trainees; leaves open efficacy versus traditional training in randomized trials.
BACKGROUND: In a setting in which learning of basic procedural skills commences upon graduation from medical school, and as a first step towards integration of simulation-based learning into the anesthesiology training program, a preparatory course for new anesthesia trainees was designed. Three educational strategies were sequentially combined (e-learning, simulation-based hands on workshops, and on-site observational learning), and performance was assessed in a stepwise approach on five procedural skills considered essential for early anesthetic management (peripheral intravenous cannulation, sterile hand wash and gowning, anesthesia workstation preparation, face-mask ventilation, and orotracheal intubation). The primary aim of this study was to determine if this preparatory training course at the onset of anesthesiology residency is useful to achieve a competent trainee performance in the clinical setting. METHODS: This prospective study was carried out at a university-affiliated hospital in Buenos Aires, Argentina, from 2017 to 2019. The 24 participants, comprising three cohorts of 8 residents each, underwent a preparatory course at the onset of residency. Diverse, consecutive educational strategies, and assessments (three stages: 1, 2, 3) took place using task-specific tools (checklists) and global rating scales for five procedural skills. The primary outcome was achievement of competent scores (85%) in final assessments, and the secondary outcomes were performance improvement between assessment stages and compliance with predefined safety items. RESULTS: Twenty trainees (83.3%) were found to be globally competent (both assessment tools for all procedures) during final assessments (stage 3). Statistically significant improvement was found for all procedural skills between baseline and after workshop assessment scores (stages 1-2), except for orotracheal intubation in checklists, and for all procedural skills between stages 2 and 3 except for sterile hand wash and gowning in checklists. CONCLUSIONS: In our single-center experience, the gap for competent trainee performance in essential early anesthetic management skills can be effectively covered by conducting an intensive, preparatory course using the combination of three educational strategies (e-learning, simulation-based hands on workshops, and observational learning) at the onset of residency. This course has allowed learning to be generated in a secure environment for both patients and trainees.
No takes yet. Share an insight, caveat, or question.
Novas et al. (2020) conducted an observational in Procedural skills acquisition in anesthesia trainees (n=24). Preparatory training course (e-learning, simulation workshops, observational learning) was evaluated on Achievement of competent scores (>85%) on task-specific checklists and global rating scales during final clinical assessments. An intensive preparatory course combining e-learning, simulation workshops, and observational learning enabled 83.3% of new anesthesia trainees to achieve global competence in essential procedural skills.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: