ESRA Academy. Kennedy A. Sep 8, 2016; 138421; 0268 Topic: ANATOMY
Dr. Alexander Kennedy
Dr. Alexander Kennedy

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Background and Aims:

Wales deanery anaesthetic trainees requested more regional anaesthesia training in a survey. Point-of-care (POC) teaching has been introduced for airway and critical incident training. This project aimed to develop a POC sonoanatomy teaching package called the Mobile Ultra Sound Experience (MUSE).


The authors used a mobile ultrasound machine (Sonosite M Turbo) to deliver impromptu one-on-one POC sonoanatomy teaching sessions over 8 months. Each session was focussed to 1 anatomical region and limited to 20 minutes to avoid time-on-task mental fatigue. Individuals were encouraged to complete repeat sessions to promote spiral learning. A feedback form was completed before and after teaching to assess confidence and identify model improvements.


Fifty-one impromptu teaching sessions were delivered to 24 (49%) trainees and 26 (51%) consultants. Mean confidence scores (out of ten) pre and post teaching were 3.8 and 7.0 respectively (increase +3.2). All doctors (51) said they were more likely to perform the procedure using ultrasound. The most commonly requested sessions were on vascular (37%) and upper limb (27%). Feedback showed MUSE was considered time efficient. Learner’s enjoyed the bespoke level and topic of teaching, and requested “more MUSE”.


Point-of-care teaching is an opportunistic effective method of converting conventional theatre time into focussed learning. The level of teaching and topic is tailored to the learner. Regional anaesthesia is suited to POC teaching as knowledge can be subdivided into anatomical region. MUSE improves baseline departmental knowledge, and facilitates cultural change towards using ultrasound for regional anaesthesia.

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