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PROFICIENCY BASED TRAINING IN REGIONAL ANAESTHESIA
Author(s):
Srinivasan, K.*
Affiliations:
AMNCH- Dublin 24- Ireland, Anaesthesia, castleknock, Ireland
ESRA Academy. Srinivasan K. Sep 16, 2017; 196232
Karthikeyan Srinivasan
Karthikeyan Srinivasan
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Abstract
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Training for procedural skills is largely based on the Halstedian apprenticeship model from the early 1900’s. Assessment of procedural skill still subjective. Robust systems exist to evaluate the knowledge aspects of a trainee’s education but no such system exists to objectively evaluate a trainee’s procedural skills.

Simulation studies in anaesthesiology over a decade (2001-2010) has shown that simulation training in anaesthesiology is now widely accepted. Although simulation training offers many benefits in procedural skill training, there is still limited evidence to show the transfer of trained skills or positive impact on quality and safety of patient care. There is also insufficient evidence on the effects of simulation training on patient outcomes.

 “Proficiency based progression” (PBP) differs from current simulation training methods in that it combines simulation training with proficiency benchmarks. The first study on proficiency based simulation training was performed by Seymour NE which was followed by multiple other studies. Studies on acquiring arthroscopic Bankart skill set have shown that PBP is superior to traditional and simulator enhanced training methods. In PBP, the trainees are not allowed to progress to the next training stage until they demonstrate “proficiency” in a simulated setting on par with experts in the field. This “proficiency” benchmark is derived from mean performance score of experts who are evaluated based on validated metrics that characterise the procedure. This lecture will aim to explore this concept in detail and discuss its application in anaesthesia.

 

 

 

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