Regional anesthesia training model for resource-limited settings: a prospective single-center observational study with pre–post evaluations
| Autor: | Nana Boateng, Sanjeev Singh, Patrick T Laughlin, Mark Brouillette, William Addison, Alfred J. Aidoo, Benjamin Johnson, Swetha R. Pakala, Maria Hondras, Akwasi Antwi-Kusi |
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| Rok vydání: | 2020 |
| Předmět: |
Medical education
business.industry Specialty General Medicine Single Center 03 medical and health sciences 0302 clinical medicine Anesthesiology and Pain Medicine 030202 anesthesiology Regional anesthesia Needs assessment Medicine Observational study 030212 general & internal medicine business Curriculum Limited resources Clinical skills |
| Zdroj: | Regional Anesthesia & Pain Medicine. 45:528-535 |
| ISSN: | 1532-8651 1098-7339 |
| DOI: | 10.1136/rapm-2020-101550 |
| Popis: | Background and objectivesEducational initiatives are a sustainable means to address provider shortages in resource-limited settings (RLS), yet few regional anesthesia curricula for RLS have been described. We sought to design a reproducible training model for RLS called Global Regional Anesthesia Curricular Engagement (GRACE), implement GRACE at an RLS hospital in Ghana, and measure training and practice-based outcomes associated with GRACE implementation.MethodsFourteen of 15 physician anesthesiologists from the study location and three from an outside orthopedic specialty hospital consented to be trainees and trainers, respectively, for this prospective single-center observational study with pre–post evaluations. We conducted an initial needs assessment to determine current clinical practices, participants’ learning preferences, and available resources. Needs assessment findings, expert panel recommendations, and investigator consensus were then used to generate a site-specific curriculum that was implemented during two 3-week periods. We evaluated trainee satisfaction and changes in knowledge, clinical skill, and peripheral nerve block (PNB) utilization using the Kirkpatrick method.ResultsThe curriculum consisted of didactic lectures, simulations, and clinical instruction to teach ultrasound-guided PNB for limb injuries. Pre–post evaluations showed trainees were satisfied with GRACE, median knowledge examination score improved from 62.5% (15/24) to 91.7% (22/24) (pConclusionsGRACE applied in an RLS hospital led to the design, implementation, and measurement of a regional anesthesia curriculum tailored to institutional specifications that was associated with positive Kirkpatrick outcomes. |
| Databáze: | OpenAIRE |
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