Dataset Information

Regional anaesthesia training in the UK - a national survey.

ABSTRACT:

Background

Adequate training of anaesthetists in regional anaesthesia is important to ensure optimal patient access to regional anaesthesia.

Methods

We undertook a national survey of UK trainee anaesthetists and Royal College of Anaesthetists (RCoA) tutors to assess experiences of training in regional anaesthesia. We performed descriptive statistics for baseline characteristics, and logistic regression of training indices and tutor confidence that their hospital could provide regional anaesthesia training at all three stages of the RCoA 2021 curriculum.

Results

A total of 492 trainees (19.2%) and 114 tutors (45.2%) completed the survey. Trainees were less likely to have received training in chest/abdominal wall compared with upper/lower limb blocks {erector spinae vs femoral block (odds ratio [OR] 0.25, 95% confidence interval [CI] 0.16-0.39), P<0.001}, or achieved >20 chest/abdominal wall blocks by Stage 3 of training (chest vs lower limb block [OR 0.09, 95% CI 0.05-0.15, P<0.001]. There was a strong association between training received, number of blocks performed (>20 vs 0-5 blocks), and self-reported ability to perform blocks independently, OR 20.9 (95% CI 9.38-53.2). 24/182 (13%) and 10/182 (5.5%) of trainees had performed ≥50 non-obstetric lumbar and thoracic epidurals, respectively, by Stage 3 training. There was a positive association between having a lead clinician for regional anaesthesia, particularly those with paid sessions, and reported confidence to provide regional anaesthesia training at all stages of the curriculum (Stage 3 OR 7.27 [95% CI 2.64-22.0]).

Conclusion

Our results confirm the importance of clinical experience and access to training in regional anaesthesia, and support the introduction of departmental regional anaesthesia leads to improve equity and quality in training opportunities.

SUBMITTER: Bellew B

PROVIDER: S-EPMC10714329 | biostudies-literature | 2023 Dec

REPOSITORIES: biostudies-literature

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Regional anaesthesia training in the UK - a national survey.

Bellew Boyne B St-Laurent David Burkett DB Shaw Martin M Ashken Toby T Womack Jonathan J Debenham Jonathan J Getty Michael M Kajal Shveta S Verma Neil N Samuel Katie K Macfarlane Alan J R AJR Kearns Rachel J RJ

BJA open 20231205

<h4>Background</h4>Adequate training of anaesthetists in regional anaesthesia is important to ensure optimal patient access to regional anaesthesia.<h4>Methods</h4>We undertook a national survey of UK trainee anaesthetists and Royal College of Anaesthetists (RCoA) tutors to assess experiences of training in regional anaesthesia. We performed descriptive statistics for baseline characteristics, and logistic regression of training indices and tutor confidence that their hospital could provide regi ...[more]

PMID: 38089849

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Dataset Information

Regional anaesthesia training in the UK - a national survey.

Background

Methods

Results

Conclusion

Publications

Regional anaesthesia training in the UK - a national survey.

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