Publication: Non-Fellowship regional anesthesia training and assessment: An international Delphi study on a consensus curriculum
Issued Date
2021-10-01
Resource Type
ISSN
15328651
10987339
10987339
Other identifier(s)
2-s2.0-85111146135
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Mahidol University
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SCOPUS
Bibliographic Citation
Regional Anesthesia and Pain Medicine. Vol.46, No.10 (2021), 867-873
Suggested Citation
Alwin Chuan, Bahaven Jeyaratnam, Shah Fathil, Leonardo H.C. Ferraro, Aneet Kessow, Yean Chin Lim, Michael J. O'Rourke, Vrushali Ponde, Julien Raft, Arthur Segurado, Suwimon Tangwiwat, Alexandra Torborg, Lloyd Turbitt, Andrew K. Lansdown, Edward R. Mariano, Colin J.L. McCartney, Alan J.R. MacFarlane, Louis Y.H. Mok, Steven L. Orebaugh, Amit Pawa, Santhanam Suresh, J. Balavenkat Subramanian, Thomas Volk, Glenn Woodworth, Reva Ramlogan Non-Fellowship regional anesthesia training and assessment: An international Delphi study on a consensus curriculum. Regional Anesthesia and Pain Medicine. Vol.46, No.10 (2021), 867-873. doi:10.1136/rapm-2021-102934 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/77826
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Title
Non-Fellowship regional anesthesia training and assessment: An international Delphi study on a consensus curriculum
Author(s)
Alwin Chuan
Bahaven Jeyaratnam
Shah Fathil
Leonardo H.C. Ferraro
Aneet Kessow
Yean Chin Lim
Michael J. O'Rourke
Vrushali Ponde
Julien Raft
Arthur Segurado
Suwimon Tangwiwat
Alexandra Torborg
Lloyd Turbitt
Andrew K. Lansdown
Edward R. Mariano
Colin J.L. McCartney
Alan J.R. MacFarlane
Louis Y.H. Mok
Steven L. Orebaugh
Amit Pawa
Santhanam Suresh
J. Balavenkat Subramanian
Thomas Volk
Glenn Woodworth
Reva Ramlogan
Bahaven Jeyaratnam
Shah Fathil
Leonardo H.C. Ferraro
Aneet Kessow
Yean Chin Lim
Michael J. O'Rourke
Vrushali Ponde
Julien Raft
Arthur Segurado
Suwimon Tangwiwat
Alexandra Torborg
Lloyd Turbitt
Andrew K. Lansdown
Edward R. Mariano
Colin J.L. McCartney
Alan J.R. MacFarlane
Louis Y.H. Mok
Steven L. Orebaugh
Amit Pawa
Santhanam Suresh
J. Balavenkat Subramanian
Thomas Volk
Glenn Woodworth
Reva Ramlogan
Other Contributor(s)
L'Hôpital d'Ottawa
Stanford University School of Medicine
Belfast Health and Social Care Trust
VA Palo Alto Health Care System
Prince of Wales Hospital Hong Kong
Universitätsklinikum des Saarlandes Medizinische Fakultät der Universität des Saarlandes
Royal Prince Alfred Hospital
Glasgow Royal Infirmary
Loyola University Medical Center
Oregon Health & Science University
Universidade Federal de São Paulo
VA Medical Center
Changi General Hospital
Mahidol University
University of Pittsburgh Medical Center
UNSW Medicine
University of KwaZulu-Natal
Northwestern University
Hospital Sirio-Libanês
St Thomas' Hospital
University of Cape Town
Hinduja Health Care Surgical and Research Centre
Gleneagles Hospital Medini Johor
Institut de Cancérologie de Lorraine
Ganga Medical Centre and Hospitals Pvt Ltd
Stanford University School of Medicine
Belfast Health and Social Care Trust
VA Palo Alto Health Care System
Prince of Wales Hospital Hong Kong
Universitätsklinikum des Saarlandes Medizinische Fakultät der Universität des Saarlandes
Royal Prince Alfred Hospital
Glasgow Royal Infirmary
Loyola University Medical Center
Oregon Health & Science University
Universidade Federal de São Paulo
VA Medical Center
Changi General Hospital
Mahidol University
University of Pittsburgh Medical Center
UNSW Medicine
University of KwaZulu-Natal
Northwestern University
Hospital Sirio-Libanês
St Thomas' Hospital
University of Cape Town
Hinduja Health Care Surgical and Research Centre
Gleneagles Hospital Medini Johor
Institut de Cancérologie de Lorraine
Ganga Medical Centre and Hospitals Pvt Ltd
Abstract
Background and objectives While there are several published recommendations and guidelines for trainees undertaking subspecialty Fellowships in regional anesthesia, a similar document describing a core regional anesthesia curriculum for non-fellowship trainees is less well defined. We aimed to produce an international consensus for the training and teaching of regional anesthesia that is applicable for the majority of worldwide anesthesiologists. Methods This anonymous, electronic Delphi study was conducted over two rounds and distributed to current and immediate past (within 5 years) directors of regional anesthesia training worldwide. The steering committee formulated an initial list of items covering nerve block techniques, learning objectives and skills assessment and volume of practice, relevant to a non-fellowship regional anesthesia curriculum. Participants scored these items in order of importance using a 10-point Likert scale, with free-text feedback. Strong consensus items were defined as highest importance (score ≥8) by ≥70% of all participants. Results 469 participants/586 invitations (80.0% response) scored in round 1, and 402/469 participants (85.7% response) scored in round 2. Participants represented 66 countries. Strong consensus was reached for 8 core peripheral and neuraxial blocks and 17 items describing learning objectives and skills assessment. Volume of practice for peripheral blocks was uniformly 16-20 blocks per anatomical region, while ≥50 neuraxial blocks were considered minimum. Conclusions This international consensus study provides specific information for designing a non-fellowship regional anesthesia curriculum. Implementation of a standardized curriculum has benefits for patient care through improving quality of training and quality of nerve blocks.