Souter Karen J, Van Cleve Wil
Department of Anesthesiology and Pain Medicine, University of Washington, Seattle, Washington, USA.
Curr Opin Anaesthesiol. 2017 Aug;30(4):480-489. doi: 10.1097/ACO.0000000000000478.
The purpose of this review is to describe recent developments and current trends in training anesthesiologists in out-of-operating room anesthesia (OORA).
In the United States, the Accreditation Council for Graduate Medical Education recently updated its training requirements to include a mandatory 2-week rotation in OORA for anesthesiology residents. This likely reflects the continuing expansion of anesthesia services in the out-of-operating room (OOR) environment as well as the increasing complexity of OOR procedures and medical acuity of patients in these settings. In the United Kingdom, the Royal College of Anaesthetists has rigorous and progressively complex requirements for trainees in 'non-theater' anesthesia experience as they move through the four stages of training. A variety of educational strategies and a well-validated six-step process for curriculum development are described in this review.
This review will provide useful models for training directors needing to design and implement OOR rotations for their trainees.
本综述旨在描述非手术室麻醉（OORA）领域麻醉医师培训的最新进展和当前趋势。
在美国，毕业后医学教育认证委员会最近更新了培训要求，规定麻醉科住院医师必须进行为期2周的非手术室麻醉轮转。这可能反映出非手术室（OOR）环境中麻醉服务的持续扩展，以及这些环境中OOR手术的复杂性增加和患者医疗 acuity 的提高。在英国，皇家麻醉师学院对处于培训四个阶段的学员在“非手术室”麻醉经验方面有严格且逐步复杂的要求。本综述描述了多种教育策略以及经过充分验证的课程开发六步法。
本综述将为需要为学员设计和实施OOR轮转的培训主任提供有用的模式。
