Department of Anaesthesia, Monash Medical Centre, Melbourne, Australia.
Department of Anaesthesia, Eastern Health, Melbourne, Australia.
Anaesth Intensive Care. 2022 Jul;50(4):273-280. doi: 10.1177/0310057X211050937. Epub 2021 Dec 6.
The COVID-19 pandemic has had profound implications for continuing medical education. Travel restrictions, lockdowns and social distancing in an effort to curb spread have meant that medical conferences have been postponed or cancelled. When the Australian and New Zealand College of Anaesthetists made the decision to commit to a fully virtual 2021 Annual Scientific Meeting, the organising committee investigated the viability of presenting a virtual 'Can't intubate, can't oxygenate' workshop. A workshop was designed comprising a lecture, case scenario discussion and demonstration of emergency front-of-neck access techniques broadcast from a central hub before participants separated into Zoom® (Zoom Video Communications, San Jose, CA, USA) breakout rooms for hands-on practice, guided by facilitators working virtually from their own home studios. Kits containing equipment including a 3D printed larynx, cannula, scalpel and bougie were sent to workshop participants in the weeks before the meeting. Participants were asked to complete pre- and post-workshop surveys. Of 42 participants, 32 responded, with the majority rating the workshop 'better than expected'. All except two respondents felt the workshop met learning objectives. Themes of positive feedback included being impressed with the airway model, the small group size, content and delivery. Feedback focused on previously unperceived advantages of virtual technical skills workshops, including convenience, equitable access and the reusable airway model. Disadvantages noted by respondents included lack of social interaction, inability to trial more expensive airway equipment, and some limitations of the ability of facilitators to review participants' technique. Despite limitations, in our experience, virtual workshops can be planned with innovative solutions to deliver technical skills education successfully.
COVID-19 大流行对继续医学教育产生了深远的影响。为了遏制病毒传播而采取的旅行限制、封锁和社交隔离措施意味着医学会议已被推迟或取消。当澳大利亚和新西兰麻醉师学会决定全力举办 2021 年年度科学会议的虚拟会议时,组织委员会调查了举办虚拟“无法插管,无法给氧”研讨会的可行性。设计了一个包含讲座、病例情景讨论和紧急颈前通道技术演示的研讨会,这些内容从一个中央枢纽进行直播,然后参与者分成 Zoom®(Zoom Video Communications,美国加利福尼亚州圣何塞)分组会议室进行实际操作练习,由虚拟居家工作室中的协调员进行指导。在会议前几周,将包含设备的套件寄给研讨会参与者,这些设备包括 3D 打印的喉头、套管、手术刀和通气管。在 42 名参与者中,有 32 名做出了回应,其中大多数人对研讨会的评价“超出预期”。除了两名受访者,所有人都认为该研讨会符合学习目标。积极反馈的主题包括对气道模型、小组规模、内容和演示的印象深刻。反馈意见集中在虚拟技术技能研讨会以前未被察觉的优势,包括方便、公平的获取机会和可重复使用的气道模型。受访者指出的缺点包括缺乏社交互动、无法试用更昂贵的气道设备,以及协调员审查参与者技术的能力存在一些限制。尽管存在局限性,但根据我们的经验,虚拟研讨会可以通过创新的解决方案进行规划,以成功提供技术技能教育。