Sekhavati Pooyan, Ramlogan Reva, Bailey Jonathan G, Busse Jason W, Boet Sylvain, Gu Yuqi
Faculty of Medicine, University of Ottawa, Roger Guindon Hall, 451 Smyth Rd #2044, Ottawa, ON, K1H 8M5, Canada.
Department of Anesthesiology and Pain Medicine, Faculty of Medicine, University of Ottawa, Ottawa, ON, Canada.
Can J Anaesth. 2025 Jan;72(1):173-180. doi: 10.1007/s12630-024-02818-x. Epub 2024 Aug 6.
Simulation-based education in ultrasound-guided regional anesthesia (UGRA) improves knowledge, skills, and patient outcomes. Nevertheless, it is not known how simulation-based UGRA education is used across Canada. We aimed to characterize the current use of simulation-based UGRA education in Canadian anesthesiology residency training programs.
We developed and distributed a structured national survey to simulation leads of all 17 Canadian anesthesiology residency training programs. The survey inquired about program demographics, simulation modalities, facilitators and barriers to simulation use, use for assessment, and beliefs around simulation-based UGRA education. We gathered data from August to November 2023 and summarized our findings descriptively.
Fifteen programs (88%) responded to our survey. Eight programs (53%) used UGRA simulation for technical training and nine programs (60%) for nontechnical training. The most common simulators used were live model scanning (13 programs, 87%) and gel phantom models (7 programs, 47%). Five programs (33%) mandated simulation-based UGRA in their curriculum. We found that deliberate practice and improved patient safety were most valued in simulation training while lack of funding and faculty availability were the most common barriers to implementation. Most respondents agreed that formative simulation-based education would improve trainee skills and called for greater standardization. Nevertheless, there were mixed responses regarding summative UGRA simulation and the need for simulation proficiency before clinical practice.
Our findings show significant variations in simulation implementation and views on UGRA simulation-based education among Canadian anesthesiology residency training programs. Future studies should explore avenues to overcome barriers and improve knowledge translation in UGRA.
基于模拟的超声引导区域麻醉（UGRA）教育可提高知识、技能和患者预后。然而，目前尚不清楚加拿大各地是如何使用基于模拟的UGRA教育的。我们旨在描述加拿大麻醉学住院医师培训项目中基于模拟的UGRA教育的当前使用情况。
我们开发并向加拿大所有17个麻醉学住院医师培训项目的模拟负责人分发了一份结构化的全国性调查问卷。该调查询问了项目的人口统计学特征、模拟方式、模拟使用的促进因素和障碍、用于评估的情况以及对基于模拟的UGRA教育的看法。我们在2023年8月至11月收集了数据，并对我们的调查结果进行了描述性总结。
15个项目（88%）回复了我们的调查。8个项目（53%）将UGRA模拟用于技术培训，9个项目（60%）用于非技术培训。最常用的模拟器是活体模型扫描（13个项目，87%）和凝胶体模模型（7个项目，47%）。5个项目（33%）在其课程中规定了基于模拟的UGRA。我们发现，刻意练习和提高患者安全性在模拟培训中最受重视，而资金不足和教员可用性欠缺是实施过程中最常见的障碍。大多数受访者同意基于模拟的形成性教育将提高学员的技能，并呼吁实现更大程度的标准化。然而，对于UGRA模拟总结性评估以及临床实践前模拟熟练程度的必要性，各方反应不一。
我们的研究结果表明，加拿大麻醉学住院医师培训项目在模拟实施以及对基于UGRA模拟教育的看法上存在显著差异。未来的研究应探索克服障碍并改善UGRA知识转化的途径。
