Kopacz D J, Bridenbaugh L D
Department of Anesthesiology, Virginia Mason Medical Center, Seattle, WA 98111.
Reg Anesth. 1993 Mar-Apr;18(2):84-7.
A survey of anesthesia training programs in 1980 reported the use of a regional anesthetic technique in 21.3% of cases. Since that time, numerous changes have occurred in anesthesia residency programs. This survey was conducted to assess the impact these changes have had on the use and teaching of regional anesthetic techniques in residency training programs.
All anesthesia residency program directors were requested to send blinded copies of their residents' 1989-1990 American Board of Anesthesiology Annual Training Report Forms. Data from responding programs were compared to similar data from 1980, and analyzed for factors expected to influence the use of regional anesthesia during training.
The use of regional anesthesia in residency training programs has increased from 21.3% in 1980 to 29.8% in 1990, primarily because of a two-fold rise in the use of epidural anesthesia. The use of regional anesthesia is strongly correlated with a resident's exposure to obstetric anesthesia and pain consultations. Wide variability between residency programs remains.
Some training programs continue to fail to provide adequate regional anesthesia exposure to train residents fully in these techniques, despite the overall increased use of regional anesthesia.
1980年一项针对麻醉培训项目的调查显示，21.3%的病例使用了区域麻醉技术。自那时以来，麻醉住院医师培训项目发生了诸多变化。开展本次调查旨在评估这些变化对住院医师培训项目中区域麻醉技术的使用和教学产生的影响。
要求所有麻醉住院医师培训项目主任寄送其住院医师1989 - 1990年美国麻醉医师协会年度培训报告表的盲法副本。将回复项目的数据与1980年的类似数据进行比较，并分析预期会影响培训期间区域麻醉使用的因素。
住院医师培训项目中区域麻醉的使用从1980年的21.3%增至1990年的29.8%，主要原因是硬膜外麻醉的使用增加了两倍。区域麻醉的使用与住院医师接触产科麻醉和疼痛会诊密切相关。各住院医师培训项目之间仍存在很大差异。
尽管区域麻醉的总体使用有所增加，但一些培训项目仍未能提供足够的区域麻醉接触机会，以使住院医师充分掌握这些技术。
