1. National Pedagogical Plan in Anaesthesiology Residency - One-Year Impact in Clinical Experience (Module 1)
Norte G1, Sampaio A1, Bento M1, Martins M1, Maio Matos F1
1Biomedical Simulation Centre, Coimbra Hospital and University Centre (CHUC),
Coimbra, Portugal
Background & Aims
In order to address existing gaps in medical education, particularly in the teaching of anaesthesiology, and integrating the simulation as a pedagogical tool of reference, the Biomedical Simulation Centre of CHUC provides all portuguese anaesthesiology residents a National Pedagogical Plan (NPP), consisting of four modules designed according to the curriculum objectives set by the specialty college. This work aims to assess one year after the utility and the clinical experience impact of a course with simulation performed in the first year of residency, addressing technical and non-technical competencies.
Table 1 – Mean and confidence interval [CI] of the responses. 
Materials & Methods
A confidential survey was sent by to all who attended the Module 1 of the NPP in the previous year.
The answer to each question was registered in a 5-point Likert scale (being 1 = strongly disagree and 5 = strongly agree):
In the last year, did the formation help you in your clinical practice in:
- Pharmacology in anaesthesia;
- Basic airway approach;
- Ventilation;
- Vascular cannulation;
- Echography in anaesthesia;
- Neuroaxial blockade;
- Etiology and prevention of cardiorespiratory arrest;
- Basic Life Support (BLS) algorithm;
- Advanced Cardiovascular Life Support (ACLS) algorithm;
- Recognition of cardiac rhythms;
- Cardioversion.
Two open-ended questions were given to assess the most useful training areas and which to focus improvement for next versions:
- In the last year, did the training in NPP help you in your clinical practice? In what areas?
- After one year, what areas should the training NPP focus to help you in clinical practice?
Mean of responses [CI]
Pharmacology in anesthesia
3,54 [2,66-4,42]
Basic airway approach
3,92 [3,35-4,50]
Ventilation
3,38 [2,66-4,11]
Vascular cannulation
Echography in anesthesia
3,00 [2,18-3,82]
Neuroaxial blockade
3,23 [2,45-4,02]
Etiology and prevention of cardiorespiratory arrest
4,15 [3,74-4,57]
BLS algorithm
4,39 [3,92-4,85]
ACLS algorithm
4,15 [3,67-4,64]
Recognition of cardiac rhythms
4,08 [3,50-4,65]
Cardioversion
Results & Conclusions
The survey was answered by 13 residents (72%).
In the open-ended question, the areas of more impact in clinical practice were ACLS (69%), airway approach (39%) and BLS (31%).
The areas to be focused for better improve practice were peripheral blockade (15%) and echography in anaesthesia (15%).
Overall assessment of NPP is good with a mean response of 4 [3,57-4,43].
Simulation-based training on the thematic areas addressed in NPP is useful for anaesthesiology residents in their clinical practice, namely BLS and ACLS.
Copyright© 2016 Norte G et al. |