Skip to main content

Evaluation of a Standardized Program for Training Practicing Anesthesiologists in Ultrasound-Guided Regional Anesthesia Skills.

Publication ,  Journal Article
Mariano, ER; Harrison, TK; Kim, TE; Kan, J; Shum, C; Gaba, DM; Ganaway, T; Kou, A; Udani, AD; Howard, SK ...
Published in: J Ultrasound Med
October 2015

OBJECTIVES: Practicing anesthesiologists have generally not received formal training in ultrasound-guided perineural catheter insertion. We designed this study to determine the efficacy of a standardized teaching program in this population. METHODS: Anesthesiologists in practice for 10 years or more were recruited and enrolled to participate in a 1-day program: lectures and live-model ultrasound scanning (morning) and faculty-led iterative practice and mannequin-based simulation (afternoon). Participants were assessed and recorded while performing ultrasound-guided perineural catheter insertion at baseline, at midday (interval), and after the program (final). Videos were scored by 2 blinded reviewers using a composite tool and global rating scale. Participants were surveyed every 3 months for 1 year to report the number of procedures, efficacy of teaching methods, and implementation obstacles. RESULTS: Thirty-two participants were enrolled and completed the program; 31 of 32 (97%) completed the 1-year follow-up. Final scores [median (10th-90th percentiles)] were 21.5 (14.5-28.0) of 30 points compared to 14.0 (9.0-20.0) at interval (P < .001 versus final) and 12.0 (8.5-17.5) at baseline (P < .001 versus final), with no difference between interval and baseline. The global rating scale showed an identical pattern. Twelve of 26 participants without previous experience performed at least 1 perineural catheter insertion after training (P < .001). However, there were no differences in the monthly average number of procedures or complications after the course when compared to baseline. CONCLUSIONS: Practicing anesthesiologists without previous training in ultrasound-guided regional anesthesia can acquire perineural catheter insertion skills after a 1-day standardized course, but changing clinical practice remains a challenge.

Duke Scholars

Altmetric Attention Stats
Dimensions Citation Stats

Published In

J Ultrasound Med

DOI

EISSN

1550-9613

Publication Date

October 2015

Volume

34

Issue

10

Start / End Page

1883 / 1893

Location

England

Related Subject Headings

  • Ultrasonography, Interventional
  • Teaching
  • Radiology
  • Program Evaluation
  • Nuclear Medicine & Medical Imaging
  • Middle Aged
  • Humans
  • Educational Measurement
  • Curriculum
  • Clinical Competence
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Mariano, E. R., Harrison, T. K., Kim, T. E., Kan, J., Shum, C., Gaba, D. M., … ADAPT (Anesthesiology-Directed Advanced Procedural Training) Research Group, . (2015). Evaluation of a Standardized Program for Training Practicing Anesthesiologists in Ultrasound-Guided Regional Anesthesia Skills. J Ultrasound Med, 34(10), 1883–1893. https://doi.org/10.7863/ultra.14.12035
Mariano, Edward R., T Kyle Harrison, T Edward Kim, Jack Kan, Cynthia Shum, David M. Gaba, Toni Ganaway, et al. “Evaluation of a Standardized Program for Training Practicing Anesthesiologists in Ultrasound-Guided Regional Anesthesia Skills.J Ultrasound Med 34, no. 10 (October 2015): 1883–93. https://doi.org/10.7863/ultra.14.12035.
Mariano ER, Harrison TK, Kim TE, Kan J, Shum C, Gaba DM, et al. Evaluation of a Standardized Program for Training Practicing Anesthesiologists in Ultrasound-Guided Regional Anesthesia Skills. J Ultrasound Med. 2015 Oct;34(10):1883–93.
Mariano, Edward R., et al. “Evaluation of a Standardized Program for Training Practicing Anesthesiologists in Ultrasound-Guided Regional Anesthesia Skills.J Ultrasound Med, vol. 34, no. 10, Oct. 2015, pp. 1883–93. Pubmed, doi:10.7863/ultra.14.12035.
Mariano ER, Harrison TK, Kim TE, Kan J, Shum C, Gaba DM, Ganaway T, Kou A, Udani AD, Howard SK, ADAPT (Anesthesiology-Directed Advanced Procedural Training) Research Group. Evaluation of a Standardized Program for Training Practicing Anesthesiologists in Ultrasound-Guided Regional Anesthesia Skills. J Ultrasound Med. 2015 Oct;34(10):1883–1893.

Published In

J Ultrasound Med

DOI

EISSN

1550-9613

Publication Date

October 2015

Volume

34

Issue

10

Start / End Page

1883 / 1893

Location

England

Related Subject Headings

  • Ultrasonography, Interventional
  • Teaching
  • Radiology
  • Program Evaluation
  • Nuclear Medicine & Medical Imaging
  • Middle Aged
  • Humans
  • Educational Measurement
  • Curriculum
  • Clinical Competence