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The efficacy of an anatomy and ultrasonography workshop on improving residents’ confidence and knowledge in regional anesthesia

BACKGROUND: Ultrasound Guided Regional Anesthesia (UGRA) has become the standard for regional anesthesia practice, but there is not a standardized educational approach for training residents. The objective of this study was to evaluate the efficacy of an UGRA workshop utilizing the theoretical frame...

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Autores principales: Harmon, Derek J., Boscardin, Christy K., Cohen, Neal H., Braehler, Matthias R.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10500924/
https://www.ncbi.nlm.nih.gov/pubmed/37710292
http://dx.doi.org/10.1186/s12909-023-04653-y
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author Harmon, Derek J.
Boscardin, Christy K.
Cohen, Neal H.
Braehler, Matthias R.
author_facet Harmon, Derek J.
Boscardin, Christy K.
Cohen, Neal H.
Braehler, Matthias R.
author_sort Harmon, Derek J.
collection PubMed
description BACKGROUND: Ultrasound Guided Regional Anesthesia (UGRA) has become the standard for regional anesthesia practice, but there is not a standardized educational approach for training residents. The objective of this study was to evaluate the efficacy of an UGRA workshop utilizing the theoretical framework of embodied cognition for anesthesiology residents. METHODS: A workshop was developed consisting of didactics, scanning training on standardized patients (SPs) and anatomy reviews on prosected cadavers that focused on the most common UGRA procedures for the upper and lower extremity. At the beginning of the workshop and at the end of the workshop residents completed pre-test and pre-confidence surveys, as well as post-test and post-confidence surveys, respectively to assess the impact of the workshop. RESULTS: 39 residents (100% of the possible residents) participated in the workshop in 2019. Residents’ confidence in identifying relevant anatomy for the most common UGRA procedures significantly increased in 13 of the 14 measurements. Residents’ knowledge gain was also statistically significant from the pre-test to post-test (20.13 ± 3.61 and 26.13 ± 2.34; p < .0001). The residents found the course overall to be very useful (4.90 ± 0.38) and in particular the cadaveric component was highly rated (4.74 ± 0.55). CONCLUSIONS: In this study, we developed a workshop guided by the embodied cognition framework to aid in shortening the overall learning curve of UGRA for anesthesiology residents. Based on our results this workshop should be replicated by institutions that are hoping to decrease the learning curve associated with UGRA and increase residents’ confidence in identifying the relevant anatomy in UGRA nerve blocks. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12909-023-04653-y.
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spelling pubmed-105009242023-09-15 The efficacy of an anatomy and ultrasonography workshop on improving residents’ confidence and knowledge in regional anesthesia Harmon, Derek J. Boscardin, Christy K. Cohen, Neal H. Braehler, Matthias R. BMC Med Educ Research BACKGROUND: Ultrasound Guided Regional Anesthesia (UGRA) has become the standard for regional anesthesia practice, but there is not a standardized educational approach for training residents. The objective of this study was to evaluate the efficacy of an UGRA workshop utilizing the theoretical framework of embodied cognition for anesthesiology residents. METHODS: A workshop was developed consisting of didactics, scanning training on standardized patients (SPs) and anatomy reviews on prosected cadavers that focused on the most common UGRA procedures for the upper and lower extremity. At the beginning of the workshop and at the end of the workshop residents completed pre-test and pre-confidence surveys, as well as post-test and post-confidence surveys, respectively to assess the impact of the workshop. RESULTS: 39 residents (100% of the possible residents) participated in the workshop in 2019. Residents’ confidence in identifying relevant anatomy for the most common UGRA procedures significantly increased in 13 of the 14 measurements. Residents’ knowledge gain was also statistically significant from the pre-test to post-test (20.13 ± 3.61 and 26.13 ± 2.34; p < .0001). The residents found the course overall to be very useful (4.90 ± 0.38) and in particular the cadaveric component was highly rated (4.74 ± 0.55). CONCLUSIONS: In this study, we developed a workshop guided by the embodied cognition framework to aid in shortening the overall learning curve of UGRA for anesthesiology residents. Based on our results this workshop should be replicated by institutions that are hoping to decrease the learning curve associated with UGRA and increase residents’ confidence in identifying the relevant anatomy in UGRA nerve blocks. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12909-023-04653-y. BioMed Central 2023-09-14 /pmc/articles/PMC10500924/ /pubmed/37710292 http://dx.doi.org/10.1186/s12909-023-04653-y Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Harmon, Derek J.
Boscardin, Christy K.
Cohen, Neal H.
Braehler, Matthias R.
The efficacy of an anatomy and ultrasonography workshop on improving residents’ confidence and knowledge in regional anesthesia
title The efficacy of an anatomy and ultrasonography workshop on improving residents’ confidence and knowledge in regional anesthesia
title_full The efficacy of an anatomy and ultrasonography workshop on improving residents’ confidence and knowledge in regional anesthesia
title_fullStr The efficacy of an anatomy and ultrasonography workshop on improving residents’ confidence and knowledge in regional anesthesia
title_full_unstemmed The efficacy of an anatomy and ultrasonography workshop on improving residents’ confidence and knowledge in regional anesthesia
title_short The efficacy of an anatomy and ultrasonography workshop on improving residents’ confidence and knowledge in regional anesthesia
title_sort efficacy of an anatomy and ultrasonography workshop on improving residents’ confidence and knowledge in regional anesthesia
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10500924/
https://www.ncbi.nlm.nih.gov/pubmed/37710292
http://dx.doi.org/10.1186/s12909-023-04653-y
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