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Pavithran P, Kaniyil S, Rajesh MC, Venugopal V, Jitin TN, Davul A. The clinical learning environment in anaesthesiology in Kerala---Is it good enough?---A web-based survey. Indian J Anaesth 2021; 65:234-240. [PMID: 33776115 PMCID: PMC7989490 DOI: 10.4103/ija.ija_1422_20] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/29/2020] [Revised: 02/08/2021] [Accepted: 02/22/2021] [Indexed: 11/04/2022] Open
Abstract
Background and Aims Evaluation of postgraduate (PG) training is important so that necessary modifications can be made. The quality of anaesthesiology teaching in our country has not been explored. We performed a survey among the anaesthesiology PGs of Kerala to assess their perceptions about their learning environment as well as to look for the deficits in the training program. Methods An online web-based survey was conducted. The questionnaire was developed after a detailed validation process and circulated via Google forms. The questionnaire had three parts. First part asked for demographic details. Second part had 22 statements in four domains to evaluate the quality of training, which were to be answered based on a five-point Likert scale. The third part asked for the suggestions of the trainees on changes to be made for the improvement in quality of their training. Results The response rate was 64%. The social atmosphere was perceived positively in general by our PGs. Majority of them received feedback on their work and had a regular class schedule. Only 34% of the residents got training in non-technical skills. More tutorials and case discussions were the most common change suggested by the residents. Lack of research training and training in simulation labs were the major lacunae identified. Conclusion The clinical learning environment (CLE) was perceived to be of medium to high quality by the anaesthesiology PGs of Kerala. Lack of routine assessments and regular academic sessions were reflected in the responses.
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Affiliation(s)
| | - Suvarna Kaniyil
- Department of Anaesthesiology, Government Medical College, Calicut, Kerala, India
| | - M C Rajesh
- Department of Anaesthesiology, Baby Memorial Hospital, Calicut, Kerala, India
| | - Vijish Venugopal
- Department of Anaesthesiology, KMCT Medical College, Calicut, Kerala, India
| | - T N Jitin
- Department of Anaesthesiology, Baby Memorial Hospital, Calicut, Kerala, India
| | - Azeem Davul
- Department of Anaesthesiology, KMCT Medical College, Calicut, Kerala, India
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Brouillette MA, Aidoo AJ, Hondras MA, Boateng NA, Antwi-Kusi A, Addison W, Singh S, Laughlin PT, Johnson B, Pakala SR. Regional anesthesia training model for resource-limited settings: a prospective single-center observational study with pre-post evaluations. Reg Anesth Pain Med 2020; 45:528-535. [PMID: 32447288 DOI: 10.1136/rapm-2020-101550] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/10/2020] [Revised: 04/28/2020] [Accepted: 05/02/2020] [Indexed: 11/03/2022]
Abstract
BACKGROUND AND OBJECTIVES Educational initiatives are a sustainable means to address provider shortages in resource-limited settings (RLS), yet few regional anesthesia curricula for RLS have been described. We sought to design a reproducible training model for RLS called Global Regional Anesthesia Curricular Engagement (GRACE), implement GRACE at an RLS hospital in Ghana, and measure training and practice-based outcomes associated with GRACE implementation. METHODS Fourteen of 15 physician anesthesiologists from the study location and three from an outside orthopedic specialty hospital consented to be trainees and trainers, respectively, for this prospective single-center observational study with pre-post evaluations. We conducted an initial needs assessment to determine current clinical practices, participants' learning preferences, and available resources. Needs assessment findings, expert panel recommendations, and investigator consensus were then used to generate a site-specific curriculum that was implemented during two 3-week periods. We evaluated trainee satisfaction and changes in knowledge, clinical skill, and peripheral nerve block (PNB) utilization using the Kirkpatrick method. RESULTS The curriculum consisted of didactic lectures, simulations, and clinical instruction to teach ultrasound-guided PNB for limb injuries. Pre-post evaluations showed trainees were satisfied with GRACE, median knowledge examination score improved from 62.5% (15/24) to 91.7% (22/24) (p<0.001), clinical examination pass rate increased from 28.6% (4/14) to 85.7% (12/14) (p<0.01), and total PNB performed in 3 months grew from 48 to 118. CONCLUSIONS GRACE applied in an RLS hospital led to the design, implementation, and measurement of a regional anesthesia curriculum tailored to institutional specifications that was associated with positive Kirkpatrick outcomes.
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Affiliation(s)
- Mark A Brouillette
- Department of Anesthesiology, Critical Care and Pain Management, Hospital for Special Surgery, New York, New York, USA .,Department of Anesthesiology, Weill Cornell Medicine, New York, New York, USA
| | - Alfred J Aidoo
- Directorate of Anaesthesia and Intensive Care, Komfo Anokye Teaching Hospital, Kumasi, Ghana
| | - Maria A Hondras
- Department of Anesthesiology, University of Kansas Medical Center, Kansas City, Kansas, USA
| | - Nana A Boateng
- Directorate of Anaesthesia and Intensive Care, Komfo Anokye Teaching Hospital, Kumasi, Ghana
| | - Akwasi Antwi-Kusi
- Directorate of Anaesthesia and Intensive Care, Komfo Anokye Teaching Hospital, Kumasi, Ghana.,School of Medical Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana
| | - William Addison
- Directorate of Anaesthesia and Intensive Care, Komfo Anokye Teaching Hospital, Kumasi, Ghana.,School of Medical Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana
| | - Sanjeev Singh
- Directorate of Anaesthesia and Intensive Care, Komfo Anokye Teaching Hospital, Kumasi, Ghana.,School of Medical Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana
| | - Patrick T Laughlin
- Department of Anesthesiology, US Anesthesia Partners, Denver, Colorado, USA
| | - Benjamin Johnson
- Department of Anesthesiology, Rush University Medical Center, Chicago, Illinois, USA
| | - Swetha R Pakala
- Department of Anesthesiology, Critical Care and Pain Management, Hospital for Special Surgery, New York, New York, USA.,Department of Anesthesiology, Weill Cornell Medicine, New York, New York, USA
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