Education and training in ultrasound-guided regional anaesthesia and pain medicine

Curr Opin Anaesthesiol. 2020 Oct;33(5):674-684. doi: 10.1097/ACO.0000000000000908.

Abstract

Purpose of review: Effective and safe regional anaesthesia and pain medicine procedures require clinicians to learn and master complex theoretical knowledge and motor skills. This review aims to summarize articles relevant to education and training in these skill sets in the previous 2 years.

Recent findings: Twenty-two articles were identified, investigating nine out of the 13 top-ranked research topics in education and training in regional anaesthesia. Research topics addressed by these articles included prerotation simulation, deliberate practice combined with formative assessment tools, validation of assessment tools, three-dimensional-printed models, and knowledge translation from simulation to clinical practice. Emerging concepts investigated for their applications in regional anaesthesia included eye-tracking as a surrogate metric when evaluating proficiency, and elastography aiding visual salience to distinguish appropriate perineural and inappropriate intraneural injections.

Summary: Research into education and training in regional anaesthesia covered multiple and diverse topics. Methodological limitations were noted in several articles, reflecting the difficulties in designing and conducting medical education studies. Nonetheless, the evidence-base continues to mature and innovations provide exciting future possibilities.

Publication types

  • Review

MeSH terms

  • Anesthesia, Conduction / methods
  • Anesthesia, Conduction / standards*
  • Anesthesiology / education*
  • Anesthesiology / standards
  • Clinical Competence / standards
  • Education, Medical*
  • Humans
  • Pain
  • Ultrasonography, Interventional / standards*