Ramlogan R, Niazi AU. Education in Regional Anesthesia: The Next Level. Current Anesthesiology Reports June 2015, Volume 5, Issue 2, pp 203–208.
The apprenticeship model of teaching procedural skills in regional anesthesia may no longer be effective because of the increasing number of peripheral nerve blocks currently performed. A time-based training program is restrictive, and this is compounded by limitations in duty hours and time pressures concerning operating room efficiency. Forty percent of residents do not fulfill the recommended minimum number of blocks required upon graduation. In this review we discuss the issues with the current apprenticeship model of teaching; how simulation addresses some of these issues, and why the future of regional anesthesia education will be modeled on an experiential competency-based paradigm as opposed to the traditional time-based model.
Grau T, Bartusseck E, Conradi R, Martin E, Motsch J.Ultrasound imaging improves learning curves in obstetric epidural anesthesia: a preliminary study. Can J Anaesth. 2003 Dec;50(10):1047-50.
Using ultrasound imaging for teaching epidural anesthesia in obstetrics we found a higher rate of success during the first 60 attempts compared to conventional teaching. We believe this shows the possible value of ultrasound imaging for teaching and learning obstetric regional anesthesia.
Niazi AU, Peng PW, Ho M, Tiwari A, Chan VW. The future of regional anesthesia education: lessons learned from the surgical specialty. Can J Anaesth. 2016 Aug;63(8):966-72.
In this narrative review, we describe the theory behind the evolution of surgical skills training. We also outline how we can apply these learning theories and simulation models to a competency-based curriculum for training in ultrasound-guided regional anesthesia.
Colaço HB ,Tennent D. Simulation in shoulder surgery. Shoulder & Elbow 2016, Vol. 8(4) 287–296
Simulation is a rapidly developing field in medical education. There is a growing need for trainee surgeons to acquire surgical skills in a cost-effective learning environment to improve patient safety and compensate for a reduction in training time and operative experience. Although simulation is not a replacement for traditional models of surgical training, and robust assessment metrics need to be validated before widespread use for accreditation, it is a useful adjunct that may ultimately lead to improving surgical outcomes for our patients.