Attaining expertise in regional anaesthesia training using a multifactorial approach incorporating deliberate practice

Graeme McLeod; Alwin Chuan; Mel McKendrick

doi:10.1016/j.bja.2024.06.003

Attaining expertise in regional anaesthesia training using a multifactorial approach incorporating deliberate practice

Br J Anaesth. 2024 Sep;133(3):494-499. doi: 10.1016/j.bja.2024.06.003. Epub 2024 Jul 2.

Authors

Graeme McLeod¹, Alwin Chuan², Mel McKendrick³

Affiliations

¹ Department of Anaesthesia, Ninewells Hospital, Dundee, UK; Division of Imaging & Technology, University of Dundee, Dundee, UK; School of Engineering and Physical Sciences, Heriot Watt University, Edinburgh, UK. Electronic address: g.a.mcleod@dundee.ac.uk.
² South West Sydney Clinical Campus, Faculty of Medicine & Health, UNSW Sydney, Sydney, NSW, Australia.
³ Department of Psychology, Heriot-Watt University, Edinburgh, UK; Optomize Ltd, Glasgow, UK.

PMID: 38960830
DOI: 10.1016/j.bja.2024.06.003

Abstract

The most effective way of delivering regional anaesthesia training and the best means of demonstrating competency have not been established. Clinical competency, based on the Dreyfus and Dreyfus lexicon, appears unachievable using current training approaches. Lessons should be taken from the worlds of music, chess, and sports. Modern skills training programmes should be built on an explicit and detailed understanding with measurement of a variety of factors such as perception, attention, psychomotor and visuospatial function, and kinesthetics, coupled with quantitative, accurate, and reliable measurement of performance.

Keywords: eye tracking; medical education; psychomotor; regional anaesthesia; simulation; skills; training; visuospatial.

Publication types

Editorial

MeSH terms

Anesthesia, Conduction* / methods
Anesthesiology* / education
Clinical Competence*
Humans