A Prospective Study to Determine the Efficacy of Simulation-based Training on Practicing Anesthesiologists' Acquisition of Ultrasound-guided Perineural Catheter Insertion Skills
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Pain Management
- Sponsor
- VA Palo Alto Health Care System
- Enrollment
- 32
- Locations
- 1
- Primary Endpoint
- Change in video assessment score from baseline
- Status
- Completed
- Last Updated
- 11 years ago
Overview
Brief Summary
This study will determine the efficacy of a teaching program incorporating hybrid simulation in training practicing anesthesiologists on ultrasound (US)-guided continuous peripheral nerve block (CPNB).
This study will also examine the extent of practice change following participation in a regional anesthesia teaching program incorporating hybrid simulation. In addition, this study will assess remaining obstacles to incorporating the use of US-guided perineural catheters through identifying potential future interventions and "tool-kits" for setting up perineural catheter programs.
Detailed Description
Study subjects will complete a pre-course survey to assess prior experience then participate in a standardized one-day workshop comprised of two sessions; 1) a didactic lecture and model scanning session and 2) a simulation session. Quantitative and qualitative assessments will be performed using video analysis by two blinded reviewers after equipment orientation (baseline), following first session, and following second session. Performance times, number of attempts, and composite scores for procedural performance and ergonomics will be analyzed within and between groups. Every 3 months for one year, subjects will be surveyed to assess implementation of PNB in practice and identify remaining barriers.
Investigators
Edward R. Mariano
Chief, Anesthesiology and Perioperative Care and Associate Professor of Anesthesia Stanford University School of Medicine
VA Palo Alto Health Care System
Eligibility Criteria
Inclusion Criteria
- •Anesthesiologists in practice ten years or more; active board certification (American Board of Anesthesiologists); active license to practice medicine in California; and willingness to spend one full day (8 hours) participating in the standardized workshop and undergo interval survey and interview follow-up for one year.
Exclusion Criteria
- •Formal training (e.g., post-graduate fellowship) in regional anesthesia; current practice includes the routine performance of US-guided PNB (≥10 blocks per month); or visual, hearing, or other communication impairment that would interfere with video recording or require substantial deviation from the standardized teaching curriculum.
Outcomes
Primary Outcomes
Change in video assessment score from baseline
Time Frame: baseline (time 0), interval assessment (time 1), and post-course (time 2)
The primary outcome is the change in composite score from baseline assessment based on the video analysis tool used by blinded reviewers. The baseline assessment at time 0 will take place after initial orientation to the simulation lab. This procedure will take approximately 15 min to perform and record. After the morning session of training (4 hours), the interval assessment at time 1 will take place in the same manner. The final assessment will take place following the entire course (8 hours total) according to the same procedures at time 2. Video recordings will be reviewed at a later date after completion of the training day.
Secondary Outcomes
- Implementation of new training(Every 3 months post-training for 1 year)