Tucker RV, Huang R, Peterson WJ, Munzer BW, Thiessen M. An Ultrasound-Guided Regional Anesthesia Elective for Emergency Medicine Residents.
JOURNAL OF EDUCATION & TEACHING IN EMERGENCY MEDICINE 2021;
6:C1-C34. [PMID:
37465534 PMCID:
PMC10334442 DOI:
10.21980/j8tp9b]
[Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Figures] [Subscribe] [Scholar Register] [Received: 06/15/2020] [Accepted: 10/23/2020] [Indexed: 07/20/2023]
Abstract
Audience
This ultrasound-guided regional anesthesia elective is designed for emergency medicine residents.
Length of Curriculum
The proposed length of this curriculum is over one week.
Introduction
Ultrasound-guided regional anesthesia (UGRA) is a useful tool in the emergency department (ED) for managing painful conditions, and many programs have identified that these are useful skills for emergency providers; however, only about 53% of programs report teaching UGRA as part of their core curriculum, and there currently are no widely available or peer reviewed nerve block curricula designed for emergency medicine residents.
Educational Goals
To deliver an immersive 1-week elective to provide residents a strong foundation in principles of UGRA and an introduction to 14 nerve block procedures applicable to care provided in the ED.
Educational Methods
The educational strategies used in this curriculum include: instructional videos, written and online independent learning materials, one-on-one teaching at the bedside with an emergency ultrasound fellow, simulation of nerve block techniques using a femoral nerve block task trainer, and performance of supervised nerve block procedures on patients in the ED.
Research Methods
All residents provided feedback through an online survey after completing the elective.
Results
Eight residents completed the elective in the first year of implementation. Following completion of the UGRA curriculum, 8/8 (100%) of residents reported increased level of confidence in performing UGRA. In addition, 8/8 (100%) of residents reported they were "likely" or "very likely" to incorporate UGRA into their future EM practice. All 8 (100%) residents responded they were "very likely" to recommend the elective to other trainees. The elective received high ratings for overall quality with an average rating of 9.4 out of 10 (±0.7).
Discussion
An elective in ultrasound-guided regional anesthesia can be successfully incorporated into an emergency medicine training program. The curriculum was successful in providing focused training in UGRA and resulted in increased resident confidence in performing nerve block procedures.
Topics
Ultrasound-guided regional anesthesia, nerve block, resident, elective, pain.
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