Safety, quality & education

Regional anaesthesia education for consultants and specialists in the UK: a mixed-methods analysis

Br J AnaesthPublished Mixed-methods study

Authors' conclusion

This study highlights persistent perceived deficiencies in regional anaesthesia skills among consultants and specialists.

Study context

Population
UK consultant and specialist anaesthetistssurvey responses analysed
Participants
369 participants
Outcome
Self-reported confidence in performing Plan A blocks
Methodological detailsquantitative survey, qualitative interviews, purposive sample
  • Quantitative survey
  • Qualitative interviews
  • Purposive sample

Main finding

As reported in the abstract

Self-reported confidence in performing all Plan A blocks
Lower confidence levels
Odds ratio (95% CI)P value
Specialists
0.391(0.179–0.855)
P = 0.016
In their roles for >10 yr
0.551(0.327–0.927)
P = 0.024
Respondents confident in performing all Plan A blocks
22%

Observational data: associations, not effects.

Further findings

Qualitative interviews: barriers and facilitators

Peer-led learning the most effective learning modality
Barriers: apprehension about complications, self-perceived incompetence, lack of CPD time, insufficient multidisciplinary team support, lack of inclusivity in the RA community
Organisational culture had substantial impact; local RA champions a key facilitator
  • Data saturation at 31 interviews

Original publication

Regional anaesthesia education for consultants and specialists in the UK: a mixed-methods analysis. Br J Anaesth. Published 5 March 2024. doi:10.1016/j.bja.2024.01.032

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