Safety, quality & education

Survey of World Federation of Societies of Anaesthesiologists Fellowship Graduates: Applying a Theory-Driven Framework to Assess Training Outcomes

Anesth AnalgPublished Cross-sectional study

Authors' conclusion

WFSA-supported fellowship programs were viewed favorably by graduates across all 5 levels of Guskey's framework.

Study context

Population
Graduates of World Federation of Societies of Anaesthesiologists (WFSA)-supported subspecialty anesthesia fellowships for LMIC anesthesiologists, 1996 to 2024388 surveys distributed
Participants
264 participants
Outcome
Graduates' reports of fellowship processes and consequences
Methodological detailssurvey, second phase of an exploratory sequential mixed-methods study, Guskey's 5-level evaluation framework, Instrument pretested and piloted; distributed electronically in English, Spanish, and French
  • Survey
  • Second phase of an exploratory sequential mixed-methods study
  • Guskey's 5-level evaluation framework
  • Instrument pretested and piloted; distributed electronically in English, Spanish, and French

Main finding

As reported in the abstract

Response rate
68.0%
Consistent access to clinical learning, teaching, mentorship, peer support and financial support during fellowship
Over 90%
Lack of confidence in ability to deliver subspecialty care upon returning home
Fewer than 5%
Unable to provide clinical care to the same standard as during fellowship
nearly 25%
Insufficient access to essential equipment for subspecialty practice
almost one-third

Observational data: associations, not effects.

Further findings

Timing of fellowship completion

Most respondents completed fellowship in the past 10 years; fewer graduates 2020–2022 due to COVID-19 pandemic

Original publication

Survey of World Federation of Societies of Anaesthesiologists Fellowship Graduates: Applying a Theory-Driven Framework to Assess Training Outcomes. Anesth Analg. Published 25 November 2025. doi:10.1213/ane.0000000000007860

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