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