Achieving Lumbar Epidural Block Competency in Inexperienced Trainees after a Structured Epidural Teaching Model: A Randomized, Single Blind, Prospective Comparison of CUSUM Learning Curves
Aim. The aim of this randomized, prospective study was to investigate whether the use of the structured epidural teaching model (SETM) may affect the learning curve for lumbar epidural block in novice trainees when compared with a standard teaching module. Introduction. There is a paucity of literat...
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| Format: | Article |
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Wiley
2022-01-01
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| Series: | Anesthesiology Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2022/1738783 |
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| author | Marco Scorzoni Gian Luigi Gonnella Emanuele Capogna Matteo Velardo Pietro Paolo Giuri Mariano Ciancia Giorgio Capogna Gaetano Draisci |
| author_facet | Marco Scorzoni Gian Luigi Gonnella Emanuele Capogna Matteo Velardo Pietro Paolo Giuri Mariano Ciancia Giorgio Capogna Gaetano Draisci |
| author_sort | Marco Scorzoni |
| collection | DOAJ |
| description | Aim. The aim of this randomized, prospective study was to investigate whether the use of the structured epidural teaching model (SETM) may affect the learning curve for lumbar epidural block in novice trainees when compared with a standard teaching module. Introduction. There is a paucity of literature regarding the efficacy of teaching epidural blocks and comparisons between the different educational approaches. Method. Forty-four PGY3 anesthesia trainees were randomized to receive (study group) or to not receive (control group) the SDM (structured didactic model) before the beginning of their 6 months clinical practice rotation in labor and delivery suites. A CUSUM learning curve was built for every trainee. The scores were assigned by the staff instructor, who was unaware of the group to which the trainee belonged. Results. The number of subjects who achieved an improvement in performance was 8 trainees from the control group and 14 from the study group. The probability of achieving an improvement was higher (p<05) in the study group than in the control group, with an aOR of 3.25 (CI: 1.01; 12.1). The proportion of subjects in the study group who completed the epidural without help was 1.21 (1.05–1.41) times the proportion of subjects who completed the epidural without help in the control group. The probability of completing the epidural block without any assistance was 21% higher in the study group than in the control group (p<05). Conclusion. We have demonstrated that the use of the structured epidural teaching model (SETM) may improve the learning curve (CUSUM) for lumbar epidural block in novice, entirely inexperienced, anesthesia trainees. |
| format | Article |
| id | doaj-art-8dd43489bcf64c40b624ae230e4fcce4 |
| institution | Kabale University |
| issn | 1687-6970 |
| language | English |
| publishDate | 2022-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Anesthesiology Research and Practice |
| spelling | doaj-art-8dd43489bcf64c40b624ae230e4fcce42025-08-20T03:37:54ZengWileyAnesthesiology Research and Practice1687-69702022-01-01202210.1155/2022/1738783Achieving Lumbar Epidural Block Competency in Inexperienced Trainees after a Structured Epidural Teaching Model: A Randomized, Single Blind, Prospective Comparison of CUSUM Learning CurvesMarco Scorzoni0Gian Luigi Gonnella1Emanuele Capogna2Matteo Velardo3Pietro Paolo Giuri4Mariano Ciancia5Giorgio Capogna6Gaetano Draisci7Department of AnesthesiologyDepartment of AnesthesiologyEuropean School of Obstetric AnesthesiaEuropean School of Obstetric AnesthesiaDepartment of AnesthesiologyDepartment of AnesthesiologyEuropean School of Obstetric AnesthesiaDepartment of AnesthesiologyAim. The aim of this randomized, prospective study was to investigate whether the use of the structured epidural teaching model (SETM) may affect the learning curve for lumbar epidural block in novice trainees when compared with a standard teaching module. Introduction. There is a paucity of literature regarding the efficacy of teaching epidural blocks and comparisons between the different educational approaches. Method. Forty-four PGY3 anesthesia trainees were randomized to receive (study group) or to not receive (control group) the SDM (structured didactic model) before the beginning of their 6 months clinical practice rotation in labor and delivery suites. A CUSUM learning curve was built for every trainee. The scores were assigned by the staff instructor, who was unaware of the group to which the trainee belonged. Results. The number of subjects who achieved an improvement in performance was 8 trainees from the control group and 14 from the study group. The probability of achieving an improvement was higher (p<05) in the study group than in the control group, with an aOR of 3.25 (CI: 1.01; 12.1). The proportion of subjects in the study group who completed the epidural without help was 1.21 (1.05–1.41) times the proportion of subjects who completed the epidural without help in the control group. The probability of completing the epidural block without any assistance was 21% higher in the study group than in the control group (p<05). Conclusion. We have demonstrated that the use of the structured epidural teaching model (SETM) may improve the learning curve (CUSUM) for lumbar epidural block in novice, entirely inexperienced, anesthesia trainees.http://dx.doi.org/10.1155/2022/1738783 |
| spellingShingle | Marco Scorzoni Gian Luigi Gonnella Emanuele Capogna Matteo Velardo Pietro Paolo Giuri Mariano Ciancia Giorgio Capogna Gaetano Draisci Achieving Lumbar Epidural Block Competency in Inexperienced Trainees after a Structured Epidural Teaching Model: A Randomized, Single Blind, Prospective Comparison of CUSUM Learning Curves Anesthesiology Research and Practice |
| title | Achieving Lumbar Epidural Block Competency in Inexperienced Trainees after a Structured Epidural Teaching Model: A Randomized, Single Blind, Prospective Comparison of CUSUM Learning Curves |
| title_full | Achieving Lumbar Epidural Block Competency in Inexperienced Trainees after a Structured Epidural Teaching Model: A Randomized, Single Blind, Prospective Comparison of CUSUM Learning Curves |
| title_fullStr | Achieving Lumbar Epidural Block Competency in Inexperienced Trainees after a Structured Epidural Teaching Model: A Randomized, Single Blind, Prospective Comparison of CUSUM Learning Curves |
| title_full_unstemmed | Achieving Lumbar Epidural Block Competency in Inexperienced Trainees after a Structured Epidural Teaching Model: A Randomized, Single Blind, Prospective Comparison of CUSUM Learning Curves |
| title_short | Achieving Lumbar Epidural Block Competency in Inexperienced Trainees after a Structured Epidural Teaching Model: A Randomized, Single Blind, Prospective Comparison of CUSUM Learning Curves |
| title_sort | achieving lumbar epidural block competency in inexperienced trainees after a structured epidural teaching model a randomized single blind prospective comparison of cusum learning curves |
| url | http://dx.doi.org/10.1155/2022/1738783 |
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