How to train thoracic anesthesia for residents and consultants?
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Date
2022-02
Publication Type
Journal Article
ETH Bibliography
yes
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Abstract
Purpose of review
The training of anesthesiologists in thoracic surgery is a significant challenge. International professional societies usually provide only a case number-based or time-based training concept. There are only a few concepts of simulation trainings in thoracic anesthesia and interprofessional debriefings on a daily basis are rarely applied. In this review, we will show how professional curricula should aim for competence rather than number of cases and why simulation-based training and debriefing should be implemented.
Recent findings
Recent curricula recommend so-called entrustable professional activities (EPAs)as a way out of the dilemma between the number of cases vs. competence. With these EPAs, competence can be mapped and prerequisites defined.
Training concepts from simulation in healthcare have so far not explicitly reached anesthesia for thoracic surgery. In addition to mere technical training, combined technical-behavioral training forms have proven to be an effective training targeting the entire team in the context of the actual working environment in the operating theatre.
Summary
Interdisciplinary and interprofessional learning can take place in simulation trainings and on a daily basis through postevent debriefings. When these debriefings are conducted in a structured way, an improvement in the performance of the entire team can be the result. The basis for these debriefings – as well as for other training approaches – is psychological safety, which should be established and maintained together with all professions involved.
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Publication status
published
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Book title
Journal / series
Volume
35 (1)
Pages / Article No.
69 - 74
Publisher
Lippincott Williams & Wilkins