Anesthesia training: Are we doing enough in three years? Cross-sectional study

  • María Paula Giraldo a. Specialization in Anesthesia and Resuscitation, Universidad del Rosario. Bogotá, Colombia. b. Fundación Cardioinfantil. Bogotá, Colombia. https://orcid.org/0000-0003-0414-2404
  • Andrés Guillermo Beltrán a. Specialization in Anesthesia and Resuscitation, Universidad del Rosario. Bogotá, Colombia. b. Fundación Cardioinfantil. Bogotá, Colombia. https://orcid.org/0000-0002-5853-4959
  • Julieth Díaz-Ramírez a. Specialization in Anesthesia and Resuscitation, Universidad del Rosario. Bogotá, Colombia. b. Fundación Cardioinfantil. Bogotá, Colombia. https://orcid.org/0000-0003-2772-1425
  • German Andrés Franco-Gruntorad Specialization in Anesthesia and Resuscitation, Universidad del Rosario. Bogotá, Colombia. https://orcid.org/0000-0002-4106-3070
Keywords: Anesthesia, Clinical competence, Academic training, Education, medical, Residency, medical, Anesthesiology

Abstract

Introduction: The minimum number of procedures required to be performed during anesthesia training has not been officially defined in Colombia. Although a number is no guarantee of acquired competencies, it does indicate the level of opportunity offered by the different programs. This study describes the practical training afforded to residents in a graduate anesthesia program in Colombia, and compares its results with international standards.

Objective: Describe exposure to procedures performed by residents enrolled in a three-year anesthesia specialization program in Colombia between 2015 and 2020, and compare with the standards proposed by ASCOFAME and ACGME.

Methods: Descriptive, cross-sectional study which included residents who did their specialization in a Colombian anesthesia program between 2015 and 2020. Complexity, anesthesia techniques, invasive monitoring and airway approach were described. Finally a descriptive comparison was made with the published references of the Colombian Association of Medical Schools (ASCOFAME) and the Accreditation Council for Graduate Medical Education (ACGME).

Results: The results for 10 residents were included. Each resident had a median of 978 cases (IQR 942-1120), corresponding to 25 surgical specialties, the most frequent being general surgery (18%), orthopedics (16%), pediatric surgery (19%), and obstetrics (10.8%). According to the American Society of Anesthesiology (ASA) classification, the majority of patients were ASA II (39.63%) and ASA III (28.4%). Adequate exposure was achieved in 11 of the 15 categories proposed by ACGME and in 6 of the 15 proposed by ASCOFAME.

Conclusions: A detailed description of the practice component acquired by the residents during their three years of training was obtained. This baseline provides insight into the national landscape and allows to describe the relationship with international standards.

References

ASCOFAME. Estándares de Calidad para la creación formación y funcionamiento de programas de especialidades médicas en la educación superior. (Anestesiología) [internet]. 2016 [cited: 2023 Mar 14]. Available at: https://ascofame.org.co/web/wp-content/uploads/2016/08/Anestesiologa.pdf.

Olmos-Vega FM. 3 or 4 years for anesthesia residency program? How to approach the discussion in terms of competency-based education. Colombian Journal of Anesthesiology. 2017;45:128-31. doi: https://doi.org/10.1016/J.RCA.2016.11.004.

Congreso de Colombia. Ley 1917 de 12 de julio de 2018 “por medio de la cual se reglamenta el sistema de residencias médicas en Colombia, su mecanismo de financiación y se dictan otras disposiciones”. Diario Oficial 2018.

Vinagre R, Tanaka P, Tardelli MA. Competency-based anesthesiology teaching: comparison of programs in Brazil, Canada and the United States. Braz J Anesthesiol. 2021;71(2):162-70. doi: https://doi.org/10.1016/j.bjane.2020.12.026.

Woodworth GE, Hoskins ZB, Hoang TT, Marsh B, Infosino A, Spofford CM, et al. Anesthesiology residency training and the anesthesia toolbox: Five years of experience with a collaboratively developed peer-reviewed e-learning system. A A Pract. 2021;15(2):e01406. doi: https://doi.org/10.1213/xaa.0000000000001406.

Díaz Guío DA, del Moral I, Maestre JM. Do we want intensivists to be competent or excellent? Clinical simulation-based mastery learning. Acta Colombiana de Cuidado Intensivo. 2015;15(3):187-95. doi: https://doi.org/10.1016/j.acci.2015.05.001.

Konrad C, Schüpfer G, Wietlisbach M, Gerber H. Learning manual skills in anesthesiology: Is there a recommended number of cases for anesthetic procedures? Anesth Analg. 1998;86(3):635-9. doi: https://doi.org/10.1097/00000539-199803000-00037.

Aguirre Ospina OD, Ríos Medina ÁM, Calderón Marulanda M, Gómez Buitrago LM. Cumulative Sum learning curves (CUSUM) in basic anaesthesia procedures. Colombian Journal of Anesthesiology. 2014;42(3):142-53. doi: https://doi.org/10.1016/j.rca.2014.03.004.

Congreso de Colombia. Decreto 1665 de agosto 2 de 2002, por el cual se establecen los estándares de calidad de los programas de Especializaciones Médicas y Quirúrgicas en Medicina. Diario Oficial 2002.

Accreditation Council for Graduate Medical (ACGME). Program requirements for graduate medical education in anesthesiology [internet]. 2022 [citado: 2023 mar 14]. Disponible en: https://www.acgme.org/globalassets/pfassets/programrequirements/040_anesthesiology_2022.pdf.

Yamamoto S, Tanaka P, Madsen MV, Macario A. Analysis of resident case logs in an anesthesiology residency program. A Case Rep. 2016;6(8):257-62. doi: https://doi.org/10.1213/xaa.0000000000000248.

Yamamoto S, Tanaka P, Madsen MV, Macario A. Comparing anesthesiology residency training structure and requirements in seven different countries on three continents. Cureus. 2017;9(2):e1060. doi: https://doi.org/10.7759/cureus.1060.

McGinn R, Lingley AJ, McIsaac DI, Pysyk C, McConnell MC, Bryson GL, et al. Logging in: a comparative análisis of electronic health records versus anesthesia resident-driven logbooks. Can J Anaesth. 2020;67(10):1381-8. doi: https://doi.org/10.1007/s12630-020-01761-x.

Franco-Gruntorad G. Como implementar una base de datos en un departamento de anestesia [internet]. 2021 [citado: 2023 mar 14]. Disponible en: https://www.slideshare.net/GermanAndrsFranco/how-to-implement-a-clinical-database-in-a-busy-clinical-department.

How to Cite
1.
Giraldo MP, Beltrán AG, Díaz-Ramírez J, Franco-Gruntorad GA. Anesthesia training: Are we doing enough in three years? Cross-sectional study. Colomb. J. Anesthesiol. [Internet]. 2023 Nov. 15 [cited 2024 Feb. 23];52(1). Available from: https://www.revcolanest.com.co/index.php/rca/article/view/1091

Downloads

Download data is not yet available.
Published
2023-11-15
How to Cite
1.
Giraldo MP, Beltrán AG, Díaz-Ramírez J, Franco-Gruntorad GA. Anesthesia training: Are we doing enough in three years? Cross-sectional study. Colomb. J. Anesthesiol. [Internet]. 2023 Nov. 15 [cited 2024 Feb. 23];52(1). Available from: https://www.revcolanest.com.co/index.php/rca/article/view/1091
Section
Original

Altmetric

Article metrics
Abstract views
Galley vies
PDF Views
HTML views
Other views
QR Code

Some similar items: