Training Anesthesiology Residents to Care for the Traumatically Injured in the United States

Author:

Blaine Kevin P.1,Dudaryk Roman2,Milne Andrew D.3,Moon Tiffany S.4,Nagy David5,Sappenfield Joshua W.6,Teng Justin J.7

Affiliation:

1. Department of Anesthesiology and Perioperative Medicine, Oregon Health and Science University, Portland, Oregon

2. Department of Anesthesiology, University of Miami, Ryder Trauma Center, Miami, Florida

3. Trauma Anaesthesia Group, Royal London Hospital, Barts Health NHS Trust, London, United Kingdom

4. Department of Anesthesiology and Pain Management, University of Texas Southwestern Medical Center, Dallas, Texas

5. Baptist Health, Fort Smith, Arkansas

6. Department of Anesthesiology, University of Florida College of Medicine, Gainesville, Florida

7. Department of Anesthesia, The Permanente Medical Group, South Sacramento, California.

Abstract

Training and education for trauma anesthesiology have been predicated on 2 primary pathways: learning through peripheral “complex, massive transfusion cases”—an assumption that is flawed due to the unique demands, skills, and knowledge of trauma anesthesiology—or learning through experiential education, which is also incomplete due to its unpredictable and variable exposure. Residents may receive training from senior physicians who may not maintain a trauma-focused continuing medical education. Further compounding the issue is the lack of fellowship-trained clinicians and standardized curricula. The American Board of Anesthesiology (ABA) provides a section for trauma education in its Initial Certification in Anesthesiology Content Outline. However, many trauma-related topics also fall under other subspecialties, and the outline excludes “nontechnical” skills. This article focuses on the training of anesthesiology residents and proposes a tier-based approach to teaching the ABA outline by including lectures, simulation, problem-based learning discussions, and case-based discussions that are proctored in conducive environments by knowledgeable facilitators.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

Anesthesiology and Pain Medicine

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