Attaining expertise in regional anaesthesia training using a multifactorial approach incorporating deliberate practice
The most effective way of delivering regional anaesthesia training and the best means of demonstrating competency have not been established. Clinical competency, based on the Dreyfus and Dreyfus lexicon, appears unachievable using current training approaches. Lessons should be taken from the worlds...
Saved in:
| Published in: | British journal of anaesthesia : BJA Vol. 133; no. 3; p. 494 |
|---|---|
| Main Authors: | , , |
| Format: | Journal Article |
| Language: | English |
| Published: |
England
01.09.2024
|
| Subjects: | |
| ISSN: | 1471-6771, 1471-6771 |
| Online Access: | Get more information |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| Abstract | The most effective way of delivering regional anaesthesia training and the best means of demonstrating competency have not been established. Clinical competency, based on the Dreyfus and Dreyfus lexicon, appears unachievable using current training approaches. Lessons should be taken from the worlds of music, chess, and sports. Modern skills training programmes should be built on an explicit and detailed understanding with measurement of a variety of factors such as perception, attention, psychomotor and visuospatial function, and kinesthetics, coupled with quantitative, accurate, and reliable measurement of performance. |
|---|---|
| AbstractList | The most effective way of delivering regional anaesthesia training and the best means of demonstrating competency have not been established. Clinical competency, based on the Dreyfus and Dreyfus lexicon, appears unachievable using current training approaches. Lessons should be taken from the worlds of music, chess, and sports. Modern skills training programmes should be built on an explicit and detailed understanding with measurement of a variety of factors such as perception, attention, psychomotor and visuospatial function, and kinesthetics, coupled with quantitative, accurate, and reliable measurement of performance.The most effective way of delivering regional anaesthesia training and the best means of demonstrating competency have not been established. Clinical competency, based on the Dreyfus and Dreyfus lexicon, appears unachievable using current training approaches. Lessons should be taken from the worlds of music, chess, and sports. Modern skills training programmes should be built on an explicit and detailed understanding with measurement of a variety of factors such as perception, attention, psychomotor and visuospatial function, and kinesthetics, coupled with quantitative, accurate, and reliable measurement of performance. The most effective way of delivering regional anaesthesia training and the best means of demonstrating competency have not been established. Clinical competency, based on the Dreyfus and Dreyfus lexicon, appears unachievable using current training approaches. Lessons should be taken from the worlds of music, chess, and sports. Modern skills training programmes should be built on an explicit and detailed understanding with measurement of a variety of factors such as perception, attention, psychomotor and visuospatial function, and kinesthetics, coupled with quantitative, accurate, and reliable measurement of performance. |
| Author | McLeod, Graeme McKendrick, Mel Chuan, Alwin |
| Author_xml | – sequence: 1 givenname: Graeme surname: McLeod fullname: McLeod, Graeme email: g.a.mcleod@dundee.ac.uk organization: Department of Anaesthesia, Ninewells Hospital, Dundee, UK; Division of Imaging & Technology, University of Dundee, Dundee, UK; School of Engineering and Physical Sciences, Heriot Watt University, Edinburgh, UK. Electronic address: g.a.mcleod@dundee.ac.uk – sequence: 2 givenname: Alwin surname: Chuan fullname: Chuan, Alwin organization: South West Sydney Clinical Campus, Faculty of Medicine & Health, UNSW Sydney, Sydney, NSW, Australia – sequence: 3 givenname: Mel surname: McKendrick fullname: McKendrick, Mel organization: Department of Psychology, Heriot-Watt University, Edinburgh, UK; Optomize Ltd, Glasgow, UK |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/38960830$$D View this record in MEDLINE/PubMed |
| BookMark | eNpN0EtLAzEQAOAgFWurP8CL7NFL1zx2k-yxFF9Q8KLnZZKdbVP2ZZIV_fdusYKXecDHMDMLMuv6Dgm5YTRllMn7Q2oOkHLKs5TKlFJxRi5ZpthKKsVm_-o5WYRwoJQpXuQXZC50IakW9JJ8rmME17lul-DXgD66gInrEo8713fQJNABhrjH4CCJ_kTHcIyQtGMTXQ029t4d7TD4Hux-GmB7P_Qe4tFV2DiDU4PJ4CfsLF6R8xqagNenvCTvjw9vm-fV9vXpZbPeriwrNF2htllW5brSBigTotCASGVWW1VAlZmqNkLaXDGmC0ElSM2N1GgkKlS5Rb4kd79zp8U-xumQsnXBYtNAh_0YSkFVrijnvJjo7YmOpsWqHLxrwX-Xf7_iP6nScSc |
| CitedBy_id | crossref_primary_10_1016_j_bja_2025_06_008 crossref_primary_10_1016_j_bja_2024_11_039 |
| ContentType | Journal Article |
| Copyright | Copyright © 2024 British Journal of Anaesthesia. Published by Elsevier Ltd. All rights reserved. |
| Copyright_xml | – notice: Copyright © 2024 British Journal of Anaesthesia. Published by Elsevier Ltd. All rights reserved. |
| DBID | CGR CUY CVF ECM EIF NPM 7X8 |
| DOI | 10.1016/j.bja.2024.06.003 |
| DatabaseName | Medline MEDLINE MEDLINE (Ovid) MEDLINE MEDLINE PubMed MEDLINE - Academic |
| DatabaseTitle | MEDLINE Medline Complete MEDLINE with Full Text PubMed MEDLINE (Ovid) MEDLINE - Academic |
| DatabaseTitleList | MEDLINE - Academic MEDLINE |
| Database_xml | – sequence: 1 dbid: NPM name: PubMed url: http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed sourceTypes: Index Database – sequence: 2 dbid: 7X8 name: MEDLINE - Academic url: https://search.proquest.com/medline sourceTypes: Aggregation Database |
| DeliveryMethod | no_fulltext_linktorsrc |
| EISSN | 1471-6771 |
| ExternalDocumentID | 38960830 |
| Genre | Editorial Commentary |
| GroupedDBID | --- -E4 .2P .55 .GJ .I3 .XZ .ZR 0R~ 18M 1TH 23N 2WC 354 3O- 4.4 482 53G 5GY 5RE 5VS 5WA 6PF 70D AACTN AAEDW AAJKP AALRI AAMVS AAOGV AAPNW AAPXW AAQQT AAUQX AAVAP AAWTL AAXUO ABEJV ABEUO ABGNP ABIXL ABJNI ABKDP ABLJU ABMAC ABNGD ABNKS ABPTD ABQLI ABQTQ ABSMQ ABXVV ABZBJ ACCJX ACFRR ACGFO ACGFS ACPQN ACUKT ACUTJ ACUTO ACVCV ADBBV ADEYI ADHKW ADHZD ADOCK ADVLN ADZXQ AEGPL AEHUL AEJOX AEKPW AEMDU AENEX AENZO AEPUE AEWNT AFETI AFFNX AFIYH AFJKZ AFOSN AFSHK AFTJW AGKEF AGKRT AGMDO AGSYK AHMBA AHXPO AI. AIAGR AIJHB AITUG AKRWK ALMA_UNASSIGNED_HOLDINGS ALUQC AMRAJ APIBT APJGH APWMN ASPBG AVWKF AXUDD AZFZN BAWUL BHONS BVRKM BZKNY C1A C45 CAG CGR COF CS3 CUY CVF CZ4 DILTD DU5 D~K E3Z EBS ECM EE~ EIF EJD F5P F9B FDB FEDTE GX1 H13 HAR HVGLF HW0 HZ~ IH2 J21 J5H KAQDR KOP KQ8 KSI L7B M-Z M41 M49 N9A NGC NPM NTWIH NU- O0~ OAWHX OHH OJQWA OK1 OVD O~Y P0W P2P PB- PEELM PQQKQ Q1. Q5Y R44 RD5 RNI ROL ROZ RW1 RXO RZF RZO SSZ TEORI TJX TR2 VH1 W2D W8F WH7 WOQ WOW X7H X7M YHG ZGI ZKX ZXP ~91 7X8 AAFWJ AAYWO APXCP EFKBS |
| ID | FETCH-LOGICAL-c1980-e8c44d58d8ba013398aee064fc79ad4bdfb36c571189306a682b68eb6e7e75ce2 |
| IEDL.DBID | 7X8 |
| ISSN | 1471-6771 |
| IngestDate | Sat Sep 27 19:11:06 EDT 2025 Thu Apr 03 06:55:20 EDT 2025 |
| IsPeerReviewed | true |
| IsScholarly | true |
| Issue | 3 |
| Keywords | skills medical education visuospatial eye tracking simulation training regional anaesthesia psychomotor |
| Language | English |
| License | Copyright © 2024 British Journal of Anaesthesia. Published by Elsevier Ltd. All rights reserved. |
| LinkModel | DirectLink |
| MergedId | FETCHMERGED-LOGICAL-c1980-e8c44d58d8ba013398aee064fc79ad4bdfb36c571189306a682b68eb6e7e75ce2 |
| Notes | SourceType-Scholarly Journals-1 content type line 23 ObjectType-Editorial-2 ObjectType-Commentary-1 |
| PMID | 38960830 |
| PQID | 3075702229 |
| PQPubID | 23479 |
| ParticipantIDs | proquest_miscellaneous_3075702229 pubmed_primary_38960830 |
| PublicationCentury | 2000 |
| PublicationDate | 2024-Sep 20240901 |
| PublicationDateYYYYMMDD | 2024-09-01 |
| PublicationDate_xml | – month: 09 year: 2024 text: 2024-Sep |
| PublicationDecade | 2020 |
| PublicationPlace | England |
| PublicationPlace_xml | – name: England |
| PublicationTitle | British journal of anaesthesia : BJA |
| PublicationTitleAlternate | Br J Anaesth |
| PublicationYear | 2024 |
| SSID | ssj0017295 |
| Score | 2.447168 |
| Snippet | The most effective way of delivering regional anaesthesia training and the best means of demonstrating competency have not been established. Clinical... |
| SourceID | proquest pubmed |
| SourceType | Aggregation Database Index Database |
| StartPage | 494 |
| SubjectTerms | Anesthesia, Conduction - methods Anesthesiology - education Clinical Competence Humans |
| Title | Attaining expertise in regional anaesthesia training using a multifactorial approach incorporating deliberate practice |
| URI | https://www.ncbi.nlm.nih.gov/pubmed/38960830 https://www.proquest.com/docview/3075702229 |
| Volume | 133 |
| hasFullText | |
| inHoldings | 1 |
| isFullTextHit | |
| isPrint | |
| link | http://cvtisr.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwpV07T8MwELaAMrDwEK_ykpFYLfK2PaEKUTFA1QGkbpHPvkAZ0kJLfz8-J1EnJCSWTI4SnS_Od77P38fYDZIfEhgpEoRIZFBZoYxyIkdqijnQFoLO7JMcjdRkosfthtuipVV2a2JYqN3M0h75rc_FXFJ1ou_mn4Jco6i72lpobLJe6qEMUbrkZN1F8MAxD6eLZCwKKeOuqxn4XfBBskNJFuQ7g2fWLwgz_GmGe_99x32222JMPmiS4oBtYH3IVoPlsnGD4EHVn0yY-bTm5MxAaJyb2vgnveNianhnHMGJFv_GDQ-8w8abZ0pjWyVyTtoOjRQyjXMY2CoevvLu9NURex0-vNw_itZ0QdhYq0igslnmcuUUGA8PfVANosctlZXauAxcBWlhc-kLE-3LDVOoBAqFUKBEmVtMjtlWPavxlPHCWVdFoCvIXFYBQGytKkwCKaZSg-uz6y6MpU9q6lSYGmffi3IdyD47aeainDfqG6XPocLjxujsD3efsx2a4oYTdsF6lf-k8ZJt25UP8tdVyBZ_HY2ffwBJX87c |
| linkProvider | ProQuest |
| openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Attaining+expertise+in+regional+anaesthesia+training+using+a+multifactorial+approach+incorporating+deliberate+practice&rft.jtitle=British+journal+of+anaesthesia+%3A+BJA&rft.au=McLeod%2C+Graeme&rft.au=Chuan%2C+Alwin&rft.au=McKendrick%2C+Mel&rft.date=2024-09-01&rft.issn=1471-6771&rft.eissn=1471-6771&rft.volume=133&rft.issue=3&rft.spage=494&rft_id=info:doi/10.1016%2Fj.bja.2024.06.003&rft.externalDBID=NO_FULL_TEXT |
| thumbnail_l | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=1471-6771&client=summon |
| thumbnail_m | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=1471-6771&client=summon |
| thumbnail_s | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=1471-6771&client=summon |