Abstract
A literature review was undertaken to document the status of anaesthetic education in both the peer-reviewed anaesthesia and medical education literature. A search was performed using Silver Platter® for the period 1983–91, and the most widely circulated medical education and anaesthesia journals in North America were reviewed in detail. Although anaesthetists are involved in many educational activities, the literature is oriented towards postgraduate training. Common issues include the assessment and selection of residents. Newer methods of evaluation, for example, daily assessment by preceptors, have been described, but work continues to be needed on these and older methods, such as oral examinations. Selection processes may be improved by incorporating psychological and psychomotor measures in the assessment process. A limited number of teaching methods, especially simulators, have been the focus of much interest, while other methods, such as bedside teaching, have received little attention. Programs of recertification or maintenance of competence, which have been announced by certifying bodies, may place new emphasis on the study of the design, effectiveness, and outcome of continuing medical education. In conclusion, the review revealed that there are many opportunities for anaesthetists to conduct educational research into many traditional and new areas of medical education.
Résumé
Une revue de la littérature a été menée afin de documenter l’état de l’éducation anesthésique, dans la littérature anesthésique revisée par les pairs et dans la littérature d’éducation médicale. Une recherche a été menée en utilisant Silver PlatterⓈ pour la période 1983–91, et les périodiques d’éducation médicale ainsi que les revues anesthésiques les plus répandues en Amérique du Nord ont été révisés en détail. Bien que les anesthésistes soient impliqués dans plusieurs comités d’éducation, la littérature est orientée vers l’entraînement postgradué. Des intérêts communs incluent l’évaluation et la sélection des résidents. Des nouvelles méthodes d’évaluation, telle que l’évaluation journalière par les instructeurs, ont été décrites, mais il est nécessaire de continuer les travaux concernant celles-ci et d’anciennes méthodes telles que les examens oraux. Les procédures de sélection peuvent être améliorées en incorporant des mesures psychologiques et psychomotrices dans le procédé d’évaluation. Un nombre limité de méthodes d’enseignement, spécifiquement les simulateurs, ont soulevé beaucoup d’intérêt, alors que d’autres méthodes tel l’enseignement au chevet du patient ont reçu peu d’attention. Les programmes de recertification et de maintien des compétences, qui avaient été annoncés par les autorités en certification, pourraient placer une nouvelle emphase sur l’étude de la planification, de l’efficacité et des résultats de l’éducation médicale continue. En conclusion, cette revue a révélé qu’il existe plusieurs opportunités pour les anesthésistes de mener des recherches en éducation dans plusieurs sphères nouvelles et traditionnelles de l’éducation médicale.
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Eagle, C. Anaesthesia and education. Can J Anaesth 39, 158–165 (1992). https://doi.org/10.1007/BF03008648
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DOI: https://doi.org/10.1007/BF03008648