Education and training in ultrasound-guided regional anaesthesia (UGRA)

Shafqat, Atif (2016) Education and training in ultrasound-guided regional anaesthesia (UGRA). PhD thesis, University of Nottingham.

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Abstract

This PhD thesis contains five chapters. The first chapter of the thesis reviews the achievement of proficiency in procedural skills, common principles regarding the educational theory behind assessment. It further examines the literature about the diverse methods that is currently being used for the assessment of procedural skills in anaesthesia and also makes important implications from the literature in other fields of medicine.

The second chapter identifies that visuospatial ability can predict technical performance of an ultrasound – guided needle task by novice operators, and also describes how emotional state, intelligence and fear of failure can have impact on this. This is an original, prospective, observational study, which is organized in four phases and participants complete all four phases of the study.

The study concludes that mental rotation test predicts novice performance of an ultrasound – guided needling task. In addition, this novice performance is adversely affected by anxiety. Therefore both may prove useful in directing targeted training in ultrasound – guided regional anesthesia (UGRA).

The third chapter validates a new assessment tool for the performance of UGRA, by examining whether it can adequately differentiate between performance levels in anaesthetists across the spectrum of expertise. It is a qualitative, observational study, which takes place during routine operating lists. We observe single performance of any UGRA by the participant anaesthetist, which formed part of the planned anaesthetic management of their patients. The study successfully validates the new assessment tool.

The fourth chapter explores the association of video game experience with UGRA skills. This is another original, prospective, observational study, which involves three elements and the participants complete all three elements of the study. The study concludes that ‘gamers’ perform significantly better than ‘non – gamers’, and predicts psychomotor performance of an ultrasound – guided needle task. The last chapter summarizes conclusions, which are drawn at the end of each chapter concerning the investigations performed and the results obtained. It also indicates the possible future implications.

Item Type: Thesis (University of Nottingham only) (PhD)
Supervisors: Hardman, J.G.
McCahon, R.A.
Bedforth, N.M.
Keywords: Conduction anaesthesia, Performance assessment, Procedural skills
Subjects: W Medicine and related subjects (NLM Classification) > WO Surgery
Faculties/Schools: UK Campuses > Faculty of Medicine and Health Sciences > School of Medicine
Item ID: 31856
Depositing User: SHAFQAT, ATIF
Date Deposited: 15 Mar 2016 13:54
Last Modified: 13 Sep 2016 22:00
URI: http://eprints.nottingham.ac.uk/id/eprint/31856

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