Determinants of learning to perform spinal anaesthesia: a pilot study

Area of Science:

• Medical Education
• Anesthesiology Training
• Qualitative Research

Background:

• Stakeholder attitudes towards spinal anesthesia training were examined.
• Understanding perceived influences on competence acquisition is vital.

Purpose of the Study:

• To identify key factors influencing the learning and teaching of spinal anesthesia.
• To explore stakeholder experiences and views on current training processes.

Main Methods:

• Qualitative research approach conducted over one year.
• Three-phase study involving preliminary questionnaires, focused questionnaires, and focus group discussions.
• Data collected from a tertiary referral teaching hospital.

Main Results:

• Five critical determinants of learning were identified.
• These include structured training programs, time constraints/theatre efficiency, trainer-trainee interaction, patient safety/stressors, and anatomical visualization.
• Formal training programs were perceived as essential for competence.

Conclusions:

• A formal, structured spinal anesthesia training program is needed to mitigate negative factors like stress and time constraints.
• Further research is required to validate findings in diverse settings and quantify determinant importance.
• Optimizing training processes can enhance competence and reduce trainee/trainer stressors.