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Competency-based assessment tools for regional anaesthesia: a narrative review.

A Chuan1, A S Wan2, C F Royse3

  • 1South Western Sydney Clinical School, University of New South Wales, Sydney, Australia; Department of Anaesthesia, Liverpool Hospital, Sydney, Australia.

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|February 7, 2018
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Summary

This review evaluates regional anesthesia assessment tools for competency-based education. It highlights the need for psychometrically sound methods to measure technical and non-technical skills in anesthesia trainees and consultants.

Keywords:
anaesthesiaconductioncredentialingpsychometricsreproducibility of results

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Area of Science:

  • Medical Education
  • Anaesthesiology
  • Psychometrics

Background:

  • Competency-based assessment is crucial in regional anesthesia for evaluating participants, trainees, and consultants.
  • A variety of assessment tools are currently employed, ranging in scope and application.

Purpose of the Study:

  • To critically appraise existing psychometrically evaluated assessment tools for regional anesthesia.
  • To identify the strengths and weaknesses of different assessment methods in regional anesthesia education.

Main Methods:

  • A narrative review of the literature was conducted, identifying 397 citations.
  • 28 peer-reviewed studies focusing on the primary psychometric evaluation of regional anesthesia assessment tools were included.
  • Assessment tools were compared against established medical education consensus statements for validity and reliability.

Main Results:

  • Included studies utilized diverse assessment types: multiple-choice questions, hand-motion analysis, cumulative sum, visuospatial/psychomotor screening, checklists, and global rating scales.
  • Assessed skill sets ranged from holistic bedside performance to specific tasks like ultrasound-guided needle tip visualization.
  • Significant variation exists in the psychometric robustness and applicability of current tools.

Conclusions:

  • There is a need for psychometrically validated assessment tools to ensure competency in regional anesthesia.
  • The review discusses the relative merits of different tools and suggests directions for future educational research in the field.
  • Robust assessment is vital for effective competency-based anesthesia education.