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Related Experiment Videos

The need for basic sciences in the understanding and practice of anaesthesia

R M Burnstein1, R D Jeevaratnam, J G Jones

  • 1University Department of Anaesthesia, Addenbrookes Hospital, Cambridge, UK.

Anaesthesia
|November 26, 1997
PubMed
Summary

Anaesthetists believe most basic sciences are crucial for practice, but specific topics like immunology are deemed irrelevant. The current syllabus may be overloaded with non-essential details.

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Area of Science:

  • Medical Education
  • Anaesthesiology
  • Physiology
  • Pharmacology

Background:

  • The Fellowship of the Royal College of Anaesthetists (FRCA) examination assesses anaesthetists' knowledge.
  • The Basic Sciences component is a key part of the FRCA Part I examination.
  • Understanding anaesthetists' perceptions of the Basic Sciences syllabus is important for curriculum development.

Purpose of the Study:

  • To determine the attitudes of postfellowship anaesthetists towards the Basic Sciences syllabus of the FRCA Part I examination.
  • To identify which basic science topics are considered essential for everyday anaesthesia practice.

Main Methods:

  • A survey was conducted among 78 postfellowship anaesthetists.
  • An unstructured questionnaire was followed by a structured questionnaire.

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  • Response rate was 72%.
  • Main Results:

    • Anaesthetists considered approximately 65% of the basic science syllabus essential for understanding and practicing anaesthesia.
    • Cardiovascular, respiratory, central nervous system, and renal physiology, along with anaesthetic drug pharmacology, were deemed essential.
    • Biochemistry, endocrinology, membrane theory, and immunology were considered irrelevant by many.
    • A discrepancy exists between topics deemed essential and those anaesthetists could teach.
    • Little difference in opinion was noted between consultants and trainees.

    Conclusions:

    • A core syllabus for the FRCA Basic Sciences component could be identified based on anaesthetists' consensus.
    • The current syllabus may be overloaded with excessive detail not directly applicable to clinical anaesthesia.
    • Curriculum review is suggested to better align basic science education with clinical practice needs.