title: Audit of anesthetic trainees' 'hands-on' operating room experience in an Australian tertiary children's hospital.
abstract: BACKGROUND
  There are no internationally accepted guidelines about what constitutes adequate clinical exposure during pediatric anesthetic training. In Australia, no data have been published on the level of experience obtained by anesthetic trainees in pediatric anesthesia. There is, however, a new ANZCA (Australian and New Zealand College of Anaesthetists) curriculum that quantifies new training requirements.
  
  
  OBJECTIVE
  To quantify our trainees' exposure to clinical work in order to assess compliance with new curriculum and to provide other institutions with a benchmark for pediatric anesthetic training.
  
  
  METHODS
  We performed a prospective audit to estimate and quantify our anesthetic registrars' exposure to pediatric anesthesia during their 6-month rotation at our institution, a tertiary pediatric hospital in Perth, Western Australia.
  
  
  RESULTS
  Our data suggest that trainees at our institution will achieve the new ANZCA training standards comfortably, in terms of the required volume and breadth of exposure. Experience, however, of some advanced pediatric anesthetic procedures appears limited.
  
  
  CONCLUSIONS
  Experience gained at our hospital easily meets the new College requirements. Experience of fiber-optic intubation and regional blocks would appear insufficient to develop sufficient skills or confidence. The study provides other institutions with information to benchmark against their own trainee experience.
authors.affiliation: Department of Anaesthesia and Pain Management, Princess Margaret Hospital, Perth, WA, Australia.
authors.forename: Bridget
authors.initials: B
authors.lastname: Hogan
authors.affiliation: Department of Anaesthesia and Pain Management, Princess Margaret Hospital, Perth, WA, Australia.
authors.forename: Matthew
authors.initials: M
authors.lastname: Keating
authors.affiliation: Department of Anaesthesia and Pain Management, Princess Margaret Hospital, Perth, WA, Australia.|School of Medicine and Pharmacology, University of Western Australia, Perth, WA, Australia.
authors.forename: Neil A
authors.initials: NA
authors.lastname: Chambers
authors.affiliation: Department of Anaesthesia and Pain Management, Princess Margaret Hospital, Perth, WA, Australia.|School of Medicine and Pharmacology, University of Western Australia, Perth, WA, Australia.
authors.forename: Britta
authors.initials: B
authors.lastname: von Ungern-Sternberg
mesh_terms: D000765:Anesthesia, Conduction; D000776:Anesthesiology / Q000193:education*; D001315:Australia; D002648:Child; D002983:Clinical Competence; D003479:Curriculum; D005336:Fiber Optic Technology / Q000193:education; D006776:Hospitals, Pediatric; D006801:Humans; D007396:Internship and Residency; D007442:Intubation, Intratracheal; D009407:Nerve Block; D009873:Operating Rooms; D010372:Pediatrics / Q000193:education*; D011446:Prospective Studies; D062606:Tertiary Care Centers
keywords: anesthesia; benchmark; experience; pediatric; trainee; training