title: Learning outcomes evaluation of a simulation-based introductory course to anaesthesia.
abstract: OBJECTIVE
  An increased number of errors and reduced patient safety have been reported during the incorporation of residents, as this period involves learning new skills. The objectives were to evaluate the learning outcomes of an immersive simulation boot-camp for incoming residents before starting the clinical rotations. Airway assessment, airway control with direct laryngoscopy, and epidural catheterization competencies were evaluated.
  
  
  METHODS
  Twelve first-year anaesthesiology residents participated. A prospective study to evaluate transfer of endotracheal intubation skills learned at the simulation centre to clinical practice (primary outcome) was conducted. A checklist of 28 skills and behaviours was used to assess the first supervised intubation performed during anaesthesia induction in ASA I/II patients. Secondary outcome was self-efficacy to perform epidural catheterization. A satisfaction survey was also performed.
  
  
  RESULTS
  Seventy-five percent of residents completed more than 21 out of 28 skills and behaviours to assess and control the airway during their first intubation in patients. Twelve items were performed by all residents and 5 by half of them. More than 83% of participants reported a high level of self-efficacy in placing an epidural catheter. All participants would recommend the course to their colleagues.
  
  
  CONCLUSIONS
  A focused intensive simulation-based boot-camp addressing key competencies required to begin anaesthesia residency was well received, and led to transfer of airway management skills learned to clinical settings when performing for first time on patients, and to increased self-reported efficacy in performing epidural catheterization.
authors.affiliation: Hospital virtual Valdecilla, Santander, España; Servicio de Anestesiología, Reanimación y Terapéutica del Dolor, Hospital Universitario Valdecilla, Santander, España.
authors.forename: J L
authors.initials: JL
authors.lastname: Rábago
authors.affiliation: Hospital virtual Valdecilla, Santander, España; Servicio de Anestesiología, Reanimación y Terapéutica del Dolor, Hospital Universitario Valdecilla, Santander, España.
authors.forename: M
authors.initials: M
authors.lastname: López-Doueil
authors.affiliation: Hospital virtual Valdecilla, Santander, España; Servicio de Anestesiología, Reanimación y Terapéutica del Dolor, Hospital Universitario Valdecilla, Santander, España.
authors.forename: R
authors.initials: R
authors.lastname: Sancho
authors.affiliation: Hospital virtual Valdecilla, Santander, España; Servicio de Anestesiología, Reanimación y Terapéutica del Dolor, Hospital Universitario Valdecilla, Santander, España.
authors.forename: P
authors.initials: P
authors.lastname: Hernández-Pinto
authors.affiliation: Hospital virtual Valdecilla, Santander, España; Servicio de Anestesiología, Reanimación y Terapéutica del Dolor, Hospital Universitario Valdecilla, Santander, España.
authors.forename: N
authors.initials: N
authors.lastname: Neira
authors.affiliation: Hospital virtual Valdecilla, Santander, España; Servicio de Anestesiología, Reanimación y Terapéutica del Dolor, Hospital Universitario Valdecilla, Santander, España.
authors.forename: E
authors.initials: E
authors.lastname: Capa
authors.affiliation: Hospital virtual Valdecilla, Santander, España; Servicio de Anestesiología, Reanimación y Terapéutica del Dolor, Hospital Universitario Valdecilla, Santander, España.
authors.forename: E
authors.initials: E
authors.lastname: Larraz
authors.affiliation: Hospital virtual Valdecilla, Santander, España; Instituto de Investigación Sanitaria Valdecilla, Santander, España.
authors.forename: C G
authors.initials: CG
authors.lastname: Redondo-Figuero
authors.affiliation: Hospital virtual Valdecilla, Santander, España; Servicio de Anestesiología, Reanimación y Terapéutica del Dolor, Hospital Universitario Valdecilla, Santander, España. Electronic address: jmmaestre@hvvaldecilla.es.
authors.forename: J M
authors.initials: JM
authors.lastname: Maestre
mesh_terms: D058109:Airway Management; D000776:Anesthesiology / Q000193:education*; D003258:Consumer Behavior; D003479:Curriculum; D004521:Educational Measurement; D006801:Humans; D007396:Internship and Residency; D059032:Learning Curve; D011446:Prospective Studies; D020377:Self Efficacy; D000066908:Simulation Training
keywords: Anestesia epidural; Aprendizaje; Autoeficacia; Entrenamiento simulado; Epidural anaesthesia; Intratracheal intubation; Intubación intratraqueal; Learning; Patient simulation; Self-efficacy; Simulación de paciente; Simulation training