{"pk":17774,"title":"The Development, Implementation, and Evolution of an Emergency Medicine Ultrasound-guided Regional Anesthesia Curriculum","subtitle":null,"abstract":"Introduction: \nDespite the inclusion of both diagnostic and procedural ultrasound and regional nerve blocks in the original Model of the Clinical Practice of Emergency Medicine (EM), there is no recommended standardized approach to the incorporation of ultrasound-guided regional anesthesia (UGRA) education in EM training.\nMethods: \nWe developed and implemented a structured curriculum for both EM residents and faculty to learn UGRA in a four-hour workshop. Each Regional Anesthesia Anatomy and Ultrasound Workshop was four hours in length and followed the same format. Focusing on common UGRA blocks, each workshop began with an anatomist-led cadaveric review of the relevant neuromusculoskeletal anatomy followed by a hands-on ultrasound scanning practice for the blocks led by an ultrasound fellowship-trained EM faculty member, fellow, or a postgraduate year (PGY)-4 resident who had previously participated in the workshop. Learners identified the relevant anatomy on point-of-care ultrasound and reviewed how to conduct the blocks. Learners were invited to complete an evaluation of the workshop with Likert-scale and open-ended questions.\nResults:\n In the 2020 academic year, six regional anesthesia anatomy and ultrasound workshops occurred for EM faculty (two sessions, N = 24) and EM residents (four sessions, N = 40, including a total of five PGY4s, 10 PGY3s, 12 PGY2s, and 13 PGY1s). Workshops were universally well-received by both faculty and residents. Survey results found that 100.0% of all responding participants indicated that they were “very satisfied” with the session. All were likely to recommend this session to a colleague and 95.08% of participants believed the session should become a required component of the EM curriculum.\nConclusion: \nThe use of UGRA is increasing, and and it critical in EM. An interdisciplinary approach in collaboration with anatomists on an interactive, nerve block workshop incorporating both gross anatomy review and hands-on scanning was shown to be well-received and desired by both EM faculty and residents.","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"Ultrasound-guided Regional Anesthesia, Anatomy, Emergency Medicine, Pain Management, Medical Education"}],"section":"Technology in Emergency Care","is_remote":true,"remote_url":"https://escholarship.org/uc/item/2dq5w7kt","frozenauthors":[{"first_name":"Sally","middle_name":"","last_name":"Graglia","name_suffix":"","institution":"University of California San Francisco, Department of Emergency Medicine, San Francisco, California; Zuckerberg San Francisco General Hospital, San Francisco, California","department":"None"},{"first_name":"Derek","middle_name":"","last_name":"Harmon","name_suffix":"","institution":"University of California San Francisco, School of Medicine, Department of Anatomy, San Francisco, California","department":"None"},{"first_name":"Barbie","middle_name":"","last_name":"Klein","name_suffix":"","institution":"University of California San Francisco, School of Medicine, Department of Anatomy, San Francisco, California","department":"None"}],"date_submitted":"2023-01-03T14:09:56-05:00","date_accepted":"2023-01-03T14:09:56-05:00","date_published":"2023-12-06T16:50:56-05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/17774/galley/9076/download/"}]}