Anesthesiologists' airway management expertise: Identifying subjective and objective knowledge gaps
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Anesthesiologists' airway management expertise : Identifying subjective and objective knowledge gaps. / Bessmann, Ebbe L.; Rasmussen, Lars S.; Konge, Lars; Kristensen, Michael S.; Rewers, Mikael; Kotinis, Alexandros; Rosenstock, Charlotte V.; Graeser, Karin; Pfeiffer, Peter; Lauritsen, Torsten; Ostergaard, Doris.
I: Acta Anaesthesiologica Scandinavica, Bind 65, Nr. 1, 2021, s. 58-67.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - Anesthesiologists' airway management expertise
T2 - Identifying subjective and objective knowledge gaps
AU - Bessmann, Ebbe L.
AU - Rasmussen, Lars S.
AU - Konge, Lars
AU - Kristensen, Michael S.
AU - Rewers, Mikael
AU - Kotinis, Alexandros
AU - Rosenstock, Charlotte V.
AU - Graeser, Karin
AU - Pfeiffer, Peter
AU - Lauritsen, Torsten
AU - Ostergaard, Doris
PY - 2021
Y1 - 2021
N2 - Background Failure in airway management continues to cause preventable patient harm, and the recommended continuing education is challenged by anesthesiologists’ unknown knowledge gaps. This study aimed to identify anesthesiologists’ subjective and objective knowledge gaps as well as areas where anesthesiologists are incorrect and unaware.MethodsAn adaptive E‐learning program with 103 questions on adult airway management was used for subjective and objective assessment of anesthesiologists’ knowledge. All anesthesiologists in the Capital Region of Denmark were invited to participate.Results The response rate was 67% (191/285). For preoperative planning, participants stated low confidence (subjective assessment) regarding predictors of difficult airway management in particular (69.1%‐79.1%). Test scores (objective assessment) were lowest for obstructive sleep apnea as a predictor of difficult airway management (28.8% correct), with participants being incorrect and unaware in 33.5% of the answers. For optimization of basic techniques, the lowest confidence ratings related to patient positioning and prediction of difficulties (57.4%‐83.2%), which agreed with the lowest test scores. Concerning advanced techniques, videolaryngoscopy prompted the lowest confidence (72.4%‐85.9%), while emergency cricothyrotomy resulted in the lowest test scores (47.4%‐67.8%). Subjective and objective assessments correlated and lower confidence was associated with lower test scores: preoperative planning [r = −.58, P < .001], optimization of basic techniques [r = −.58, P = .002], and advanced techniques [r = −.71, P < .001].ConclusionWe identified knowledge gaps in important areas of adult airway management with differing findings from the subjective and objective assessments. This underlines the importance of objective assessment to guide continuing education.
AB - Background Failure in airway management continues to cause preventable patient harm, and the recommended continuing education is challenged by anesthesiologists’ unknown knowledge gaps. This study aimed to identify anesthesiologists’ subjective and objective knowledge gaps as well as areas where anesthesiologists are incorrect and unaware.MethodsAn adaptive E‐learning program with 103 questions on adult airway management was used for subjective and objective assessment of anesthesiologists’ knowledge. All anesthesiologists in the Capital Region of Denmark were invited to participate.Results The response rate was 67% (191/285). For preoperative planning, participants stated low confidence (subjective assessment) regarding predictors of difficult airway management in particular (69.1%‐79.1%). Test scores (objective assessment) were lowest for obstructive sleep apnea as a predictor of difficult airway management (28.8% correct), with participants being incorrect and unaware in 33.5% of the answers. For optimization of basic techniques, the lowest confidence ratings related to patient positioning and prediction of difficulties (57.4%‐83.2%), which agreed with the lowest test scores. Concerning advanced techniques, videolaryngoscopy prompted the lowest confidence (72.4%‐85.9%), while emergency cricothyrotomy resulted in the lowest test scores (47.4%‐67.8%). Subjective and objective assessments correlated and lower confidence was associated with lower test scores: preoperative planning [r = −.58, P < .001], optimization of basic techniques [r = −.58, P = .002], and advanced techniques [r = −.71, P < .001].ConclusionWe identified knowledge gaps in important areas of adult airway management with differing findings from the subjective and objective assessments. This underlines the importance of objective assessment to guide continuing education.
KW - adaptive E-learning
KW - airway management
KW - competence
KW - continuing education
KW - continuing professional development
KW - expertise
KW - self-assessment
KW - testing
U2 - 10.1111/aas.13696
DO - 10.1111/aas.13696
M3 - Journal article
C2 - 32888194
VL - 65
SP - 58
EP - 67
JO - Acta Anaesthesiologica Scandinavica
JF - Acta Anaesthesiologica Scandinavica
SN - 0001-5172
IS - 1
ER -
ID: 250555608