European diploma of anesthesiology: The Madrid training center experience: 15AP11

Brogly, N.; Alsina, E.; Dominguez, A.; Gilsanz, F.

European Journal of Anaesthesiology:
Abstracts and Programme: EUROANAESTHESIA 2011: The European Anaesthesiology Congress: Education, Research and Presentation
Author Information

Hospital Universitario La Paz, Department of Anaesthesiology, Madrid, Spain

Background and Goal of Study: Since 2008, a training for the first part of the European Diploma of Anesthesiology (EDA1) was organized in Madrid with the goal of familiarizing anesthesiologists with this kind of MCQs and prepare them. This observational study was realized to measure the impact of the training on the results of the EDA1 for the course 2010‐11.

Materials and Methods: All the participants of the training were included in the study. Stage of practice in anesthesia and geographic origin of the students were noted. In every thematic session, before a didactical correction of the exam sample, participants were asked to answer the MCQ's in the official sheet of the EDA. The results were anonymously analyzed. At the end of the year, we asked for a feed back on the results of the EDA1 in candidates of the training.

Results and Discussion: Forty seven anesthesiologists were inscribed to the training of whom 31(66%) residents (R) and 16(34%) graduated anesthesiologists (GA). 40(85,1%) came from university hospitals, 4 (8,5%) from peripheral hospitals, and 3(6,4%) from other region hospitals. Eighteen (38,3%) anesthesiologists participated to 3 or more sessions (10 (32,3%)R; 8 (50%)GA; p=0,19) and were considered approved for the training. The scores of the sessions were respectively 59,5 [17;79]%, 69,2 [54,4; 88]%, 62,4 [47,2; 76]%, 70,4 [69,6; 81,6]%, 70,4 [58,3; 79,1]% in physiology and anatomy, pharmacology, physics, general anesthesia and specialized anesthesia (p< 0,0001), with greater scores in pharmacology, general anesthesia and specialized anesthesia compared to the others. Setting a pass mark at 70%, the ratio of approval would be 14,7%, 46,4%, 11,8%, 33,3% and 53,8% in each topic.Eleven student of the training who presented to the EDA 1 exam in Madrid gave us their result, and 8 passed (72,7%). These results tend to be higher than those of the rest of candidates in Madrid (41,5%) (p=0,07) and might be better than the overall European pass rate (58%).

Conclusion(s): Spain does not dispose of a final theorical exam to check anesthesiologists' knowledge. The organization of a training for the EDA1 seems to be an efficient way to prepare candidates to the exam. This effort is expected to promote an increasing number of candidates with higher scores and pass rate in Spain in the next years. The final results compared with the European pass mark are probably overstimated due to a low rate of answer from candidates to the post‐EDA1 survey.

© 2011 European Society of Anaesthesiology