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. 2019 Jun 29;9(6):e030376. doi: 10.1136/bmjopen-2019-030376

Table 2.

Intermediate ranked topics

Overall ranking Topics Theme Median (IQR) Proportion scored ≥6 (%)
14 What should be consensus clinical endpoints to standardise RA education study endpoints? Methodology 7.5 (6–9) 87
15 How do you maintain or improve knowledge retention after a 1-day workshop? Knowledge translation 7.5 (6–8) 79
16 Do the type and quality of feedback provided by faculty/tutors have an impact on learning outcomes? Simulation 7 (6–8) 87
17 Do short-duration courses/workshops result in long-term changes in clinical practice? Knowledge translation 7 (6–8) 82
18 What is the best way to establish multicentre collaborative studies in RA education? Methodology 7 (6–8) 79
19 How can cusum methodology be used to track and provide quality assurance of RA clinical performance? Methodology 7 (6–8) 79
20 Does pretraining (ie, demonstrating competency of discrete tasks before further progression) result in improvement of RA knowledge and technical skills? Knowledge translation 7 (6–8) 79
21 What should be consensus simulation/laboratory endpoints to standardise RA education study endpoints? Methodology 7 (6–8) 79
22 What is the best way to teach sonoanatomy in ‘difficult’ patients (eg, in the morbidly obese, patients with previous surgery) Curriculum 7 (6–8) 76
23 What factors influence the common and recurring quality compromising behaviours observed in novices performing UGRA? What type of training is useful to remedy this behaviour? Motor skills 7 (6–8) 76
24 How regularly does a trainee need to perform a block to be able to perform it independently after residency? Knowledge translation 7 (6–8) 76
25 Is simulation training a cost-effective method of teaching, versus less resource-intensive alternatives? Simulation 7 (6–8) 76
26 How can we best use web-based/online resources (viewable content, social media, online assessments, video calls) to deliver teaching? Methodology 7 (6–8) 76
27 What is the optimum mix of lectures, workshops, courses, simulation and direct supervision required to teach RA? Curriculum 7 (5.25–8) 74
28 How do you improve preclinical visuospatial skill (assuming that visuospatial skill is correlated with UGRA motor skills)? Motor skills 7 (5.25–8) 74
29 What forms of instruction or strategies provide the most effective means of improving retention of sonoanatomy? Curriculum 7 (5.25–8) 74
30 Does greater technical ability (proficiency) lead to better outcomes? Motor skills 7 (5–8) 71
31 How do you improve poor coordination and fine motor control prior to clinical exposure? Motor skills 7 (5–8) 71
32 Does preprocedural knowledge or awareness of critical errors made by trainees lead to a reduction in clinical errors by trainees? Knowledge translation 7 (5–8) 71
33 Which tasks in UGRA require more resources, effort and practice to gain competency? Methodology 7 (5–8) 71
34 What are the factors promoting and inhibiting access to RA training? Curriculum 7 (5–8) 66
35 Is simulation training more effective in some areas of RA education (eg, knowledge retention vs technical skills) than in other areas? Simulation 7 (5–8) 63
36 In resource-poor countries, what is the best combination of textbooks, accessible online modules and videos, telemedicine, and live model scanning to deliver an RA curriculum? Curriculum 7 (4–8) 63
37 What are the contributing factors to the practice and impediment of trainees performing RA after residency training? Knowledge translation 7 (4–8) 58

Only topics scoring 7 included.

RA, regional anaesthesia; UGRA, ultrasound-guided regional anaesthesia.