• Pin-Tarng Chen, Ying-Che Huang, Hung-Wei Cheng, Chao-Chun Wang, Cho-Yu Chan, Kwok-Hon Chan, and Cheng-Deng Kuo.
• Department of Anesthesiology, Taipei Veterans General Hospital, National Yang-Ming University, Taiwan.
• Med Teach. 2009 Aug 1;31(8):e338-44.

BackgroundAll junior physicians in Taiwan were enrolled into a 3-month post-graduate year 1 (PGY1) course after Severe Acute Respiratory Syndrome (SARS) attack in 2003.AimsTo develop and evaluate a new airway management training protocol by using an integrated course of lectures, technical workshops and medical simulations.MethodsIn each PGY1 course, the trainees participated in the Advanced Airway Life Support (AALS) program. After 2 h lecture, the trainees were divided into three groups for 4 h technical workshop, including 10 skill stations and medical simulation at the Clinical Skills Resources Center of the hospital at different times. Video-based debriefing and feedback were performed after each simulation. The same scenario was re-simulated after debriefing. Participants' performance was assessed by single global rating and a 5 key actions scoring.ResultsA total of 266 junior physicians have been trained with this AALS programs in 2 years. They learned the techniques of airway management, passed the performance checklist of technical workshop, and received higher scores during re-simulation regardless of scoring methods.ConclusionsThe AALS training program can provide methodical and systematic training for junior residents to mature with specialized technical skills and higher-order cognitive skills, behaviors and leadership in airway management.

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