• Federico L Barra, Luca Carenzo, Jeffrey Franc, Claudia Montagnini, Flavia Petrini, Della Corte Francesco F Anesthesia and Intensive Care, Department of Translational Medicine, University of Eastern Piedmont, Novara, Italy., and Pier Luigi Ingrassia.
• SIMNOVA Interdepartmental Center for Innovative Learning and Simulation in Medicine and Allied Health Professions, University of Eastern Piedmont, Novara, Italy.
• Minerva Anestesiol. 2018 Dec 1; 84 (12): 1377-1386.

BackgroundThe transition of new residents from medical school to the post-graduate clinical environment remains challenging. We hypothesized that an introductory simulation course could improve new residents' performance in anesthesiology.MethodsThe Anesthesiology Residents Induction Month (ARIM) program was designed as a non-clinical simulation training program aiming at providing the theoretical and practical skills to safely approach, as junior anesthesiologists, the operating rooms. For each participant, specific knowledge, procedural skills and non-technical performance were assessed with a pre and post-test approach, before and immediately after the participation in the study.ResultsFifteen first-month residents participated in the study. As compared to pre-test, residents significantly improved in all three evaluated areas. Pre-test knowledge assessment mean improved from 56% to 73% in the post-test (P<0.001). In the procedural skills assessment, pre-test mean improved from 43% to 77% (P<0.001) and non-technical skills assessment improved from 3.17 to 4.61 (in a scale out of seven points) in the post-test (P<0.001).ConclusionsData suggest that an intensive simulation-based program can be an effective way for first-year residents to rapidly acquire and develop basic skills specific to anesthesiology. There might be benefits to begin residency with a training program aiming at developing and standardizing technical and non-technical skills.

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