Assessing anatomical knowledge and confidence in central venous catheter insertion: a single-center cross-sectional study among physicians in a resource-limited setting

This study highlights the critical need for improved anatomical education and standardized training to enhance patient safety in catheterization. It uniquely contributes to the literature by identifying challenges specific to resource-limited settings, where clinicians rely heavily on anatomical knowledge due to the limited availability of imaging technology. The study's limitations include its single-center design, self-reported data, and cross-sectional nature, limiting generalizability and long-term trend analysis. Procedural competence was not directly assessed, emphasizing the need for objective evaluations. Future studies should focus on larger, multi-center designs with direct competency assessments to better identify training gaps. Additionally, exploring advanced educational methods, such as simulation-based training and virtual reality, could offer valuable insights into improving clinical skills in environments with constrained resources. Ultimately, this study highlights substantial knowledge gaps in CVC insertion, particularly among physicians with limited procedural exposure. Addressing these gaps through structured, evidence-based training programs is essential for patient safety.