Drivers of Engagement/Burnout Workshop: A Fun, Engaging Way to Generate Performance Improvement Projects

Background: Ultrasound-guided regional anesthesia (USGRA) enables physicians to provide analgesia without the side effects of opioids, improves patient satisfaction and outcomes, and is important for the ED provider.We utilize a single-day workshop to teach the Erector Spinae Plane Block (ESPB) to residents and attendings.Educational Objectives: The objectives of this study were to create, implement and assess a cadaver modelbased, single-day workshop for teaching USGRA to both Emergency Medicine residents and attending physicians.We also investigate if the required number of practice repetitions affects competence achieved at the end of the workshop.Survey data was collected to assess confidence in USGRA, number of USGRA blocks performed, and perceived barriers to performing USGRA in the ED Curricular Design: A single-day workshop was designed to teach the ESPB.This involved a 15-minute lecture-style didactic with essential knowledge regarding the ESPB; including all theoretical information for performance of ESPB, photos and video, indications, anesthetic choice and safe dosing, complications, and ED location of USGRA supplies.Practice with gel ultrasound models introduced inplane needle guidance and procedural basics.Participants then practiced with a soft-embalmed cadaver and were randomized to perform 3 or 6 attempts on the cadaver.One scored attempt was evaluated on a standardized rubric.Survey data were obtained before and after the workshop.Participants retested three months later and data was again collected.Final survey data will be collected six months after the workshop.Impact/Effectiveness: This model provides a framework for concise, detailed education and practice with minimal effect on existing curriculum.Performance data showed some skill decay over time, but also an increase in confidence and likelihood to perform the procedure in post-session surveys.Barriers included efficiency and lack of faculty comfort with ESPB.