EXPERIENCE OF THE OBJECTIVE STRUCTURED CLINICAL EXAMINATION IN THE FRAMEWORK OF STATE CERTIFICATION OF GRADUATES OF THE CLINICAL ORDINATURE ON SPECIALTY «ANESTHESIOLOGY AND RENAMATOLOGY»: STATION «PUNCTION AND CATHETERIZATION OF THE EPIDURAL SPACE»

The purpose of the study was to test the evaluation sheet and assess the practical skills of the clinical residents of the second year at the station «Puncture and catheterization of the epidural space» during an objective structured clinical examination. Materials and methods: 28 clinical residences of the second year of study were included in the study with the practical part of the final exam in the specialty «Anesthesiology and Reanimatology». Manipulation was performed on a phantom-simulator, which allows to simulate a puncture and catheterization of the epidural space reliably. Evaluation of manual skills, independently of each other, was carried out by two teachers. Results: 28 (100%) residents successfully passed the station. The time for passing the station to one examiner was 4.05 (4.41, 5.16) min. The most common mistakes during the manipulation were associated with the need for more than one attempt at successful puncture and catheterization of epidural space 10 (35.7%), and in 6 (21.4%) cases it was required to change the interstitial gap. Controlling the performance of the evaluation sheet demonstrated the possibility of its use by different teachers at the station. The difference in the completed evaluation sheet was less than 4%.

clinical residency, objective structured clinical examination, primary specialized accreditation, anesthesiology certification, practical skills, epidural anesthesia