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British Journal of Anaesthesia 2007 99(2):299; doi:10.1093/bja/aem191
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© The Board of Management and Trustees of the British Journal of Anaesthesia 2007. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org

Simulator-based training in paediatric anaesthesia

G. H. Meakin

Association of Paediatric Anaesthetists of Great Britain and Ireland, UK

E-mail: george.meakin{at}manchester.ac.uk

Editor—The Council of the Association of Paediatric Anaesthetists of Great Britain and Ireland (APA) read with interest the recent editorial by Eich and colleagues1 regarding simulator-based training in paediatric anaesthesia. On the whole, the arguments are sound, but we feel we must point out some important inaccuracies in the section describing the use of simulators in training specialist registrars in the UK.

  1. Although the APA have been enthusiastic to support the national collaborative project on paediatric simulation, it is not the body responsible for anaesthesia training and assessment in the UK as implied in this article. That body is the Royal College of Anaesthetists (RCoA), which sets standards with input from the specialist organizations.
  2. The document ‘Guidance on the Provision of Paediatric Anaesthesia Services’ has been incorrectly attributed to the APA both in the text and in reference 24. This document is a publication of the RCoA.2
  3. In its document ‘Guidance on the Provision of Paediatric Anaesthesia Services’, the RCoA recommends simulator training as part of the continuing education of consultants who do not anaesthetize children on a regular basis. There is no mention of the use of simulator training for specialist registrars in this document and, as far as the APA is aware, the RCoA has no immediate plans to make this a compulsory part of training and assessment in paediatric anaesthesia of specialist registrars.


 
C. Eich On behalf of the authors

Göttingen, Germany

E-mail: ceich{at}zari.de

Editor—Thank you for the opportunity to respond to the comments from the APA. We regret that these inaccuracies were missed by us during preparation of our editorial and apologize for any misunderstanding this may have caused.

In line with Dr Meakin's other comments on the future role of simulator-based training in paediatric anaesthesia, we have received a lot of supportive feedback from readers.

References

1 Eich C, Timmermann A, Russo SG, et al. Simulator-based training in paediatric anaesthesia and emergency medicine—thrills, skills and attitudes. Br J Anaesth (2007) 98:417–9.[Free Full Text]

2 Guidance on the Provision of Paediatric Anaesthetic Services. Guidelines for the Provision of Anaesthetic Services (2005) London: The Royal College of Anaesthetists. 36–42. Available from www.rcoa.ac.uk.


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