BACKGROUND Short educational programmes are important in building global anaesthesia workforce capacity. The Vital Anaesthesia Simulation Training (VAST) course is a 3-day immersive simulation-based programme concentrating on core clinical challenges and non-technical skills required by anaesthesia providers in low-resource settings. METHODS This mixed methods study prospectively evaluated the impact of VAST in Rwanda. Anaesthetists' Non-Technical Skills (ANTS) scores were quantitatively assessed for 30 course participants at three time points (pre-, post-, and 4 months after VAST). Qualitative data were gathered during focus groups (4 months after VAST) to learn of participants' experiences implementing new knowledge into clinical practice. RESULTS The ANTS total scores improved from pre- (11.0 [2.3]) (mean [standard deviation]) to post-test (14.0 [1.6]), and improvements were maintained at retention (14.2 [1.7]). A similar pattern was observed when data were analysed using the four ANTS categories (all P<0.001). The key theme that emerged during focus group discussions was that the use of cognitive aids and clinical algorithms, repeated and reinforced across simulated scenarios, encouraged a systematic approach to patient care. The participants attributed the systematic approach to improving their problem-solving skills and confidence, particularly during emergencies. They found value in well-functioning teams and shared decision-making. After VAST, the participants described empowerment to advocate for better patient care and system improvement. CONCLUSIONS VAST offers a simulation-based training to anaesthesia providers working in low-resource settings. Skills retention and self-reported application of learning into the workplace reflect the scope of impact of this training.

中文翻译：

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在资源匮乏的情况下，通过“生命麻醉模拟培训（VAST）”课程来提高麻醉师的非技术技能。

背景技术短期的教育计划对于建立全球麻醉劳动力的能力很重要。生命麻醉模拟培训（VAST）课程是一项为期3天的基于沉浸式模拟的计划，重点关注低资源环境中麻醉提供者所需的核心临床挑战和非技术技能。方法这项混合方法研究前瞻性评估了VAST在卢旺达的影响。在三个时间点（VAST之前，之后和4个月后）对30名课程参与者的麻醉师非技术技能（ANTS）分数进行了定量评估。在焦点小组会议中（VAST后4个月）收集了定性数据，以了解参与者将新知识应用于临床实践的经验。结果ANTS的总得分从之前的（11.0 [2。3]）（平均[标准偏差]）进行后期测试（14.0 [1.6]），并在保留率方面保持改善（14.2 [1.7]）。使用四个ANTS类别分析数据时，观察到类似的模式（所有P <0.001）。在焦点小组讨论中出现的关键主题是，在模拟场景中反复使用和加强认知辅助工具和临床算法的使用，鼓励了一种系统的患者护理方法。参与者将系统的方法归功于提高他们的解决问题的能力和自信心的能力，特别是在紧急情况下。他们在运作良好的团队和共同的决策中发现了价值。在VAST之后，参与者描述了授权提倡更好的患者护理和系统改进的能力。结论VAST为在资源匮乏地区工作的麻醉提供者提供了基于模拟的培训。技能保留和自我报告的将学习应用到工作场所反映了这项培训的影响范围。