Training in regional anesthesia

Abstract Introduction The implementation of a method of ultrasonography with the purpose of visualization of anatomic structures created a whole new chapter in the history of regional anesthesia. In addition, the European Society of Regional Anesthesia (ESRA) has provided the opportunity to obtain European Diploma in Regional Anesthesia (EDRA) recognized worldwide. Aim The aim of this work is to describe factors influencing training in regional anesthesia, obtaining EDRA certifying both practical skills and theoretical knowledge, implementation of internationally recognized recommendations in daily practice and methods of evaluating effectiveness of teaching by using cumulative summation analysis (CUSUM). Material and methods The work is based on the available literature and the experience of the authors. Results and discussion Ultrasonography changed the face of regional anesthesia. Meanwhile, thanks to both European and American Society of Regional Anesthesia (ESRA/ASRA), a growing interest of EDRA shows the importance of a crucial development in regional anesthesia. Also, an important role is played by the possibility of assessment of acquired skills, which can be obtained with the use of CUSUM. Conclusions The overall objective of ESRA/ASRA is to widen the circle of anesthesiologists, assistance in acquiring diversified medical experiments, formation of new personnel and exploring the secrets of regional anesthesia among medical practitioners. Undoubtedly, EDRA is invaluable in career development all over the world. Additionally, it is becoming a tool of encouragement for anesthesiologists, for safe and advanced practice in the operating room, making them experts in the field.