New perspectives of anaesthesiology education in Lithuania

Abstract

The article explores the evolution and current state of anaesthesiology education in Lithuania, emphasizing the integration of European standards and the adoption of Entrustable Professional Activities (EPAs). It traces the historical development of the specialty from its inception in 1847 to its recognition as an independent field in 1952. The Lithuanian postgraduate medical education strategy has evolved to include EPAs, a framework that enhances competency-based education by focusing on practical skills and real-world clinical capabilities.

Six core EPAs have been implemented in the Lithuanian University of Health Sciences' anesthesiology residency program, each designed to ensure that trainees acquire and demonstrate essential competencies. These EPAs cover pre-anesthetic consultation, airway management, general and regional anesthesia, postanesthesia care and acute pain management, and chronic pain management.

Furthermore, integration of simulation-based training provides a safe environment for residents to practice and refine their skills is of highest value both for trainees and their tutors. Despite the advancements, the field faces challenges such as increasing demands from residents for more flexible training programs, a declining interest in anesthesiology among medical graduates, and higher expectations from regulatory authorities and society.

In conclusion, anaesthesiology education related challenges require innovative educational strategies and a collaborative effort from medical educators, professional bodies, and policymakers. By maintaining a dynamic and resilient educational framework, Lithuania can continue to produce skilled and competent anesthesiologists ready to meet the demands of modern medical practice.