European Diploma in Regional Anaesthesia (EDRA) has continued to gain popularity among anaesthesiologists across the world since its introduction in 2006. There are some important prerequisites the candidates need to submit as part of their application to take the exam. Providing the evidence of attendance for at least 3 RA workshops is essential in order to ensure that the candidates are appropriately prepared for the high standards required for success in the exam.
From the 3 workshops, at least one must be an official ESRA workshop (WS), at least one must be cadaveric, and one can be ultrasound scanning WS. THE required ESRA workshop does not have to be a cadaveric WS and similarly the cadaveric WS does not need to be an ESRA workshop.
ESRA obviously knows their faculty for their own workshops, but it has become more and more of a concern that the quality of workshops available to EDRA candidates may be of variable quality. Some workshops may also have a very high number of candidates per 1 workshop station, which limits the scanning and learning opportunities for candidates. There would also be a huge discrepancy in the number of hours spent learning at these workshops, for example some candidates may spend 28 hours in workshops and others only 10 hours, but both would still fulfil the current EDRA exam criteria.
Therefore, from October 2021 ESRA has published updated and much more detailed criteria for workshops required for EDRA exam. There is still a need to attend at least one ESRA official WS, but the total number of workshops has changed to a points system. Please be aware, that candidates need to submit the evidence of the collected points from all required workshops only for EDRA Part 2 exam. That means, the candidate can apply for EDRA Part 1 (written) exam without completing all necessary workshop points.
In order to apply for EDRA Part 2 exam, candidate must present at least 20 points from the EDRA approved workshops, whilst providing the evidence for:
It needs to be highlighted, that all 20 points cannot be obtained in one workshop.
By offering the general criteria for organisers of regional anaesthesia workshops in European countries, ESRA wishes to expand the pool of approved high-quality workshops in more countries and allow the candidates to be able to choose which workshop they would like to attend according to their needs in terms of geographical proximity, language or workshop points offered / required for the EDRA exam. An approved list of workshops according to the countries will soon be created as well as list of workshop categories (cadaveric, ultrasound, official ESRA) giving full flexibility to the candidates to make the right choice.
The EDRA board realises that new criteria may seem daunting and difficult to implement for candidates and course organisers. Therefore, there will be an initial grace period where workshops attended before June 2022 will still be valid for EDRA exam criteria. The EDRA board will apply some flexibility until the new criteria has been fully established, with the expectation that workshops from July 2022 apply for EDRA points and “ EDRA Approved” status.
To make it easier for our readers and workshop directors who would like to apply for “EDRA Approved” status for their workshop the following workshop points are highlighted in different colour:
Hands – on cadaveric points (HO-CP) Other cadaveric points (CP)
Hands – on ultrasound points (HO-UP) Other ultrasound points (UP)
HO-CP Hands – on cadaveric points are displayed on workshop certificate separately
HO-UP Hands – on ultrasound points are displayed on workshop certificate separately
OP Other points are calculated by adding CP (cadaveric points) and UP (ultrasound points) together. Other points represent all cadaveric or ultrasound “non hands – on” points awarded for the workshop
Certain minimum standards for “EDRA Approved” workshops are necessary to maintain high quality teaching and fulfil the learning needs for our candidates
Recommendations for EDRA Approved workshop (WS) application process:
*CME – continuous medical education
*CPD – continuous professional development
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