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. The American Society of Anesthesiologists (ASA) organized the Workgroup on Simulation Education under the Committee on Outreach Education, to determine interest, feasibility, and methods of developing an ASAsponsored national (and perhaps standardized) anesthesiology simulation CME program. Methods. The Workgroup (Dr's. Olympio (Chair), Barach, Bateman, Cole, Cooper, Gaba, Gravlee, Levine, Loyd, Quinlan, Ruskin, Schaefer, Steadman, Seropian, Sinz, Taekman, Torsher, Weinger, Wilks, and Janice Plack) conducted 12 conference calls and 2 meetings. Eight Goals were established to 1) create a web-based listing of simulation opportunities, 2) determine ASA-member interest in simulation and consider standardized course development, 3&4) develop an ASA process for approving high quality programs and instructors, 5) develop promotional schemes, 6) investigate provision of CME and measurement of outcomes, 7) develop a business plan, and 8) determine capability of centers to participate. Internet research and marketing, mass mailings, and administrative meetings were conducted. Results. Known anesthesia simulation entities were identified and subsequently invited to participate in the newly developed ASA website registry (via www.asahq.org), which provides a searchable database of leadership, affiliation, URL, program description, equipment, resources, courses and availability of CME. Similarly, company names and types of equipment offered were listed for manufacturers. All anesthesia simulation entities are encouraged to participate. Additionally, centers were asked to complete an "ASA Survey of Simulation Centers", and asked to participate in a promotional "Simulation Saturday" on March 11, 2006. The survey probed for their interest in participating in the ASA CME project, length, time, and type of courses they offer, and numbers of instructors, participants, experience, and physical/administrative attributes of their centers. Response frequency is low at this time. Subsequently, a letter and "ASA Member Poll on Simulation CME" was mass-mailed to all active ASA members, generating over 1100 responses. Preliminary interpretation reveals only 22% had participated in simulation CME, (of which 94% indicated a positive experience). Of all respondents, 81% were interested in future simulation CME, with 60% favoring common events, 89% for rare events, 63% for teamwork skills, 81% for crisis resource management training, 53% for FOB but 79% for invasive airway management, 55% for TEE, 72% for regional anesthesia, 68% for ultrasound-guided CVC, 49% for multidisciplinary, 51% for videotaping, 71% for formal assessment. The highest percentage (83%) wanted local training. Only 2% said they were uncomfortable with, or not interested in simulation. "Simulation Expo", a live and dramatic video conference of an anesthesia crisis, was approved for ASA 2006. Extensive deliberations continue to focus upon methods for the ASA to promote and approve an enlarging subset of high-quality participating simulation centers and instructors. Discussion. Results to date indicate that ASA-sponsored simulation education in anesthesiology is highly desired by its membership and enthusiastically supported by the ASA and its Workgroup. Further advertising and development among simulation centers is necessary to expand a high quality learning opportunity for ASA members. Abstract

Progress on the Development of an ASA-sponsored National Anesthesiology Simulation CME Program