Debriefing after Critical Incidents for Anaesthetic Trainees

This survey investigated the need, and the availability, of debriefing after critical incidents for training anaesthetists. A cross-sectional postal survey of all Australian anaesthetic trainees was conducted in May 2002. Four hundred and nineteen responses were analysed (response rate 64%). Debriefing after a critical incident was perceived by most trainees to be useful, however 36% (n=149) had never been debriefed. Trainees ranked their preferred content for a debriefing as ‘anaesthetic issues’ followed by the ‘psychological impact of the incident’, ‘patient issues’ and ‘surgical issues’. Almost half of respondents reported that they did not feel supported by their anaesthetic department after a negative outcome incident. Trainees who had debriefings were more likely to feel supported by senior colleagues. Debriefing after critical incidents should be an integral part of the supervision of anaesthetic trainees.