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Surrogate Markers For Candidate Satisfaction With Content Of An Airway Course

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Surrogate Markers For Candidate Satisfaction With Content Of An Airway Course


Satinder Dalay1, Aidan Norman2, Adrian Jennings3, Robert Glasson2, Sean Chadwick2, James Brunning3

1ST5 Anaesthetics, Queen Elizabeth Hospital, Birmingham, UK

2Consultant Anaesthetist, Worcestershire Royal Hospital, Worcester, UK

3Consultant Anaesthetist, Dudley Group of Hospitals, Dudley, UK


  • There is a recognised need for delivery of airway management training1.
  • Since December 2009 Worcestershire Royal Hospital has hosted the BASDART (Birmingham Anaesthesia Schools Difficult Airway Rescue Techniques) course.
  • The course is open to all levels of anaesthetists and non-anaesthetists, ODP’s and anaesthetic nurses.
  • The course is perceived as popular and value for money.
  • Feedback forms are used as an evaluation for course organisers to initiate future course developments2.
  • Over time the course has undergone changes.
  • The course organisers believe they have responded to candidate feedback. 


  • To establish if free text candidate feedback given on our end-of-course feedback forms gave us objective markers for course satisfaction.


  • The candidate ratings for individual course stations were analysed using a scale of one (poor) to five (excellent).
  • The free text part of feedback forms were analysed for recurring themes. 


  • Twelve courses have been held between December 2009 and March 2015, of which ten were available for analysis.
  • 130 feedback forms were available for analysis.
  • Since the original course, stations were consistently rated very good or excellent.
  • However, in September 2012 there were sudden demands for coffee, increases in the positive general comments and increases in administrative/logistical comments of the day.


  • The specialty will always be hungry for good value, high quality training courses.
  • Feedback forms contain quantitative and qualitative data.
  • Although qualitative data is perceived as “soft”, its analysis can be useful.
  • We believe our consistent high quantitative data scores revealed we fulfilled an educational need.
  • However, this gives course organisers very little scope to work on changes.
  • We believe that we found the right balance in 2012.
  • There were fewer demands for course content changes.
  • Instead there were increased demands for catering and course logistics.
  • This implies that comments on catering and administration can be used as surrogate markers for satisfaction with course content.


  • Qualitative data analysis from course feedback forms can be useful.
  • A shift in the paradigm of comments may be used as a surrogate marker of course satisfaction.


  1. 4th National Audit Project of The Royal College of Anaesthetists and The Difficult Airway Society. London, 2011.
  2. Russo SG, Eich C, Barwing J, et al. Journal of Clinical Anesthesia 2007; 19: 517-22.
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