The Romanian Society of Anaesthesia and Intensive Care (SRATI) in collaboration with the European Society of Anaesthesiology and Intensive Care (ESAIC) and the Society for Simulation in Europe (SESAM) have identified a need for advanced airway management training aligned to international guidelines. The aims of this study are to describe the planning, development, conduction and implementation of a National Advanced Airway Management (NAAM) course in Romania; and, to evaluate the NAAM content, methodology, and achievement of learning objectives, as perceived by the residents.

The NAAM project followed a four-step approach: 1. Target needs analysis; 2. Train-the-Trainer (TTT); 3. Integration in residents’ training; 4. Evaluation by the participating residents. Between February 2023 and April 2024, 400 residents from five simulation centres attended the course, out of which 186 provided anonymous feedback on the course design and methodology, and reported pre- and post-course confidence scores.

NAAM significantly improved residents’ self-perceived confidence in managing difficult airways (more than 1 point increase on a 5-point Likert scale, with Wilcoxon signed−rank test p < 0.001 for each self-assessed skill). Participants also reported high satisfaction scores with the eight skills stations and simulation sessions, with a median (inter-quartile range) of 5 (4–5) points for each session.

The NAAM programme has successfully enhanced the Romanian anaesthesiology training. It may serve as a model for implementing national SBET programmes in other European countries, addressing similar airway management and/or other gaps in anaesthesiology training.

Not applicable.

SBET

Curriculum

Training

Anaesthesiology

Intensive care

© 2025 The Authors. Published by Elsevier Ltd.