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Tasks for Teacher Education

Teachers' development

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A person-centred approach to teacher development with short readings and questions to take teachers through an exploration of aspects of their personal development that can enhance who they are as teachers. It explores what teacher development can mean, the facilitative relationship, ways of working with groups, teacher development groups, supporting yourself.

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Mathematical-task knowledge for teaching

• Published: 11 January 2013
• Volume 16 , pages 1–6, ( 2013 )

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• Olive Chapman 1  

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The articles of this issue of the Journal of Mathematics Teacher Education [JMTE] prompted me to think about mathematical tasks and teachers’ knowledge of them. Mathematical tasks are central to the learning of mathematics. For example, they can “provide the stimulus for students to think about particular concepts and procedures, their connections with other mathematical ideas, and their applications to real-world contexts” (National Council of Teachers of Mathematics [NCTM] 1991 , p. 24). However, they have no life of their own as a tool for learning. It is the teacher and students who give them life based on how they are interpreted and enacted in the classroom. The teacher is critical in shaping the lived task and directing students’ activities so that students have opportunities to engage meaningfully in mathematics through them. A teacher could turn an open-ended task into a closed one or a closed one into an open one. He or she could treat a task of high cognitive demand as a low level one or vice versa. There are several factors that could influence this; for example, the teacher’s knowledge of content, knowledge of learners, goal for task, instructional orientation, and beliefs about mathematics. In particular, the nature of the teachers’ mathematical-task knowledge for teaching is likely to be the determining factor in their treatment of tasks.

Mathematical-task knowledge for teaching deals with the knowledge teachers need in order to (a) select and develop tasks to promote students’ conceptual understanding of mathematics, support their development of mathematical thinking, and capture their interest and curiosity and (b) optimize the learning potential of such tasks. This knowledge includes as follows:

Understanding the nature of worthwhile tasks—for example, involve significant mathematical content; can be solved in multiple ways; use multiple representations; connect to other important mathematical ideas; require students to justify, interpret, conjecture; have high cognitive demand (e.g., NCTM 1991 , 2010 ; Stein et al. 2000 ).

Ability to identify, select, and create tasks that are rich mathematically in terms of content, pedagogically in terms of affording the learning of mathematics meaningfully and with deep understanding, and personally for students in terms of their interest and learning needs.

Knowledge of levels of cognitive demands of tasks (e.g., Stein et al. 2000 ) and the relationship to goals for the task in terms of the level of learning and understanding of mathematics they can promote.

Knowledge of students’ understandings, interests, and experiences and the range of ways that diverse students learn mathematics (NCTM 1991 , p. 25).

Understanding of how the tasks teachers select and how they use them influence how students come to make sense of mathematics and of doing and applying mathematics.

Knowledge of

what aspects of a task to highlight, how to organize and orchestrate the work of the students, what questions to ask to challenge those with varied levels of expertise, and how to support students without taking over the process of thinking for them and thus eliminating the challenge. (NCTM 2000 , p. 19).

Mathematical-task knowledge for teaching, then, is multi-dimensional and thus likely to be challenging for a teacher to construct without meaningful intervention to build on her or his initial sense-making of tasks. In my experience of working with high school mathematics teachers, I have encountered a range of approaches to task selection. For example, there were teachers who assigned the even (or odd) number problems because there were answers to them at the back of the textbook. There were those who intentionally omitted tasks that required non-algorithmic thinking. There were those who minimized the use of word problems or maximized the use of those with contexts that matched students’ interests. There were those who considered exploratory tasks at high school level to be a waste of time and have little or no impact on students’ achievement in mathematics. Embodied in these actions or thinking are beliefs about tasks that create barriers to students’ learning of mathematics and teachers’ learning of worthwhile tasks. Such beliefs add to the challenge in helping teachers to develop meaningful mathematical-task knowledge for teaching. An example of this is reflected in the study of Carson ( 2010 ), a masters’ thesis I supervised.

Carson investigated high school mathematics teachers’ (grades 9–12) beliefs about exploratory mathematical tasks in the learning and teaching of high school mathematics. The five teachers who volunteered for the study were participants of a one-day, Exploratory Learning Activity [ELA] workshop that was sponsored by their school system and opened to any of its high school mathematics teacher. They did not use exploratory tasks in their teaching but were interested in learning about them given soon to be implemented emphasis on inquiry in the curriculum. Carson led the workshop in her role as mathematics consultant in the school system. The seven ELAs used in the workshop provided different examples of exploratory tasks, were directly applicable to topics in the curriculum, and could be adapted to the various grades. They involved: number pattern proofs; exploration of patterns in Pascal’s triangle; exploration of inverse functions; exploration of properties of polynomial functions; use of mental imagery and spatial memory to recognize and reproduce geometric shapes; exploration of mathematics in female mathematician history stories; and addition and multiplication of radicals through a visual representation. The teachers worked in groups on the task. At the end of each task, each teacher filled out a reflection sheet with prompts that included: What is the mathematics? What do we want students to notice? What is the teacher role? This was followed by whole-class sharing and discussion.

One aspect of the findings focused on the five participants’ thinking about ELAs following the workshop. These teachers’ interpretation of ELAs was related to how they viewed students’ involvement with them and what they allowed students to accomplish in their learning. Based on their espoused beliefs about ELAs during individual post-workshop interviews, four related themes were identified regarding the beliefs they held about ELAs: ELAs are student centered (e.g., allow students to learn mathematics through discovery instead of being told the concepts, are student directed, and allow for collaborative work). ELAs can increase students’ understanding of mathematics. ELAs can enhance students’ engagement in learning mathematics (e.g., by increasing interest and enjoyment). ELAs can provide hands-on and/or investigative types of experiences for students.

In spite of these ways of viewing ELAs, the teachers did not modify their views about ELAs in their practice. They viewed them as isolated events in their practice. Carson explained “The teachers’ reflection showed that the current and intended use of the ELAs was to occur in pockets of their practice. They did not seem to transfer their beliefs about ELAs into ‘how’ that can become the dominant pedagogy” (p. 149). Although the tasks used in the workshop were not huge projects, the teachers still viewed ELAs as “elaborate packages” that involve a lot of time to design and require more planning time than is available within their work parameters and environments. As one teacher explained, “You have to actually be willing to give up a lot of your time outside of school, because you are not going to get it done in school” (p.150). They also pointed out that there was no one resource available that provides all of the ELAs applicable to the curriculum, justifying the need for them to create or find them. Carson concluded, “there exists this restrictive beliefs inhibiting the teachers from incorporating ELAs into every day practice” (p. 149). “They do not have the deep understanding of the nature of ELAs to allow an easy transformation of practices” (p. 150). So while the one-day workshop allowed the teachers to make some sense of ELAs as meaningful pedagogical tools, it is not surprising that it was not sufficient for them to develop meaningful task knowledge for teaching in a general way and to confront beliefs they held that justified limiting or avoiding the use of ELAs in their teaching. In fact, the workshop could have unintentionally reinforced their “central beliefs” (Green 1971 ) that restrict the scope of tasks and how they engage students in them in their classrooms. Thus, in addition to other limitations to this form of intervention, explicit attendance to beliefs should be an important consideration in helping the teachers to transform their thinking about and teaching through ELAs.

In general, engaging teachers in worthwhile tasks may not be sufficient for their development of mathematical-task knowledge for teaching as defined earlier. Such engagement may help them to understand an isolated aspect of this knowledge, but not all of the components that are necessary for meaningful implementation. What an appropriate intervention that takes beliefs into consideration might look like requires ongoing research with explicit focus on mathematical-task knowledge for teaching. However, tasks do play a key role in mathematics teacher education as evidenced in studies in this area. They provide meaningful intervention to enhance teachers’ knowledge and practice. The articles in this issue of JMTE further highlight this importance of tasks in teacher learning.

Melissa Brown’s article explicitly deals with aspects of mathematical-task knowledge for teaching by focusing on teachers’ understanding of selection and implementation of cognitively challenging mathematical tasks. As she explains, improving students’ opportunities to learn mathematics with understanding requires mathematics teachers to select and implement high-level tasks in ways that maintain students’ engagement in thinking and reasoning throughout an instructional episode. Raisa Guberman and Roza Leikin’s article indirectly deals with aspects of mathematical-task knowledge for teaching by engaging prospective teachers in solving multiple-solution tasks. While their focus is on developing problem-solving competencies, the experience with these tasks would have likely made the prospective teachers aware of the nature and meaningfulness of such tasks in their teaching. However, the aspect of the work that engaged the prospective teachers in evaluating the level of interest and level of difficulty of the mathematical tasks is more directly related to task knowledge for teaching. The Tonya Gau Bartell, Corey Webel, Brian Bowen, and Nancy Dyson’s article deals with prospective teachers learning to tell the difference between evidence of conceptual understanding and procedural knowledge and between features that provide evidence of conceptual understanding and those that do not. While this is not explicitly about tasks, the evidence is based on students’ solutions of tasks. The nature of such tasks and their relationship to conceptual and procedural knowledge have implications for task knowledge for teaching. In general, the three articles offer meaningful examples of different interventions to facilitate teachers’ learning of tasks and other ways to make sense of teaching mathematics for deep understanding.

Melissa Boston explored an intervention for improving mathematics teaching toward the ideals of NCTM. The Enhancing Secondary Mathematics Teacher Preparation (ESP) Project provided secondary mathematics teachers with professional learning experiences focused on the selection and implementation of cognitively challenging mathematical tasks. A central sequence of activities in the workshop was to engage teachers in solving a cognitively challenging mathematical task, analyze the cognitive demands of the task, and reflect upon instructional artifacts (i.e., students’ work) or an instructional episode (i.e., narrative or video cases) of a teacher using the task in a mathematics lesson. Boston explored the connection between the teachers’ experiences in the ESP Project, changes in teachers’ knowledge, and the observed changes in teachers’ instructional practices. Specifically, she addressed the ways in which the teachers’ knowledge of the cognitive demands of mathematical tasks changed following their participation in the ESP professional development workshop and the relationship between changes in teachers’ knowledge of the cognitive demands of mathematical tasks and their learning experiences in the ESP professional development workshop.

Findings of the study indicated that, at the end of the workshop, the ESP teachers significantly increased their knowledge of the cognitive demands of mathematical tasks and had significantly higher knowledge than teachers in the contrast group. The ESP teachers developed new ideas about the influence of mathematical tasks on students’ learning. There was evidence that they became more aware of how high-level tasks support students’ learning. However, they often overlooked the underlying mathematical concepts or connections embedded in high-level tasks. In procedures with connections tasks, half of the ESP teachers persisted in identifying the presence of a procedure as the feature that determined the level of cognitive demand (“procedures = low-level”). A small set of teachers focused on features of the task that appeared to be “missing,” such as a real-world context or a prompt for an explanation, and appeared to consider both as necessary conditions for high-level demands. However, the teachers no longer rated the level of demand based on the perceived difficulty of the mathematical content or skills. There were changes in their orientations toward their curricula (reform or traditional) in ways that supported the selection of high-level instructional tasks in their own classrooms. In general, the study provides an example of how an intervention involving understanding levels of cognitive demands of tasks can help teachers to improve their knowledge and instructional practices along dimensions of teaching that have been linked to increases in students’ opportunities for learning. It also provides insights on a promising approach to help teachers to develop mathematical-task knowledge for teaching.

Raisa Guberman and Roza Leikin explored the development of teachers’ problem-solving competencies through the use of multiple-solution tasks and changes in their views concerning the levels of interest and difficulty of the tasks in a problem-solving course for prospective elementary school mathematics teachers. The authors consider multiple-solution tasks as tasks that contain an explicit requirement for solving a problem in multiple ways. The differences and similarities between the solutions can be illustrated by using: (a) different representations of a mathematical concept, (b) different properties (definitions or theorems) of mathematical concepts from a particular mathematical topic, or (c) different mathematical tools and theorems from different branches of mathematics.

Data analysis included identifying the participants’ strategies used in solving the multiple-solution elementary mathematics problems and their ability to produce multiple solutions to the problems and determining their scorings of the level of interest and level of difficulty of the problems they solved. A key finding of the study indicated that the multiple-solution tasks were effective in helping both the participants who were high achievers in mathematics and those who were low achievers to significantly improve their problem-solving competencies. However, the high achievers improved their achievements more pronouncedly than the low achievers. Another key finding was a significant shift in the participants’ problem-solving strategies for multiple-solution tasks from mainly trial and error strategies used in the pre-test toward systematic strategies in the post-test. By the end of the course, the participants were solving problems flexibly, changing representations used, and employing more advanced problem-solving strategies.

Finally, regarding the participants’ views of the level of interest and difficulty of the tasks, the findings demonstrated that they changed non-significantly in both the systematic (through whole-group discussion with peers) and craft modes (through interviewing school students). The systematic and craft experiences had an opposite influence (in most cases) on the participants’ views of interest and difficulty of the problems. For example, after the discussion, the high achieving participants scored the difficulty of the problems lower than before the discussion, yet they increased their scores after the interviews. The correlation between participants’ evaluation of problem difficulty and problem interest was found to be significant after solving the problems in pre-test and even more significant after interviewing school students. In general, the study provides an example of how an intervention involving multiple-solution tasks can help prospective teachers to improve their knowledge of problem solving. It also provides insights on the relationship between their evaluation of level of difficulty and level of interest of the tasks that have implication for helping teachers to develop mathematical-task knowledge for teaching.

Tonya Gau Bartell, Corey Webel, Brian Bowen, and Nancy Dyson examined the role content knowledge played in prospective teachers’ ability to recognize evidence of children’s conceptual understanding of mathematics and the effects of an intervention aimed at supporting them in recognizing evidence of children’s conceptual understanding of mathematics. The intervention was designed to include examples in which children used correct procedures and in which they included irrelevant evidence that could be mistaken for evidence of understanding. This was part of a course that focused on developing prospective teachers’ mathematical understanding of key number and operation topics typically developed with early grades children. The findings focused on three content areas: comparison and multiplication of fractions and subtraction of decimals. Analysis of the participants’ knowledge of these concepts showed that all of the participants demonstrated some evidence of conceptual understanding of subtraction of decimals, most demonstrated some evidence of conceptual understanding of comparison of fractions, but few demonstrated evidence of conceptual understanding of multiplication of fractions. Regardless of content knowledge, before the intervention in all three content areas, most participants recognized children’s responses demonstrating conceptual understanding as such and most characterized children’s procedural responses as evidence of conceptual understanding. Also, content knowledge seemed to support the participants’ analyses of responses with conceptual features for comparison of fractions content only. For the comparison of fractions, content knowledge did support participants’ in recognizing evidence of children’s conceptual understanding but did not for the multiplication of fractions.

The intervention was successful in moving participants away from evaluating responses with conceptual features and procedural solutions as evidence of conceptual understanding for subtraction of decimals content. While some participants also moved away from evaluating such responses as evidence of conceptual understanding for multiplication of fractions content, many still saw these responses as evidence of conceptual understanding after the intervention. This was also true for analyses of procedural responses in the comparison of fractions content. Further, in the areas where there was growth in participants’ analyses of children’s mathematical work, participants also tended to become critical of children’s responses, suggesting that responses with conceptual features or procedural solutions were evidence that the child did not understand the mathematics. The authors concluded that content knowledge is necessary but insufficient in supporting prospective teachers’ ability to recognize evidence of children’s conceptual understanding of mathematics. While the intervention did prove significant, the fact that even after the intervention many participants considered procedural responses or those containing conceptual features as evidence of conceptual understanding shows room for further growth.

These three articles provide insights into meaningful interventions and possible challenges for helping teachers to enhance their knowledge for teaching mathematics. They have implications for teacher education in relation to mathematical-task knowledge for teaching. For example, collectively, they show the importance of engaging teachers in more that solving worthwhile tasks. They suggest that teachers could also analyze the cognitive demands of the task, reflect upon instructional artefacts (i.e., students’ work) or an instructional episode (i.e., narrative or video cases) of a teacher using the task in a mathematics lesson, analyze the problems in terms of level of interest and difficulty, engage in whole-group discussion of multiple solutions with peers, interview school students about tasks, and recognize evidence of children’s conceptual understanding in their solutions of tasks. However, ongoing research is necessary to determine the nature of mathematical-task knowledge for teaching in relation to practice and other effective ways to help teachers to develop it.

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Chapman, O. Mathematical-task knowledge for teaching. J Math Teacher Educ 16 , 1–6 (2013). https://doi.org/10.1007/s10857-013-9234-7

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Published : 11 January 2013

Issue Date : February 2013

DOI : https://doi.org/10.1007/s10857-013-9234-7

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3

Core Courses – 24 Credits

Curriculum Development	3
Guidance and Counselling	3
Educational Management	3
Educational Assessment	3
Theories and Practices of Teaching and Learning	3
Emerging Technologies in Teaching and Learning	3
Practical Teaching	6

Elective Courses – 3 Credits (* Choose ONE only)

Instructional Technologies	3
Inclusive Education	3
Kaedah Pengajian Syariah	3

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Year 1	RM2,772 (Sem 1)	RM2,772 (Sem 2)	RM3,696 (Sem 3)
TOTAL	RM9,240

Discount for the Physically Challenged Learners (OKU) and Senior Citizens

* Fees applicable to Malaysians and Permanent Residents only. * The University reserves the right to revise the fees without prior notice.

The University offers 50%  discount for: 1. Senior citizens aged 60 and above on registration date; and 2. Physically challenged learners – a valid Orang Kelainan Upaya (OKU) is required. The discounts are not valid for second time registration and repeating of subjects. Learners who receive this discount are  not entitled  to other discounts and promotions.

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Year 1	RM3,326 (Sem 1)	RM3,326 (Sem 2)	RM4,435 (Sem 3)
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Notes: 1 – Fees applicable to International applicants 2 – The fee above excludes registration fee, processing fee and resource fee. Fee imposed first semester only-non refundable . (Diploma RM2,700; Bachelor RM3,200, Master RM3,700, PhD/Doctorate RM4,200). 3 – Financial method: Telegraphic Transfer , PayPal (Invoice will be prepared in MYR and will be added 6% to cover PayPal transaction fees.) 4 – The fees are for subject fees only and are not applicable for research, registration, repeating of subjects and other fees. 5 – 60% payment of the semester fees must be made before the semester starts, 40% payment before the examination week.

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**LATEST UPDATE: 31 October 2021

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Program educational objectives (peo).

This programme aims to produce graduates that are:

PEO 1: To produce Education Practitioners who have advanced knowledge with practical skills capable of using selected advanced numerical techniques and digital technologies in the educational settings.

PEO 2: To produce Education Practitioners who lead with autonomy, communicate and interact with internal and external stakeholders when working in various educational settings.

PEO 3: To produce Education Practitioners who uphold and defend professional and ethical practices in all education settings.

PEO 4: To produce Education Practitioners with positive attitude, entrepreneurial mind set in and sustainable practices progressing their career and the profession.

Programme Learning Outcomes (PLO)

Upon completion of the programme, graduates will be able to:

PLO 1:	Analyse knowledge of specific subject areas related to teaching and learning in meeting the challenges of a dynamic curriculum.	1. Knowledge and Understanding
PLO 2:	Demonstrate practical skills in using current teaching techniques, including the use of current digital technique/technology in different educational settings.	3. Practical Skills 6. Digital Skills
PLO 3:	Integrate analytical and advanced numerical skills in solving and enhancing teaching practices and organisational performance.	2. Cognitive Skills 7. Numeracy Skills
PLO 4:	Demonstrate leadership with responsibility and autonomy in emerging educational setting.	8. Leadership, Autonomy and Responsibility
PLO 5:	Contribute with commitment either individually or through multi-disciplinary team with good communication and interpersonal skills in delivering educational services to stakeholders.	4. Interpersonal Skills 5. Communication Skills
PLO 6:	Uphold professionalism and ethics to fulfil professional teaching standards and maintain the good image of the profession at all times.	11. Ethics and Professionalism
PLO 7:	Exhibit positive attitude and commitment to life-long learning with entrepreneurial mind-set in response to the changing world of education and for professional Development.	9. Personal Skills 10. Entrepreneurial Skills

Question 1 What is PGDT? Answer: It is a professional qualification programme for teachers that is fully accredited by the Malaysian Qualifications Agency (MQA).

Question 2 Who is eligible to register for the PGDT? Answer: The PGDT is intended for those who have a tertiary qualification and wish to pursue the teaching profession but do not hold a government-recognised teaching qualification, regardless of their specialisation.

Question 3 How long does the PGDT course take? Answer: It is a 1-year programme consisting of 3 semesters.

Question 4 When does PGDT study start? Answer: In January, May or September.

Question 5 What are the PGDT fees? Answer: See the OUM portal. The fees are subject to the OUM guidelines. Also, you are not required to pay per semester. You can also make a partial payment each semester, but you must settle it before the examination of that semester.

Question 6 PGDT structure Answer: Visit the OUM portal.

Question 7 How many PGDT credit hours? Answer: 30 credit hours

Question 8 What about the assessment of the PGDT course? Answer: Students are required to take coursework (60%) and a final examination (40%). Some courses consist of 100% coursework.

Question 9 How are the courses conducted in PGDT? Answer: It is a blended learning (online or e-tutorial learning support and self-directed learning)

Question 10 Who arranges the placement for the students? Answer: Students have to indicate their schools or other teaching institutions.

Question 11 What is the duration of my teaching practicum? Answer: 8-12 weeks. If student teachers are unable to complete the teaching practicum within this time frame due to work commitments, they can extend the duration

Question 12 Do I have to give up my job to do my teaching practicum? Answer: No. You must choose a school or training institution close to your home or workplace. Choose a day or two when you can take time off. Negotiate with the school or teaching institution the day you can teach and work from there. In addition to teaching, student teachers must participate in school activities during school hours or on weekends to meet the 6 credit hours.

Question 13 How many teaching hours do I have to teach during the teaching practicum period? Answer: 50 hours. You must spend the remaining 190 hours on school activities such as extracurricular activities, PTA meetings, school field trips, and weekend murals, invigilation.

Question 14 Do I have to choose my own teaching supervisor? Answer: No. OUM will appoint your tutor.

Question 15 Who can I contact to participate in the PGDT? Answer:

Assoc. Prof. Dr. Rosinah binti Mahmood Programme Director Postgraduate Diploma in Teaching (PGDT) Faculty of Education 0102440434 or 0378012179

How to Apply

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Here are some common types of career fields and examples of career opportunities for graduates of a Postgraduate Diploma in Teaching:

Career Field	Career Opportunities
K-12 Education	1. Classroom Teacher (Primary or Secondary Level) 2. Special Education Teacher 3. School Counselor 4. Educational Administrator (Principal, Vice-Principal)
Higher Education	1. College or University Professor 2. Academic Advisor 3. Educational Researcher 4. Curriculum Developer
Online Education	1. Online Instructor 2. E-Learning Course Designer 3. Instructional Technologist 4. Online Education Coordinator
Corporate Training	1. Corporate Trainer 2. Training and Development Specialist 3. Learning and Development Manager 4. Employee Onboarding Specialist
Educational Technology	1. EdTech Consultant 2. EdTech Product Manager 3. Instructional Designer 4. Educational App Developer
Private Tutoring	1. Private Tutor 2. Test Prep Instructor 3. Educational Consultant 4. Homeschool Educator
Education Administration	1. School Principal 2. School Superintendent 3. Admissions Director 4. Educational Policy Analyst
Nonprofit Organizations	1. Program Manager for Educational Nonprofits 2. Outreach Coordinator 3. Fundraising and Development Specialist 4. Education Advocacy Specialist
Language Teaching	1. ESL Teacher 2. Foreign Language Instructor 3. Language School Manager 4. Language Program Director

The struggle to balance study and work gave me better insight into productivity and efficiency. I was able to apply the lessons learned to my occupation. My study at OUM was my progress in development. The encouragement and guidance from OUM gave me the platform and confidence to succeed in my studies. Today, my degree has given me generous employment recognition, added edge in promotion, and salary advances.

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Simulation tools in ultrasound-guided regional anesthesia: developing a simple, inexpensive erector spinae plane (ESP) block teaching model

Affiliations.

• 1 Faculty of Medicine, McGill University, Montreal, QC, Canada. [email protected].
• 2 Faculty of Medicine, McGill University, Montreal, QC, Canada.
• 3 Department of Emergency Medicine, McGill University, Montreal, QC, Canada.
• PMID: 39225970
• DOI: 10.1007/s43678-024-00762-9

Abstract in English, French

The erector spinae plane (ESP) block is an increasingly utilized regional block in the emergency department, representing one effective alternative or adjunct to opioid analgesia in patients presenting with rib fractures. While there is growing interest, its widespread adoption faces hurdles, such as a lack of appropriate training resources. Gelatin-based phantoms to simulate human anatomy have been widely used to facilitate ultrasound-guided procedures, although no such model for the ESP block has yet been defined in the literature. To address this gap, we sought to design and assemble an inexpensive, simple to build, reusable phantom to simulate the sonographic anatomy of the posterior thoracic wall and serve as a task trainer for an ultrasound-guided ESP block. This novel phantom model reproduces an ultrasonographic fascial plane using a gelatin medium and 3D-printed thoracic spine with ribs allowing for needle guidance and hydrodissection.

RéSUMé: Le bloc plan érecteur-épine (ESP) est un bloc régional de plus en plus utilisé dans les services d’urgence, représentant une alternative efficace ou un complément à l’analgésie opioïde chez les patients présentant des fractures des côtes. Bien que l’intérêt grandisse, son adoption généralisée se heurte à des obstacles, tels que le manque de ressources de formation appropriées. Les fantômes à base de gélatine pour simuler l’anatomie humaine ont été largement utilisés pour faciliter les procédures guidées par ultrasons, bien qu’aucun modèle de ce type pour le bloc ESP n’ait encore été défini dans la littérature. Pour combler cette lacune, nous avons cherché à concevoir et assembler un fantôme peu coûteux, simple à construire et réutilisable pour simuler l’anatomie échographique de la paroi thoracique postérieure et servir d’entraîneur-tâche pour un bloc ESP guidé par ultrasons. Ce modèle fantôme reproduit un plan fascial échosonographique utilisant un milieu gélatineux et une colonne thoracique imprimée en 3D avec des nervures permettant le guidage de l’aiguille et l’hydrodissection.

Keywords: 3D printing; Erector spinae plane block; Medical education; Regional anesthesia; Ultrasound.

© 2024. The Author(s), under exclusive licence to the Canadian Association of Emergency Physicians (CAEP)/ Association Canadienne de Médecine d'Urgence (ACMU).

PubMed Disclaimer

• Bemelman M, Kruijf MW, van Baal M, Leenen L. Rib fractures: to fix or not to fix? an evidence-based algorithm. The Korean J Thoracic Cardiovasc Surg. 2017;50(4):229–34. https://doi.org/10.5090/kjtcs.2017.50.4.229 . - DOI
• Kim M, Moore JE. Chest trauma: current recommendations for rib fractures, pneumothorax, and other injuries. Curr Anesthesiol Rep. 2020;10(1):61–8. https://doi.org/10.1007/s40140-020-00374-w . - DOI - PubMed - PMC
• Ramesh S, Ayyan SM, Rath DP, Sadanandan DM. Efficacy and safety of ultrasound-guided erector spinae plane block compared to sham procedure in adult patients with rib fractures presenting to the emergency department: A randomized controlled trial. Acad Emerg Med. 2023;31(4):316–25. https://doi.org/10.1111/acem.14820 . - DOI - PubMed
• Fokin AA, Hus N, Wycech J, Rodriguez E, Puente I. Surgical stabilization of rib fractures. JBJS Essent Surg Tech. 2020. https://doi.org/10.2106/jbjs.st.19.00032 . - DOI - PubMed - PMC
• Forero M, Adhikary SD, Lopez H, Tsui C, Chin KJ. The erector spinae plane block. Reg Anesth Pain Med. 2016;41(5):621–7. https://doi.org/10.1097/aap.0000000000000451 . - DOI - PubMed

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