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EURACT 2016 The efficacy of different training strategies for infiltration techniques Els Vanhomwegen and Nele R. Michels center for General Practice, university of antwerp, antwerp, Belgium Background Research shows that few GPs perform intraand periarticular infiltrations. Lack of good training strategies to teach these skills would be an important reason for this observation. Former studies demonstrated the efficacy of different training strategies, however few quality studies compared those strategies. Aim We investigated three training strategies for infiltrations of the glenohumeral joint, subacromial space, lateral epicondyle, carpal tunnel and knee joint. Method Residents in family practice were randomized into three teaching groups: a theoretical lecture (n = 18) or a lecture with training on anatomical models (n = 19) or on cadavers (n = 11). Before and after the course the participants’ self-efficacy (questionnaire) and skills (OSCE) were evaluated. The self-efficacy was assessed again three months later. Concurrently, participants were asked if they had performed more infiltrations since training. A Kruskal-Wallis test was used to compare the results before vs. after training and between groups (p < 0.05). Results All three training strategies had a significant benefit on the participants’ self-efficacy concerning knowledge and skills and on the skills test. This benefit on self-efficacy remained 3 months after the course. However, some participants still felt uncomfortable to perform infiltrations. Best scores for self-efficacy concerning skills and best scores on the skills test were observed after training on cadavers, followed by training on anatomical models. Almost half of participants stated they performed more infiltrations since attending the course. Conclusion Based on this study a course with training on cadavers can be recommended to teach infiltrations. To achieve an optimal effect, repeated courses may be necessary. © 2017 informa uK Limited, trading as taylor & francis Group CONTACT Els Vanhomwegen [email protected]