Longitudinal trends using a point-of-care gelatin-based model for ultrasound-guided central venous catheter insertion
| Autor: | William Bender, Matthew Schimmel, Caroline G Coleman, Lisa M. Daniels, Meredith Greer, Richard P. Ramonell |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Adult
Male Catheterization Central Venous Medicine (General) medicine.medical_specialty simulation training 020205 medical informatics Point-of-Care Systems medicine.medical_treatment education 02 engineering and technology Education Simulation training gelatin 03 medical and health sciences R5-920 0302 clinical medicine 0202 electrical engineering electronic engineering information engineering medicine Humans Prospective Studies 030212 general & internal medicine point-of-care ultrasound Ultrasonography Interventional Point of care Medical education LC8-6691 business.industry Point of care ultrasound Ultrasound Internship and Residency General Medicine equipment and supplies Special aspects of education Ultrasound guided internal medicine Female Clinical Competence Curriculum Radiology medical education business central venous catheters Central venous catheter Research Article |
| Zdroj: | Medical Education Online, Vol 26, Iss 1 (2021) Medical Education article-version (VoR) Version of Record |
| ISSN: | 1087-2981 |
| DOI: | 10.1080/10872981.2021.1924350 |
| Popis: | Ultrasound (US)-guided central venous catheter (CVC) insertion is a procedure that carries the risk of significant complications. Simulation provides a safe learning atmosphere, but most CVC simulators are not available outside of simulation centers. To explore longitudinal trends in US-guided CVC insertion competency in internal medicine (IM) interns, we studied the use of a low-fidelity, gelatin-based, US-guided CVC insertion simulation model combined with a simulation curriculum. This prospective observational study of IM interns was performed over the course of one academic year. Interns (n = 56) underwent model-based, US-guided procedure simulation training program and a repeated training course prior to their intensive care unit (ICU) rotation. CVC insertion competency at different timepoints was recorded. Survey data about intern experience and attitudes were also collected. Out of the 56 interns initially trained, 40 were included in the final analysis. Across all outcomes, interns experienced skill atrophy between initial training and the beginning of their ICU month. However, by the end of the month, there was a significant improvement in competency as compared to initial procedural training, which then waned by the end of the intern year. Attitudes toward the model were generally positive and self-reported confidence improved throughout the course of the year and correlated with objective measures of competency. Over the course of their intern year, which included simulation training using a gelatin-based model, interns demonstrated consistent competency trends. The use of a gelatin-based CVC insertion simulation model warrants further study as an adjunctive aid to existing simulation training. |
| Databáze: | OpenAIRE |
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