Using Low-Cost Models for Training First-Year Pediatric Residents on 4 Accreditation Council for Graduate Medical Education–Required Procedures
Autor: | Tara Petroski, Haiping Qiao, Brian H. Wrotniak, Lynn Lawrence |
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Rok vydání: | 2020 |
Předmět: |
Adult
Male Models Educational Educational measurement medicine.medical_specialty Graduate medical education MEDLINE Pilot Projects Pediatrics Spinal Puncture Accreditation 03 medical and health sciences 0302 clinical medicine Phlebotomy Cost Savings Surveys and Questionnaires 030225 pediatrics medicine Humans Simulation Training Venipuncture business.industry Suture Techniques Significant difference Internship and Residency 030208 emergency & critical care medicine General Medicine Middle Aged United States Checklist Splints Education Medical Graduate Family medicine Pediatrics Perinatology and Child Health Emergency Medicine Female lipids (amino acids peptides and proteins) Clinical Competence Educational Measurement business |
Zdroj: | Pediatric Emergency Care. 36:87-91 |
ISSN: | 0749-5161 |
DOI: | 10.1097/pec.0000000000002041 |
Popis: | OBJECTIVES The aims of the study were to assess the feasibility of using low-cost models to train first-year pediatric residents and to examine whether residents who receive such training will be as competent as their experienced colleagues in performing 4 American College of Graduate Education-required procedures, including suturing, splinting, lumbar puncture, and venipuncture. METHODS We performed a pilot study with postgraduate year (PGY) 1 to 3 residents. Postgraduate year 1 residents completed a self-assessment questionnaire before the onset of training. A lecture was given to all PGY levels residents about procedural techniques. The PGY-1 residents practiced these techniques on low-fidelity models immediately after the lecture. One and 9 months after the initial lecture, all residents were assessed on these models using a 10-point checklist for each skill. RESULTS Thirteen PGY-1 residents, 10 PGY-2 residents, and 10 PGY-3 residents completed the study. There was no statistically significant difference in performance of PGY-1 residents when compared with PGY-2 and PGY-3 residents in performing lumbar puncture, venipuncture, and suturing on models in the initial assessment that was performed 1 month after the lecture. Postgraduate year 1 residents performed equally well to PGY-3 residents and significantly (P < 0.05) better than PGY-2 residents, in splinting.There was no statistically significant difference between groups at final follow-up, supporting that training on models could help enhance proficiency among residents. CONCLUSIONS This pilot study supports the feasibility of using low-cost models to train residents on invasive and painful procedures. Furthermore, residents trained on models showed maintenance of skills for a 9-month period. |
Databáze: | OpenAIRE |
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