Impact of Risk and Volume on Procedural Training of Pulmonary and Critical Care Fellows
| Autor: | Michael T. McCurdy, Jakob I. McSparron, Nitin Seam, Jeremy B. Richards, Nirav Shah, Dru Claar |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Core (anatomy)
medicine.medical_specialty Procedural training business.industry education Graduate medical education food and beverages graduate medical education General Medicine risk evaluation and mitigation Intensive care unit teaching law.invention critical care law Medicine Medical physics business Original Research Volume (compression) |
| Zdroj: | ATS Scholar |
| ISSN: | 2690-7097 |
| DOI: | 10.34197/ats-scholar.2020-0110oc |
| Popis: | Background: Invasive procedures are a core aspect of pulmonary and critical care practice. Procedures performed in the intensive care unit can be divided into high-risk, low-volume (HRLV) procedures and low-risk, high-volume (LRHV) procedures. HRLV procedures include cricothyroidotomy, pericardiocentesis, Blakemore tube placement, and bronchial blocker placement. LRHV procedures include arterial line placement, central venous catheter placement, thoracentesis, and flexible bronchoscopy. Despite the frequency and importance of procedures in critical care medicine, little is known about the similarities and differences in procedural training between different Pulmonary and Critical Care Medicine (PCCM) and Critical Care Medicine (CCM) training programs. Furthermore, differences in procedural training practices for HRLV and LRHV procedures have not previously been described. Objective: To assess procedural training practices in PCCM and CCM fellowship programs in the United States, and compare differences in training between HRLV and LRHV procedures. Methods: A novel survey instrument was developed and disseminated to PCCM and CCM program directors and associate program directors at PCCM and CCM fellowship programs in the United States to assess procedural teaching practices for HRLV and LRHV procedures. Results: The survey was sent to 221 fellowship programs, 168 PCCM and 34 CCM, with 70 unique respondents (31.7% response rate). Of the procedural educational strategies assessed, each strategy was used significantly more frequently for LRHV versus HRLV procedures. The majority of respondents (51.1%) report having no dedicated training for HRLV procedures versus 6.9% reporting no dedicated training for any LRHV procedure (P |
| Databáze: | OpenAIRE |
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