A simulation procedure curriculum to increase pediatric resident exposure to procedures rarely performed in clinical practice

Autor: Meera S. Meerkov, Jason B. Fischer, Thomas G. Saba
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Zdroj: Medical Education Online, Vol 24, Iss 1 (2019)
Druh dokumentu: article
ISSN: 1087-2981
10872981
DOI: 10.1080/10872981.2019.1611305
Popis: Background: Pediatrics residents are expected by the Accreditation Council for Graduate Medical Education to competently perform 13 procedures. However, residents are graduating with poor self-perceived competency for these procedures. Objective: We developed a curriculum using simulation training at the beginning of internship and ‘refresher’ workshops throughout the year in order to increase procedure exposure and improve self-perceived competency. Design: Procedural workshops were taught during intern orientation and to all pediatrics residents throughout the academic year. Residents provided a quantitative competency self-assessment before and after each workshop; interns provided an additional self-assessment at the end of the intern year. Results: The curriculum was well-liked and led to more procedural experience. Mean competency self-assessment scores improved immediately after almost every procedure workshop. Mean scores were retained at the end of intern year for most procedures. However, end-of-year mean competency self-assessment and procedural experience on actual patients were similar to interns from a previous year that had not participated in the curriculum. Conclusions: A pre-internship procedure workshop coupled with longitudinal workshops is a feasible way to improve intern exposure to pediatric procedural training. However, it was not sufficient to improve mean competency self-assessments compared to a traditional model of bedside procedural training.
Databáze: Directory of Open Access Journals
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