Health Personnel, Healthy
Conditions
Keywords
Procedure, Training, Simulation, Pediatrics, Curriculum, Evaluation
Brief summary
This study is randomized trial of a procedural skills training curriculum utilizing simulation to teach basic procedural skills to pediatric residents.
Detailed description
This study is designed to evaluate a formal curriculum for teaching basic procedures to pediatric interns at Children's Hospital, Boston. The incoming class of interns for the academic year '05-06 will be randomly assigned to participate in the curriculum or not. Four procedures including intravenous catheter insertion, venipuncture (blood drawing), bag-and-mask ventilation, and lumbar puncture (spinal tap) will be taught. Interns will then be tested on their ability to perform these skills on anatomic models and on live patients. Our hypothesis is that interns receiving the formal curriculum will be more confident and more successful in performing these procedures than those who do not.
Interventions
OTHERFormal Curriculum; Low-Fidelity Simulation
The intervention was a formal procedural skills training curriculum consisting of didactic lectures and simulation training.
Sponsors
Association of Pediatric Program Directors
Boston Children's Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Healthy volunteers
Yes
Inclusion criteria
* Pediatric Intern in the Boston Combined Residency Program for AY '05-'06
Exclusion criteria
* None
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| 1. Percent successful IV placement over 6 months | 6/19/2005 - 6/30/2006 | % IVs successfully placed |
| 2. Percent successful venipunctures over 6 months | 6/19/2005 - 6/30/2006 | % venipunctures with adequate sample for testing |
| 3. Score on lumbar puncture subcomponent checklist on simulator at 6 months | 6/19/2005 - 6/30/2006 | % steps correct on checklist |
| Score on bag mask ventilation 9BMV) subcomponent checklist on simulator at 6 months. | 6/19/2005 - 6/30/2006 | % steps correct on checklist |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| 5. Average likert scale scores on confidence with BMV at 6 months | 6/19/2005 - 6/30/2006 | Average likert scale scores on confidence with procedures at 6 months |
| IV insertion: 1. Percent successful PIV insertion on simulator at 0 and 6 months | 6/19/2005 - 6/30/2006 | Percent successful PIV insertion on simulator at 0 and 6 months |
| Score (%) on PIV subcomponent checklist at 0 and 6 months | 6/19/2005 - 6/30/2006 | Score (%) on subcomponent checklist at 0 and 6 months |
| Score (%) on PIV written test at 0 and 6 months | 6/19/2005 - 6/30/2006 | Score on written test |
| Average likert scale scores on confidence with PIV at 6 months | 6/19/2005 - 6/30/2006 | Likert scale score |
| Venipuncture: 1. Percent successful VP insertion on simulator at 0 and 6 months | 6/19/2005 - 6/30/2006 | % VP successul on simulator |
| 2. Score (%) on VP subcomponent checklist at 0 and 6 months | 6/19/2005 - 6/30/2006 | Score on checklist |
| Bag Mask Ventilation: 1. Percentage able to successfully ventilate simulator at 0 and 6 months | 6/19/2005 - 6/30/2006 | Percentage able to successfully ventilate simulator at 0 and 6 months |
| 4. Average likert scale scores on confidence with VP at 6 months | 6/19/2005 - 6/30/2006 | Likert score |
| Lumbar puncture: 1. Percentage of atraumatic LP attempts over 6 months | 6/19/2005 - 6/30/2006 | Successful LPs on patients |
| 2. Score (%) on LP subcomponent checklist on simulator at 6 months | 6/19/2005 - 6/30/2006 | Score on checklist |
| 3. Score (%) on subcomponent checklist on first live patient LP | 6/19/2005 - 6/30/2006 | checklist score |
| 4. Number of LP attempts needed to demonstrate competence | 6/19/2005 - 6/30/2006 | number of LPs |
| 5. Score (%) on LP written test at 0 and 6 months | 6/19/2005 - 6/30/2006 | Score on written test |
| 6. Average likert scale scores on confidence with LP at 6 months | 6/19/2005 - 6/30/2006 | Likert score |
| 3. Score (%) on VP written test at 0 and 6 months | 6/19/2005 - 6/30/2006 | Score on written test |
| Average score on BMV checklist at 6 months | 6/19/2005 - 6/30/2006 | Average score on subcomponent checklist at 6 months |
| Average time to success at 0 and 6 months | 6/19/2005 - 6/30/2006 | Average time to success at 0 and 6 months |
| 4. Score (%) on BMV written test at 0 and 6 months | 6/19/2005 - 6/30/2006 | Score (%) on written test at 0 and 6 months |
Countries
United States
Outcome results
None listed