Learning curves for three specific procedures by anesthesiology residents using the learning curve cumulative sum (LC-CUSUM) test / 대한마취과학회지
Korean Journal of Anesthesiology
; : 196-202, 2017.
Article
in En
| WPRIM
| ID: wpr-132562
Responsible library:
WPRO
ABSTRACT
BACKGROUND: The learning curve cumulative sum (LC-CUSUM) test is an innovative tool that allows quantitative monitoring of individual medical performance during the learning process by determining when a predefined acceptable level of performance is reached. This study used the LC-CUSUM test to monitor the learning process and failure rate of anesthesia residents training for specific subspecialty anesthesia procedures. METHODS: The study included 490 tracheal punctures (TP) for jet ventilation, 340 thoracic epidural analgesia (TEA) procedures, and 246 fiberoptic nasal intubations (FONI) performed by 18 residents during their single 6-month rotation. RESULTS: Overall, 27 (14–52), 19 (5–41), and 14 (6–33) TP, TEA, and FONI procedures were performed, respectively, by each resident. In total, 2 of 18 residents achieved an acceptable failure rate for TEA according to the literature and 4 of 18 achieved an acceptable failure rate for FONI, while none of the residents attained an acceptable rate for TP. CONCLUSIONS: A single 6-month rotation in a reference teaching center may not be sufficient to train residents to perform specific or sub-specialty procedures as required. A regional learning network may be useful. More patient-based data are necessary to conduct a risk adjustment analysis for such specific procedures.
Key words
Full text:
1
Index:
WPRIM
Main subject:
Tea
/
Ventilation
/
Analgesia, Epidural
/
Punctures
/
Risk Adjustment
/
Learning Curve
/
Intubation
/
Anesthesia
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Anesthesiology
/
Learning
Type of study:
Etiology_studies
Language:
En
Journal:
Korean Journal of Anesthesiology
Year:
2017
Type:
Article