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Sticking It Straight: Pediatric Procedure Curriculum Initiative.
Price, Amanda; Greene, H Michelle; Stem, Christopher T; Titus, M Olivia.
Afiliação
  • Price A; From the Pediatric Emergency Medicine, Pediatric Simulation, Medical University South Carolina, Charleston, SC.
  • Greene HM; Pediatric Emergency Medicine and Child Abuse Fellow, Nationwide Children's Hospital, Columbus, OH.
  • Stem CT; Pediatric Emergency Medicine Fellow, UPMC Children's Hospital of Pittsburgh, Pittsburgh, PA.
  • Titus MO; Pediatric Emergency Medicine, Medical University South Carolina, Charleston, SC.
Pediatr Emerg Care ; 38(2): 79-82, 2022 Feb 01.
Article em En | MEDLINE | ID: mdl-33394950
ABSTRACT

OBJECTIVES:

Literature demonstrates that pediatric residents are not graduating with procedural confidence and competency. This was confirmed with our own institution's Accreditation Council for Graduate Medical Education and internal surveys. Our primary objective was to improve procedural confidence among pediatric residents with the introduction of a mandatory longitudinal pediatric procedural curriculum, including simulation in combination with online modules.

METHODS:

We performed a quality improvement intervention to increase resident comfort level performing Accreditation Council for Graduate Medical Education-required procedures. This study involved pediatric residents, postgraduation year (PGY) 1-3, at an academic, tertiary care hospital. Between April 2015 and June 2017, the combination of online self-directed learning modules and hands-on simulation curriculum was implemented for pediatric residents. Surveys were administered at 1-year intervals to assess self-reported comfort level on 12 procedures using a Likert scale (1 for "strongly disagree" to 5 for "strongly agree, maximum score of 60 for all procedures).

RESULTS:

Forty (63%) of 63 participant presurveys and 45 (71%) of 63 postsurveys were available for analysis. The mean comfort level for all procedures demonstrated a statistically significant increase from 32.4 to 37.1, or 12.7% (P = 0.005). By PGY level, the score increased from 24.4 to 30.9 (21%) for PGY1, 34.4 to 37.5 (8.3%) for PGY2, and 38.6 to 42.8 (9.8%) for PGY3 (P < 0.005). Overall, pediatric residents rated the simulation experience very favorably.

CONCLUSIONS:

A mandatory longitudinal procedure curriculum improved procedural comfort level among pediatric residents. Iterative curriculum designs found the most productive combination to be deliberate practice within mastery learning simulation sessions with required precourse online modules.
Assuntos

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Internato e Residência Idioma: En Ano de publicação: 2022 Tipo de documento: Article País de afiliação: Ilhas Seychelles

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Internato e Residência Idioma: En Ano de publicação: 2022 Tipo de documento: Article País de afiliação: Ilhas Seychelles