Sticking It Straight: Pediatric Procedure Curriculum Initiative.
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 confiden...
| Publicado en: | Pediatric Emergency Care Vol. 38; no. 2; pp. 79 - 83 |
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| Autores principales: | , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Lippincott Williams & Wilkins
Feb2022
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=155109997&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 155109997 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 07495161 4FD jtl: Pediatric Emergency Care issn: 07495161 maglogo: N pubinfo: dt: Feb2022 vid: 38 iid: 2 pid: 433 pub: Lippincott Williams & Wilkins place: Baltimore, Maryland artinfo: ui: 155109997 155109997 NLM33394950 155109997 10.1097/PEC.0000000000002324 NLM33394950 155109997 ppf: 79 ppct: 4 formats: tig: atl: Sticking It Straight: Pediatric Procedure Curriculum Initiative. aug: au: Price, Amanda Greene, H. Michelle DO Stem, Christopher T. Titus, M. Olivia Rutman, Lori E. Associate Greene, H Michelle affil: Pediatric Emergency Medicine and Child Abuse Fellow, Nationwide Children's Hospital, Columbus, OH sug: subj: Internship and Residency Accreditation Curriculum Child Clinical Competence Education, Medical Child: 6-12 years ab: 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. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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