Tele-mentorship versus in-person mentorship for trainee performance of cricothyroidotomy.
Introduction: Physicians and other first-line medical care providers may find themselves in an airway management emergency where they cannot ventilate, cannot oxygenate, and have limited resources to aid them. The rise in use of tele-health and other virtual interfaces creates the opportunity to bri...
| Publicado en: | Trauma Vol. 27; no. 3; pp. 212 - 218 |
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| Autores principales: | , , , , , , , , |
| Formato: | research tables/charts randomized controlled trial Journal Article |
| Publicado: |
Sage Publications Inc.
Jul2025
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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=186915322&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 186915322 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 14604086 8NN jtl: Trauma issn: 14604086 maglogo: Y pubinfo: dt: Jul2025 vid: 27 iid: 3 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 186915322 182253737 186915322 186915322 10.1177/14604086241311439 186915322 ppf: 212 ppct: 6 formats: tig: atl: Tele-mentorship versus in-person mentorship for trainee performance of cricothyroidotomy. aug: au: Rosenberg, Meagan L. Goebel, Mathew LaPorte, Mackenzie Carpenter, Cassidy Clark, Ryan Kelly, Seth Carey, Yamuna Kelly, Edward Kamine, Tovy H. affil: Department of General Surgery, University of Massachusetts Chan Medical School—Baystate, Springfield, MA, USA sug: subj: Cricothyrotomy Mentorship Online Education Learning Environment Learning Methods Internship and Residency Physicians, Emergency Acute Care Surgery Surgeons Emergency Medical Services Tracheostomy Outcomes of Education Task Performance and Analysis Human Randomized Controlled Trials Random Assignment Scales Descriptive Statistics Comparative Studies ab: Introduction: Physicians and other first-line medical care providers may find themselves in an airway management emergency where they cannot ventilate, cannot oxygenate, and have limited resources to aid them. The rise in use of tele-health and other virtual interfaces creates the opportunity to bring experienced guidance to a resource-poor critical airway situation. We aimed to compare in-person mentoring (IPM) by an emergency medicine (EM) physician to tele-mentoring (TM) by a trauma surgeon for an emergent surgical airway. Methods: Thirty EM residents were randomized to cricothyroidotomy on a model with IPM or TM. The IPM preceptor was an EM attending, and TM preceptors were trauma surgeons. The procedure was timed and graded on a Global Rating Scale (GRS). Post-procedure, mentor and trainee completed a NASA Task Load Index (TLX). Results: There was no difference in procedure success; however, the IPM group took longer (163.6 vs. 107.6 s, p < 0.05). TM trainees experienced greater temporal demand (4.27 vs. 2.73, p = 0.03). Telementors recorded improved performance compared to in-person mentors (2.30 vs. 4.17, p < 0.05). Comparing mentors and trainees in each arm, IPM trainees felt more temporal demand than their mentors (4.63 vs. 2.73, p < 0.05) while TM trainees felt they had worse performance than their mentors perceived (4.23 vs. 2.3, p = 0.01). Discussion: Performance based on GRS between groups was equal; however, those with telementors secured the airway more rapidly. Telementors reported higher performance and lower time pressure than in-person preceptors. This data suggests that TM is effective for precepting cricothyroidotomy and may be the superior option in some settings. pubtype: Academic Journal doctype: research tables/charts randomized controlled trial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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