This study is randomized trial of a procedural skills training curriculum utilizing simulation to teach basic procedural skills to pediatric residents.
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.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
OTHER
Masking
SINGLE
Enrollment
38
The intervention was a formal procedural skills training curriculum consisting of didactic lectures and simulation training.
Children's Hospital Boston
Boston, Massachusetts, United States
1. Percent successful IV placement over 6 months
% IVs successfully placed
Time frame: 6/19/2005 - 6/30/2006
2. Percent successful venipunctures over 6 months
% venipunctures with adequate sample for testing
Time frame: 6/19/2005 - 6/30/2006
3. Score on lumbar puncture subcomponent checklist on simulator at 6 months
% steps correct on checklist
Time frame: 6/19/2005 - 6/30/2006
Score on bag mask ventilation 9BMV) subcomponent checklist on simulator at 6 months.
% steps correct on checklist
Time frame: 6/19/2005 - 6/30/2006
Bag Mask Ventilation: 1. Percentage able to successfully ventilate simulator at 0 and 6 months
Percentage able to successfully ventilate simulator at 0 and 6 months
Time frame: 6/19/2005 - 6/30/2006
Average score on BMV checklist at 6 months
Average score on subcomponent checklist at 6 months
Time frame: 6/19/2005 - 6/30/2006
Average time to success at 0 and 6 months
Average time to success at 0 and 6 months
Time frame: 6/19/2005 - 6/30/2006
4. Score (%) on BMV written test at 0 and 6 months
Score (%) on written test at 0 and 6 months
Time frame: 6/19/2005 - 6/30/2006
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5. Average likert scale scores on confidence with BMV at 6 months
Average likert scale scores on confidence with procedures at 6 months
Time frame: 6/19/2005 - 6/30/2006
IV insertion: 1. Percent successful PIV insertion on simulator at 0 and 6 months
Percent successful PIV insertion on simulator at 0 and 6 months
Time frame: 6/19/2005 - 6/30/2006
Score (%) on PIV subcomponent checklist at 0 and 6 months
Score (%) on subcomponent checklist at 0 and 6 months
Time frame: 6/19/2005 - 6/30/2006
Score (%) on PIV written test at 0 and 6 months
Score on written test
Time frame: 6/19/2005 - 6/30/2006
Average likert scale scores on confidence with PIV at 6 months
Likert scale score
Time frame: 6/19/2005 - 6/30/2006
Venipuncture: 1. Percent successful VP insertion on simulator at 0 and 6 months
% VP successul on simulator
Time frame: 6/19/2005 - 6/30/2006
2. Score (%) on VP subcomponent checklist at 0 and 6 months
Score on checklist
Time frame: 6/19/2005 - 6/30/2006
3. Score (%) on VP written test at 0 and 6 months
Score on written test
Time frame: 6/19/2005 - 6/30/2006
4. Average likert scale scores on confidence with VP at 6 months
Likert score
Time frame: 6/19/2005 - 6/30/2006
Lumbar puncture: 1. Percentage of atraumatic LP attempts over 6 months
Successful LPs on patients
Time frame: 6/19/2005 - 6/30/2006
2. Score (%) on LP subcomponent checklist on simulator at 6 months
Score on checklist
Time frame: 6/19/2005 - 6/30/2006
3. Score (%) on subcomponent checklist on first live patient LP
checklist score
Time frame: 6/19/2005 - 6/30/2006
4. Number of LP attempts needed to demonstrate competence
number of LPs
Time frame: 6/19/2005 - 6/30/2006
5. Score (%) on LP written test at 0 and 6 months
Score on written test
Time frame: 6/19/2005 - 6/30/2006
6. Average likert scale scores on confidence with LP at 6 months
Likert score
Time frame: 6/19/2005 - 6/30/2006