Reforming Pediatric Procedural Training

Not Applicable

Completed

• Conditions: Health Personnel; Healthy
• Interventions: Other: Formal Curriculum; Low-Fidelity Simulation

• Registration Number: NCT00115596
• Lead Sponsor: Boston Children's Hospital

Brief Summary

This study is randomized trial of a procedural skills training curriculum utilizing simulation to teach basic procedural skills to pediatric residents.

Detailed Description

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 Timeline

• Study Start: 2005-06
• Study First Submitted: 2005-06-23
• Study First Posted: 2005-06-24
• Study First Submitted QC: 2005-06-26
• Primary Completion: 2006-06
• Study Completion: 2006-06
• Status Verified: 2017-07
• Last Update Submitted: 2017-07-18
• Last Update Posted: 2017-07-21

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 38

Inclusion Criteria

• Pediatric Intern in the Boston Combined Residency Program for AY '05-'06

Exclusion Criteria

• None

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Intervention Arm	Formal Curriculum; Low-Fidelity Simulation	'Formal Curriculum; Low-Fidelity Simulation' Residents randomized to the intervention arm will receive the study skills training curriculum (the intervention).

Primary Outcome Measures

Name	Time	Method
1. Percent successful IV placement over 6 months	6/19/2005 - 6/30/2006	% IVs successfully placed
2. Percent successful venipunctures over 6 months	6/19/2005 - 6/30/2006	% venipunctures with adequate sample for testing
3. Score on lumbar puncture subcomponent checklist on simulator at 6 months	6/19/2005 - 6/30/2006	% steps correct on checklist
Score on bag mask ventilation 9BMV) subcomponent checklist on simulator at 6 months.	6/19/2005 - 6/30/2006	% steps correct on checklist

Secondary Outcome Measures

Name	Time	Method
6. Average likert scale scores on confidence with LP at 6 months	6/19/2005 - 6/30/2006	Likert score
Bag Mask Ventilation: 1. Percentage able to successfully ventilate simulator at 0 and 6 months	6/19/2005 - 6/30/2006	Percentage able to successfully ventilate simulator at 0 and 6 months
Score (%) on PIV written test at 0 and 6 months	6/19/2005 - 6/30/2006	Score on written test
Average score on BMV checklist at 6 months	6/19/2005 - 6/30/2006	Average score on subcomponent checklist at 6 months
Average time to success at 0 and 6 months	6/19/2005 - 6/30/2006	Average time to success at 0 and 6 months
4. Score (%) on BMV written test at 0 and 6 months	6/19/2005 - 6/30/2006	Score (%) on written test at 0 and 6 months
5. Average likert scale scores on confidence with BMV at 6 months	6/19/2005 - 6/30/2006	Average likert scale scores on confidence with procedures at 6 months
Score (%) on PIV subcomponent checklist at 0 and 6 months	6/19/2005 - 6/30/2006	Score (%) on subcomponent checklist at 0 and 6 months
Average likert scale scores on confidence with PIV at 6 months	6/19/2005 - 6/30/2006	Likert scale score
Venipuncture: 1. Percent successful VP insertion on simulator at 0 and 6 months	6/19/2005 - 6/30/2006	% VP successul on simulator
3. Score (%) on VP written test at 0 and 6 months	6/19/2005 - 6/30/2006	Score on written test
4. Average likert scale scores on confidence with VP at 6 months	6/19/2005 - 6/30/2006	Likert score
2. Score (%) on VP subcomponent checklist at 0 and 6 months	6/19/2005 - 6/30/2006	Score on checklist
2. Score (%) on LP subcomponent checklist on simulator at 6 months	6/19/2005 - 6/30/2006	Score on checklist
IV insertion: 1. Percent successful PIV insertion on simulator at 0 and 6 months	6/19/2005 - 6/30/2006	Percent successful PIV insertion on simulator at 0 and 6 months
Lumbar puncture: 1. Percentage of atraumatic LP attempts over 6 months	6/19/2005 - 6/30/2006	Successful LPs on patients
3. Score (%) on subcomponent checklist on first live patient LP	6/19/2005 - 6/30/2006	checklist score
4. Number of LP attempts needed to demonstrate competence	6/19/2005 - 6/30/2006	number of LPs
5. Score (%) on LP written test at 0 and 6 months	6/19/2005 - 6/30/2006	Score on written test

Trial Locations

Locations (1)

Children's Hospital Boston; 🇺🇸 Boston, Massachusetts, United States