Educating Anesthesia Residents to Improve Perioperative Care for the Elderly

Not Applicable

Completed

• Conditions: Anesthesia
• Interventions: Other: Education

• Registration Number: NCT03008863
• Lead Sponsor: Duke University

Brief Summary

1. The investigators will design, test and implement a education curriculum for anesthesia residents teaching geriatric anesthesiology.

2. The investigators will randomize 42 anesthesia residents so that half receive an innovative, e-learning curriculum while the other half receives the current standard curriculum. We will assess their medical knowledge, and the amount of anesthesia delivered to patients after the curriculum is implemented.

3. The investigators will analyze any changes in clinical practice of residents in the care of elderly patients. Enrollment will be voluntary for all residents. Also, the investigators will not interfere with clinical management of any patients by residents which are done under direct supervision of faculty.

Detailed Description

Not available

Study Timeline

• Study Start: 2016-12
• Study First Submitted: 2016-12-28
• Study First Submitted QC: 2016-12-30
• Study First Posted: 2017-01-04
• Primary Completion: 2017-06-30
• Study Completion: 2017-06-30
• Status Verified: 2018-12
• Last Update Submitted: 2018-12-21
• Last Update Posted: 2018-12-24

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 40

Inclusion Criteria

• Duke Anesthesiology Resident
• Willing to comply with study activities and guidelines

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Exclusion Criteria

• Unable to comply with study activities and guidelines

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Education Intervention	Education	The investigators will use an electronic learning (E-learning) curriculum with an educational video and a user-centered checklist for anesthesia residents. This E-learning curriculum will cover how to care for geriatric patients in the preoperative, intraoperative and postoperative settings, and specific interventions that have been shown to improve postoperative outcomes in older patients. The checklist will be user-centered. It will remind providers of what they learned in the video and online curriculum, and how to apply these lessons in real-time while they are caring for older patients.

Primary Outcome Measures

Name	Time	Method
average minimum alveolar concentration (MAC) fraction in patients over age 65 given general anesthesia by residents	6 months

Secondary Outcome Measures

Name	Time	Method
mean bispectral index value in patients over age 65 given monitored sedation by residents	6 months
frequency of use of medications known to increase delirium risk given to patients over age 65 by residents	6 months
change in residents' geriatric anesthesia knowledge base to be measured using a pre- and post-test	6 months
mean doses of medications known to increase delirium risk given to patients over age 65 by residents	6 months

Trial Locations

Locations (1)

Duke University Medical Center; 🇺🇸 Durham, North Carolina, United States