Reforming Pediatric Procedural Training: Developing an Evidence-Based Curriculum
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 38
- 试验地点
- 2
- 主要终点
- 1. Percent successful IV placement over 6 months
研究概览
简要总结
This study is randomized trial of a procedural skills training curriculum utilizing simulation to teach basic procedural skills to pediatric residents.
详细描述
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Other
- 盲法
- Single (Outcomes Assessor)
入排标准
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Pediatric Intern in the Boston Combined Residency Program for AY '05-'06
排除标准
- 未提供
研究组 & 干预措施
Intervention Arm
'Formal Curriculum; Low-Fidelity Simulation'
Residents randomized to the intervention arm will receive the study skills training curriculum (the intervention).
干预措施: Formal Curriculum; Low-Fidelity Simulation (Other)
Control
Residents randomized to the control arm will receive standard pediatric training.
结局指标
主要结局
1. Percent successful IV placement over 6 months
时间窗: 6/19/2005 - 6/30/2006
% IVs successfully placed
2. Percent successful venipunctures over 6 months
时间窗: 6/19/2005 - 6/30/2006
% venipunctures with adequate sample for testing
3. Score on lumbar puncture subcomponent checklist on simulator at 6 months
时间窗: 6/19/2005 - 6/30/2006
% steps correct on checklist
Score on bag mask ventilation 9BMV) subcomponent checklist on simulator at 6 months.
时间窗: 6/19/2005 - 6/30/2006
% steps correct on checklist
次要结局
- Bag Mask Ventilation: 1. Percentage able to successfully ventilate simulator at 0 and 6 months(6/19/2005 - 6/30/2006)
- Score (%) on PIV written test at 0 and 6 months(6/19/2005 - 6/30/2006)
- Average score on BMV checklist at 6 months(6/19/2005 - 6/30/2006)
- Average time to success at 0 and 6 months(6/19/2005 - 6/30/2006)
- 4. Score (%) on BMV written test at 0 and 6 months(6/19/2005 - 6/30/2006)
- 5. Average likert scale scores on confidence with BMV at 6 months(6/19/2005 - 6/30/2006)
- Score (%) on PIV subcomponent checklist at 0 and 6 months(6/19/2005 - 6/30/2006)
- Average likert scale scores on confidence with PIV at 6 months(6/19/2005 - 6/30/2006)
- Venipuncture: 1. Percent successful VP insertion on simulator at 0 and 6 months(6/19/2005 - 6/30/2006)
- 3. Score (%) on VP written test at 0 and 6 months(6/19/2005 - 6/30/2006)
- 4. Average likert scale scores on confidence with VP at 6 months(6/19/2005 - 6/30/2006)
- 2. Score (%) on LP subcomponent checklist on simulator at 6 months(6/19/2005 - 6/30/2006)
- IV insertion: 1. Percent successful PIV insertion on simulator at 0 and 6 months(6/19/2005 - 6/30/2006)
- 2. Score (%) on VP subcomponent checklist at 0 and 6 months(6/19/2005 - 6/30/2006)
- Lumbar puncture: 1. Percentage of atraumatic LP attempts over 6 months(6/19/2005 - 6/30/2006)
- 3. Score (%) on subcomponent checklist on first live patient LP(6/19/2005 - 6/30/2006)
- 4. Number of LP attempts needed to demonstrate competence(6/19/2005 - 6/30/2006)
- 5. Score (%) on LP written test at 0 and 6 months(6/19/2005 - 6/30/2006)
- 6. Average likert scale scores on confidence with LP at 6 months(6/19/2005 - 6/30/2006)
研究者
Michael Gaies
Instructor in Medicine
Boston Children's Hospital