Educating Anesthesia Residents to Improve Perioperative Care for the Elderly
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 40
- 试验地点
- 1
- 主要终点
- average minimum alveolar concentration (MAC) fraction in patients over age 65 given general anesthesia by residents
研究概览
简要总结
- The investigators will design, test and implement a education curriculum for anesthesia residents teaching geriatric anesthesiology.
- 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.
- 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.
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
- None
入排标准
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Duke Anesthesiology Resident
- •Willing to comply with study activities and guidelines
排除标准
- •Unable to comply with study activities and guidelines
研究组 & 干预措施
Education Intervention
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.
干预措施: Education (Other)
Control
Residents randomized to this group will receive the current, standard education provided for all Duke Anesthesiology residents.
结局指标
主要结局
average minimum alveolar concentration (MAC) fraction in patients over age 65 given general anesthesia by residents
时间窗: 6 months
次要结局
- 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)