BACKGROUND: Pediatrics residents perform a limited number of some procedures in the clinical setting and may benefit from procedure simulation workshops. OBJECTIVE: To examine (1) the number and types of procedures performed by pediatrics residents in the clinical setting, (2) the relationship between the number of procedures performed and self-reported procedural confidence and competence, and (3) the effect of a procedure simulation workshop on self-reported procedural confidence and competence. METHODS: Pediatrics residents at Lucile Packard Children's Hospital at Stanford attended a half-day procedure workshop, rotating between 6 procedure simulation stations: vascular access, airway management, bladder catheterization, chest tube placement, lumbar puncture, and umbilical lines. Residents completed a survey immediately before and after the workshop to self-assess procedural confidence and competence. RESULTS: Seventy-two residents participated in a procedure workshop. The average number of procedures performed increased significantly from intern to junior to senior year. A positive correlation was found between number of procedures performed and preworkshop confidence (P < .001, R (2) = 0.86) and competence (P < .001, R (2) = 0.88). For each procedure assessed, completion of the procedure simulation workshop resulted in a statistically significant (P < .001) increase in self-perceived confidence (14%-131%; average, 48%) and competence (12%-119%; average, 50%). Statistically significant (P < .05) increases remained when results for interns, juniors, and seniors were examined separately. CONCLUSION: Procedure simulation workshops improve resident self-reported procedural confidence and competence, particularly for procedures that are least performed.
BACKGROUND: Pediatrics residents perform a limited number of some procedures in the clinical setting and may benefit from procedure simulation workshops. OBJECTIVE: To examine (1) the number and types of procedures performed by pediatrics residents in the clinical setting, (2) the relationship between the number of procedures performed and self-reported procedural confidence and competence, and (3) the effect of a procedure simulation workshop on self-reported procedural confidence and competence. METHODS: Pediatrics residents at Lucile Packard Children's Hospital at Stanford attended a half-day procedure workshop, rotating between 6 procedure simulation stations: vascular access, airway management, bladder catheterization, chest tube placement, lumbar puncture, and umbilical lines. Residents completed a survey immediately before and after the workshop to self-assess procedural confidence and competence. RESULTS: Seventy-two residents participated in a procedure workshop. The average number of procedures performed increased significantly from intern to junior to senior year. A positive correlation was found between number of procedures performed and preworkshop confidence (P < .001, R (2) = 0.86) and competence (P < .001, R (2) = 0.88). For each procedure assessed, completion of the procedure simulation workshop resulted in a statistically significant (P < .001) increase in self-perceived confidence (14%-131%; average, 48%) and competence (12%-119%; average, 50%). Statistically significant (P < .05) increases remained when results for interns, juniors, and seniors were examined separately. CONCLUSION: Procedure simulation workshops improve resident self-reported procedural confidence and competence, particularly for procedures that are least performed.
Authors: Alison J Falck; Marilyn B Escobedo; Jacques G Baillargeon; Lisa G Villard; John H Gunkel Journal: Pediatrics Date: 2003-12 Impact factor: 7.124
Authors: Julian T Mulcaster; Joanna Mills; Orlando R Hung; Kirk MacQuarrie; J Adam Law; Saul Pytka; David Imrie; Chris Field Journal: Anesthesiology Date: 2003-01 Impact factor: 7.892
Authors: Amy L Baxter; Randall G Fisher; Bonnie L Burke; Sidney S Goldblatt; Daniel J Isaacman; M Louise Lawson Journal: Pediatrics Date: 2006-03 Impact factor: 7.124
Authors: Mira T Keddis; Michael W Cullen; Darcy A Reed; Andrew J Halvorsen; Furman S McDonald; Paul Y Takahashi; Anjali Bhagra Journal: BMC Med Educ Date: 2011-09-28 Impact factor: 2.463
Authors: Deena Hossino; Christina Hensley; Karen Lewis; Marie Frazier; Renee Domanico; Melissa Burley; Jeffrey Harris; Bobby Miller; Susan L Flesher Journal: SAGE Open Med Date: 2018-06-08