Orly Levit1, Veronika Shabanova2,3, Matthew J Bizzarro2, Lindsay Johnston2. 1. Department of Pediatrics, Yale University School of Medicine, New Haven, CT, USA. orly.levit@yale.edu. 2. Department of Pediatrics, Yale University School of Medicine, New Haven, CT, USA. 3. Department of Epidemiology and Public Health, Yale University School of Medicine, New Haven, CT, USA.
Abstract
OBJECTIVE: To describe the current educational status of percutaneously inserted central catheter (PICC) insertion/ maintenance training for neonatal-perinatal medicine (NPM) fellows in the United States. STUDY DESIGN: A cross-sectional 34-question survey was electronically distributed to NPM fellowship training program directors (PDs) in the United States. RESULTS: The response rate was 81.8% (81/99 PD). Most PDs (68.5%) reported that their neonatal intensive care unit has a PICC team. Fellows were PICC team members in 72%. Only 52% of programs offer formal training in PICC placement to fellows; 61.5% of these utilize a standardized curriculum. Dedicated PICC team existence was negatively associated with formal training for PICC insertion and maintenance for fellows (42.0% with PICC team vs. 73.91% without, p = 0.01). CONCLUSIONS: Wide variation exists in fellow's exposure, education, and competency assessment in PICC-related activities nationally. Development of a standardized curriculum would be beneficial.
OBJECTIVE: To describe the current educational status of percutaneously inserted central catheter (PICC) insertion/ maintenance training for neonatal-perinatal medicine (NPM) fellows in the United States. STUDY DESIGN: A cross-sectional 34-question survey was electronically distributed to NPM fellowship training program directors (PDs) in the United States. RESULTS: The response rate was 81.8% (81/99 PD). Most PDs (68.5%) reported that their neonatal intensive care unit has a PICC team. Fellows were PICC team members in 72%. Only 52% of programs offer formal training in PICC placement to fellows; 61.5% of these utilize a standardized curriculum. Dedicated PICC team existence was negatively associated with formal training for PICC insertion and maintenance for fellows (42.0% with PICC team vs. 73.91% without, p = 0.01). CONCLUSIONS: Wide variation exists in fellow's exposure, education, and competency assessment in PICC-related activities nationally. Development of a standardized curriculum would be beneficial.
Authors: Jeffrey H Barsuk; William C McGaghie; Elaine R Cohen; Kevin J O'Leary; Diane B Wayne Journal: Crit Care Med Date: 2009-10 Impact factor: 7.598