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Related Experiment Videos

Assessing procedural skills training in pediatric residency programs.

Michael G Gaies1, Christopher P Landrigan, Janet P Hafler

  • 1Department of Pediatrics and Communicable Diseases, Division of Pediatric Cardiology, C.S. Mott Children's Hospital, Ann Arbor, MI 48109-0204, USA. mgaies@med.umich.edu

Pediatrics
|October 3, 2007
PubMed
Summary

Pediatric program directors find many essential procedural skills are not mastered by residents. Current training and assessment methods for procedural skills need improvement for pediatric residents.

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Assessment of apical radial pulse01:25

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Apical-Radial (A-R) Pulse Assessment
The A-R pulse assessment involves simultaneous evaluation of the apical and radial pulses. When the apical and radial pulse rates vary, this assessment helps identify a pulse deficit.
Pre-Procedural Preparation

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Area of Science:

  • Medical Education
  • Pediatric Training
  • Procedural Skills Assessment

Background:

  • Pediatric residency programs face challenges in standardizing procedural skills training.
  • The Residency Review Committee (RRC) provides guidelines, but their alignment with program directors' perspectives is unclear.

Purpose of the Study:

  • To evaluate pediatric program directors' (PDs) opinions on essential procedural skills for residents.
  • To assess perceived resident competence in performing key procedures and current teaching methodologies.

Main Methods:

  • A survey was developed based on RRC guidelines, assessing the importance and resident competence of 29 procedures.
  • Surveys were distributed to members of the Association of Pediatric Program Directors (APPD).
  • Data analysis included Likert scale ratings for importance, perceived competence, and educational methods.

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Main Results:

  • 112 out of 139 pediatric programs responded to the survey.
  • 13 procedures were deemed highly important by over 75% of PDs; 7 RRC-prioritized skills lacked consensus.
  • Many residents lacked competence in crucial procedures like venipuncture and neonatal intubation by training completion.

Conclusions:

  • The RRC's procedural skills list may not align with PDs' views on essential pediatric training.
  • Deficiencies in resident competence were noted in vital areas, including vascular access and life-saving procedures.
  • Enhanced, standardized methods for teaching and documenting procedural competence are necessary.