An innovative pediatric chest tube insertion task trainer simulation: a technical report and pilot study.

Area of Science:

• Medical Education
• Surgical Simulation
• Pediatric Training

Background:

• Iatrogenic complications from chest tube insertion (CTI) highlight limitations in current training models.
• A novel CTI bench model simulation, based on existing curriculum, aims to improve procedural fidelity and mastery.
• Trainee recognition of usability is crucial for adopting new training devices.

Purpose of the Study:

• To describe the development of a novel pediatric chest tube insertion task trainer (PCTITT) model.
• To survey pediatric trainees' attitudes toward the usability of the PCTITT as a training tool.

Main Methods:

• The PCTITT was developed based on the Acute Trauma Life Support curriculum and expert interviews.
• The model was piloted and implemented in 2 procedural training courses for pediatric residents and fellows.
• Usability was assessed via an 11-question survey using a 5-point Likert scale.

Main Results:

• A 75% response rate was achieved from 32 participants.
• 91% of respondents recommended the PCTITT for training, and 80% found it superior to prior models.
• Respondents reported prior hands-on CTI training (92%) and patient experience (50%).

Conclusions:

• The PCTITT is a feasible and easily created benchtop trainer for CTI skills.
• Trainees found the model usable and superior to existing alternatives.
• Future research should focus on enhancing model fidelity, skills transferability, and validation.