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Developing competency in interns for endotracheal intubation: An educational article.

Harsha Dhirubhai Makwana¹, Nilay N Suthar², Mehul P Gajjar¹

¹Department of Emergency Medicine, Smt. NHL Municipal Medical College and Sheth VS General Hospital, Ahmedabad, Gujarat, India.

International Journal of Applied & Basic Medical Research

|August 27, 2016

Summary

Medical interns demonstrated improved endotracheal intubation skills after a structured training program. This essential procedure requires early and repeated training to ensure intern competency.

Keywords:

Competency direct observation of procedural skills endotracheal intubation interns

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Area of Science:

Medical Education
Anesthesiology
Emergency Medicine

Background:

Undergraduate medical curricula often lack sufficient training in endotracheal intubation.
Interns have limited exposure to this critical, life-saving procedure, leading to performance deficits.
Inadequate endotracheal intubation skills can result in adverse patient outcomes.

Purpose of the Study:

To develop and assess intern competency in endotracheal intubation.
To enhance interns' knowledge and psychomotor skills for this procedure.

Main Methods:

A training program involving lectures, demonstrations, and manikin-based practice was implemented for 50 medical interns.
Cognitive, affective, and psychomotor domains were addressed through varied teaching methodologies.
Knowledge and procedural skills were evaluated using pre/post-tests and direct observation.

Main Results:

A statistically significant improvement in knowledge was observed, with post-test scores increasing by 34.8% (P = 0.0001).
Interns showed progressive skill acquisition, with 22% completing all steps on the first attempt, 62% on the second, and 16% on the third.

Conclusions:

The training program effectively enhanced interns' basic knowledge and manikin-based skills for endotracheal intubation.
Early and repeated endotracheal intubation training is recommended at the start of internship and during relevant rotations to ensure sustained competency.