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An effective multi-modality model for single-session cricothyroidotomy training for trainees.

Charity C Glass1, Charles S Parsons1, Nakul P Raykar1

  • 1Beth Israel Deaconess Medical Center, Boston, MA, USA.

American Journal of Surgery
|April 1, 2019
PubMed
Summary
This summary is machine-generated.

A blended learning approach effectively trains medical trainees in cricothyroidotomy procedures. This method combines flipped classroom education with hands-on simulation, ensuring proficiency in this critical airway skill.

Keywords:
CricothyroidotomyCurriculumEducationFlipped classroomSimulationSurgical residents

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Area of Science:

  • Medical Education
  • Surgical Skills Training
  • Airway Management

Background:

  • Cricothyroidotomy is a critical emergency airway procedure.
  • Effective training methods are essential for proficiency.
  • Previous training modalities may be less efficient.

Purpose of the Study:

  • To evaluate a novel, multi-modality curriculum for teaching cricothyroidotomy.
  • To assess the effectiveness of a flipped classroom combined with simulation.
  • To improve trainee proficiency in open and percutaneous cricothyroidotomy.

Main Methods:

  • A flipped classroom module was implemented between 2012-2018.
  • Participants engaged with pre-session videos on open and percutaneous cricothyroidotomy.
  • A 45-minute hands-on simulation involved role-playing (operator, narrator, critiquer).

Main Results:

  • 103 trainees participated in the study.
  • High median performance scores were achieved for both open cricothyroidotomy (14/14) and percutaneous cricothyroidotomy (13/13).
  • The simulation demonstrated high efficacy across all participants.

Conclusions:

  • A multi-modality approach is efficient and effective for teaching cricothyroidotomy.
  • The curriculum successfully equipped trainees with proficiency in this emergency procedure.
  • This blended learning strategy is suitable for short, single-operator procedures.