Improving Resident Self-Efficacy in Tracheostomy Management Using a Novel Curriculum

Area of Science:

• Medical Education
• Pediatric Critical Care
• Airway Management

Background:

• Pediatric tracheostomy is associated with significant mortality risk from airway compromise.
• Effective management of airway emergencies is a crucial skill for pediatricians.
• A need exists to improve resident preparedness in tracheostomy management.

Purpose of the Study:

• To develop and evaluate a blended curriculum aimed at enhancing pediatric residents' self-efficacy in tracheostomy management.
• To assess the impact of the curriculum on residents' competence in handling tracheostomy emergencies.

Main Methods:

• A blended curriculum was created, incorporating video-based instruction and simulation for routine tracheostomy changes and emergency management.
• Residents received didactic and hands-on training, including a simulation assessment.
• Baseline and post-intervention self-efficacy surveys were administered.

Main Results:

• The intervention group showed significantly higher improvements in self-efficacy across all domains compared to the baseline group.
• Residents in the intervention group achieved over 80% in simulation assessments.
• The curriculum received high ratings (4.4-4.8/5) from participants.

Conclusions:

• The blended curriculum effectively increased pediatric residents' self-efficacy and competence in tracheostomy management.
• Simulation-based training and structured didactics are valuable for improving skills in managing pediatric tracheostomy emergencies.