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Sticking It Straight: Pediatric Procedure Curriculum Initiative.

Amanda Price1, H Michelle Greene2, Christopher T Stem3

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Summary

A new pediatric procedural curriculum significantly improved resident confidence. The program combined online modules and hands-on simulation, enhancing comfort with essential medical procedures.

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Area of Science:

  • Medical Education
  • Pediatric Residency Training
  • Simulation-Based Learning

Background:

  • Pediatric residents often lack procedural confidence and competency upon graduation.
  • Institutional surveys confirmed a need for improved procedural skills training.

Purpose of the Study:

  • To enhance procedural confidence and competency in pediatric residents.
  • To evaluate the effectiveness of a mandatory longitudinal curriculum integrating simulation and online modules.

Main Methods:

  • A quality improvement intervention was implemented for pediatric residents (PGY 1-3).
  • The curriculum combined online self-directed learning modules with hands-on simulation.
  • Surveys assessed self-reported comfort levels on 12 procedures using a Likert scale before and after the intervention.

Main Results:

  • A statistically significant increase in mean comfort level for all procedures was observed (12.7% increase, P = 0.005).
  • Comfort levels improved across all postgraduate year levels, with PGY1 residents showing a 21% increase.
  • Pediatric residents reported a highly favorable experience with the simulation component.

Conclusions:

  • A mandatory longitudinal procedural curriculum effectively improved pediatric residents' procedural comfort.
  • Mastery learning simulation sessions combined with required online modules proved to be a productive curriculum design.