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A Workplace Procedure Training Cart to Augment Pediatric Resident Procedural Learning.
Michael P Goldman1, Lauren E Palladino2, Rabia N Malik1
1From the Section of Emergency Medicine, Departments of Pediatrics and Emergency Medicine, Yale University School of Medicine, New Haven, CT.
Pediatric Emergency Care
|February 1, 2022
Summary
A new procedural training cart for pediatric residents improved their confidence in performing procedures. However, it was mainly used by interns and did not increase the number of procedures they completed in the emergency department.
Area of Science:
- Medical Education
- Pediatric Emergency Medicine
- Simulation Training
Background:
- Pediatric residents require hands-on experience to master procedural skills.
- Traditional training methods may not adequately prepare residents for real-world patient care.
- Novel simulation tools are needed to enhance procedural competency.
Purpose of the Study:
- To evaluate the utilization of a workplace procedural training cart by pediatric residents.
- To determine if the training cart correlates with an increase in resident procedural experiences with actual patients.
Main Methods:
- A workplace procedural training cart integrating videos and simulation equipment was developed.
- An electronic logbook tracked resident usage, and a survey assessed perceived educational impact.
- Electronic medical records were analyzed to compare procedural completion rates before and after the intervention.
Main Results:
- Twenty-one cart encounters were logged by 24 pediatric residents, primarily interns.
- Residents showed interest in practicing laceration repair and lumbar puncture procedures.
- All users reported increased confidence and encouragement to practice, but no change in actual procedure completion rates was observed.
Conclusions:
- The procedural training cart was utilized mainly by pediatric interns.
- The cart enhanced residents' perceived confidence in performing procedures.
- The training cart did not significantly influence overall procedural behaviors or completion rates in the pediatric emergency department.