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Technical skills experiences in pediatric emergency medicine fellowship programs
1Department of Pediatrics, University of Louisville School of Medicine, KY 40292, USA.
Pediatric Emergency Care
|February 1, 1996
Summary
Pediatric Emergency Medicine (PEM) fellows graduate with limited experience in many essential technical skills, including life-saving procedures. Most fellows also do not maintain documentation lists of performed procedures.
Area of Science:
- Medical Education
- Emergency Medicine
- Pediatrics
Background:
- Published guidelines in 1993 outlined 120 technical skills for Pediatric Emergency Medicine (PEM) fellows.
- These guidelines aimed to standardize essential competencies for graduating fellows.
Purpose of the Study:
- To assess the procedural experience of PEM fellows upon completion of training.
- To determine if fellows maintained documentation of performed technical skills.
Main Methods:
- A written survey was distributed to 63 graduating PEM fellows in May 1993.
- Fellows reported the number of times they performed specific procedure skills; limited experience was defined as ≤5 times.
- Response rate was 51% (32 surveys returned).
Main Results:
- The majority of fellows had limited experience (≤5 times) in 49 of 117 analyzed skills.
- Fellows had zero experience in 22 skills, including 5 life- or limb-saving procedures.
- Only 34% of fellows maintained a procedure documentation list.
Conclusions:
- Graduating PEM fellows demonstrate insufficient experience in numerous common and critical technical skills.
- The lack of procedure documentation highlights a potential gap in training oversight and skill verification.