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Educating residents: the effects of a mock code program

C Cappelle1, R I Paul

  • 1Department of Pediatrics, University of Louisville School of Medicine, KY 40292, USA.

Resuscitation
|April 1, 1996
PubMed
Summary
This summary is machine-generated.

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Pediatric residents often lack confidence in managing medical emergencies. A mock code program significantly boosted their confidence and reduced the perceived need for more knowledge in handling critical patient events.

Area of Science:

  • Medical Education
  • Emergency Medicine
  • Pediatrics

Background:

  • Housestaff residents are primary participants in hospital medical emergencies (codes).
  • Their confidence and knowledge in managing these events are largely unknown.
  • Pediatric residency programs may not adequately address these critical skill gaps.

Purpose of the Study:

  • To assess the effect of a mock code program on pediatric residents' confidence and knowledge.
  • To identify specific areas where residents feel inadequately prepared for medical emergencies.

Main Methods:

  • A pre-study questionnaire assessed confidence and knowledge in 33 pediatric residents.
  • 16 residents participated in a mock code program; 17 served as controls.
  • Post-intervention questionnaires compared confidence levels between groups.

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Main Results:

  • Pre-study: 79% felt codes were scary, 76% desired more knowledge, 82% wanted more experience.
  • Residents lacked confidence in treating dysrhythmias (79%), IV access (64%), and intubation (30%).
  • Mock code participants showed increased confidence in supervision, IV access, and intubation compared to controls.

Conclusions:

  • Pediatric residency programs need enhancement to meet residents' educational and confidence needs for emergency management.
  • Mock code programs effectively improve resident confidence and reduce the perceived need for further knowledge in critical care procedures.