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Pediatric Resuscitation: Evaluation of a Clinical Curriculum

By Joseph V. MD Dobson, David S. DO Brancati and Rollin PhD Nagel

Abstract

Objective: To assess the impact of a 6-hour pediatric resuscitation curriculum on the comfort levels of resident physicians’ evaluation and treatment of critically ill pediatric patients. Methods: An evaluation instrument assessed resident comfort levels, measured on a seven digit Likert scale ranging from significantly uncomfortable to significantly comfortable, in 13 areas of pediatric resuscitation. To complete the curriculum, residents had to demonstrate proficiency in knowledge and procedural skills during mock resuscitation scenarios and on both written and oral examinations. Results: Thirty-one residents participated in the study: 51.6% were pediatric, 12.9% were medicine/pediatric and 35.5% were emergency medicine residents. Participants in the curriculum had little previous experience with pediatric resuscitation (83% had been involved in five or fewer pediatric resuscitations). In all 13 areas of pediatric resuscitation tested, residents reported improvement in comfort levels following the course (p<0.002; Wilcoxon Signed Rank Tests). The most significant changes were observed for the following items: resuscitation of pulseless arrest, performance of cardioversion and defibrillation, performance of intraosseous needle insertion, and drug selection and dosing for rapid sequence intubation. Fewer than 48% of learners rated themselves as comfortable in these areas prior to training, but after completion, more than 80% rated themselves in the comfortable range. All residents but one received passing scores on their written examinations (97%). During the mock resuscitation scenarios and oral examination, 100% of the residents were assessed to have ‘completely’ met the learning objectives and critical actions Conclusion: Implementation of a pediatric resuscitation curriculum improves pediatric and emergency medicine residents’ comfort with the evaluation and treatment of critically ill pediatric patients. This curriculum can be used in residency training to document the acquisition of core competencies, knowledge and procedural skills needed for the evaluation and treatment of the critically ill child. The results reported in this study support using this model of instructional design to implement educational strategies, which will meet the requirements of graduate education

Topics: MEO Peer Reviewed
Year: 2003
OAI identifier: oai:cogprints.org:3360
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    Citations

    1. (1999). A prospective, population based study of demographics, epidemiology, management, and outcome of out-of-hospital cardiopulmonary arrest. Ann Emerg Med
    2. (1993). A survey of basic resuscitation knowledge among resident paediatricians. Arch Dis Child
    3. (2000). Asses sing pediatric senior residents’ training in resuscitation: fund of knowledge, technical skills, and perceptions of confidence. Pediatr Emerg Care
    4. (1993). CPR challenges in pediatrics.
    5. (1990). Decline in mortality among young americans during the 20th century: prospects for reaching national mortality reduction goals for
    6. (1996). Educating residents: the effects of a mock code program.
    7. (2000). Emergency Cardiac Care Committee and Subcommittee and Subcommittees, American Heart Association. International Guidelines
    8. (1997). Evaluation of a pediatric intensive care residency curriculum. Crit Care Med
    9. (1968). Instructional Systems. Be lmaont, CA: Lear Sieglar, Inc./Fearon.
    10. (1999). Pediatric cardiopulmonary resuscitation: a collective review. Ann Emerg Med
    11. Pediatric residency education.
    12. (1998). Pediatric Residents in the Emergency Department: What is their experience? Ann Emerg Med
    13. (1995). Pediatric resuscitation: development of a mock code program and evaluation tool. Pediatr Nurs
    14. Physician basic and advanced cardiopulmonary resuscitation aptitude and retention. Circulation 1980; 62 Supp III:
    15. (1983). Physicians and nurses’ retention of knowledge and skill after training in cardiopulmonary resuscitation. Can Med Assoc J
    16. Problems for clinical judgement: thinking clearly in an emergency.
    17. Procedural comp etency in emergency medicine: the current range of resident experience.
    18. (1998). Quantification of procedures and resuscitations in an emergency medicine residency. doi
    19. Resuscitation skills of first year postgraduate doctors.
    20. (1999). Resuscitation update for the pediatrician. Ped Clin North Am
    21. (1990). Resuscitation: experience without feedback inDobson doi
    22. Retention of basic CPR skills in medical students. Circulation 1980; 62 Supp III:
    23. (1996). Selfefficacy in pediatric resuscitation: implications for education and performance.
    24. Teaching resuscitation to pediatric residents: the effects of an intervention.
    25. (1999). The etiology of cardiac arrest in children and young adults: special considerations for ED management.
    26. The instructional systems development (ISD) model: A review of those factors critical to its successful implementation.
    27. (2000). The training of pediatric residents in the care of acutely ill and injured children. Arch Pediatr Adolesc Med
    28. When Children Die: A seminar series for pediatric residents. doi
    29. Who’s teaching neonatal resuscitation to housestaff? Results of a national survey.

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