Reforming Pediatric Procedural Training

Reforming Pediatric Procedural Training: Developing an Evidence-Based Curriculum

This study is randomized trial of a procedural skills training curriculum utilizing simulation to teach basic procedural skills to pediatric residents.

Study Overview

• Status: Completed
• Conditions: Healthy; Health Personnel
• Intervention / Treatment: Other: Formal Curriculum; Low-Fidelity Simulation

Detailed Description

This study is designed to evaluate a formal curriculum for teaching basic procedures to pediatric interns at Children's Hospital, Boston. The incoming class of interns for the academic year '05-06 will be randomly assigned to participate in the curriculum or not. Four procedures including intravenous catheter insertion, venipuncture (blood drawing), bag-and-mask ventilation, and lumbar puncture (spinal tap) will be taught. Interns will then be tested on their ability to perform these skills on anatomic models and on live patients. Our hypothesis is that interns receiving the formal curriculum will be more confident and more successful in performing these procedures than those who do not.

• Study Type: Interventional
• Enrollment (Actual): 38
• Phase: Not Applicable

Contacts and Locations

Study Locations

• United States
  • Massachusetts
    • Boston, Massachusetts, United States, 02115
      • Children's Hospital Boston

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Child; Adult; Older Adult
• Accepts Healthy Volunteers: Yes
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• Pediatric Intern in the Boston Combined Residency Program for AY '05-'06

Exclusion Criteria:

• None

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Other
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Single

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Intervention Arm; 'Formal Curriculum; Low-Fidelity Simulation' Residents randomized to the intervention arm will receive the study skills training curriculum (the intervention).	Other: Formal Curriculum; Low-Fidelity Simulation; The intervention was a formal procedural skills training curriculum consisting of didactic lectures and simulation training.
No Intervention: Control; Residents randomized to the control arm will receive standard pediatric training.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
1. Percent successful IV placement over 6 months	% IVs successfully placed	6/19/2005 - 6/30/2006
2. Percent successful venipunctures over 6 months	% venipunctures with adequate sample for testing	6/19/2005 - 6/30/2006
3. Score on lumbar puncture subcomponent checklist on simulator at 6 months	% steps correct on checklist	6/19/2005 - 6/30/2006
Score on bag mask ventilation 9BMV) subcomponent checklist on simulator at 6 months.	% steps correct on checklist	6/19/2005 - 6/30/2006

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Bag Mask Ventilation: 1. Percentage able to successfully ventilate simulator at 0 and 6 months	Percentage able to successfully ventilate simulator at 0 and 6 months	6/19/2005 - 6/30/2006
Average score on BMV checklist at 6 months	Average score on subcomponent checklist at 6 months	6/19/2005 - 6/30/2006
Average time to success at 0 and 6 months	Average time to success at 0 and 6 months	6/19/2005 - 6/30/2006
4. Score (%) on BMV written test at 0 and 6 months	Score (%) on written test at 0 and 6 months	6/19/2005 - 6/30/2006
5. Average likert scale scores on confidence with BMV at 6 months	Average likert scale scores on confidence with procedures at 6 months	6/19/2005 - 6/30/2006
IV insertion: 1. Percent successful PIV insertion on simulator at 0 and 6 months	Percent successful PIV insertion on simulator at 0 and 6 months	6/19/2005 - 6/30/2006
Score (%) on PIV subcomponent checklist at 0 and 6 months	Score (%) on subcomponent checklist at 0 and 6 months	6/19/2005 - 6/30/2006
Score (%) on PIV written test at 0 and 6 months	Score on written test	6/19/2005 - 6/30/2006
Average likert scale scores on confidence with PIV at 6 months	Likert scale score	6/19/2005 - 6/30/2006
Venipuncture: 1. Percent successful VP insertion on simulator at 0 and 6 months	% VP successul on simulator	6/19/2005 - 6/30/2006
2. Score (%) on VP subcomponent checklist at 0 and 6 months	Score on checklist	6/19/2005 - 6/30/2006
3. Score (%) on VP written test at 0 and 6 months	Score on written test	6/19/2005 - 6/30/2006
4. Average likert scale scores on confidence with VP at 6 months	Likert score	6/19/2005 - 6/30/2006
Lumbar puncture: 1. Percentage of atraumatic LP attempts over 6 months	Successful LPs on patients	6/19/2005 - 6/30/2006
2. Score (%) on LP subcomponent checklist on simulator at 6 months	Score on checklist	6/19/2005 - 6/30/2006
3. Score (%) on subcomponent checklist on first live patient LP	checklist score	6/19/2005 - 6/30/2006
4. Number of LP attempts needed to demonstrate competence	number of LPs	6/19/2005 - 6/30/2006
5. Score (%) on LP written test at 0 and 6 months	Score on written test	6/19/2005 - 6/30/2006
6. Average likert scale scores on confidence with LP at 6 months	Likert score	6/19/2005 - 6/30/2006

Collaborators and Investigators

• Sponsor: Boston Children's Hospital
• Collaborators: Association of Pediatric Program Directors
• Investigators: Principal Investigator: Michael G Gaies, MD MPH, Childrens's Hospital, Boston

Study record dates

Study Major Dates

• Study Start: June 1, 2005
• Primary Completion (Actual): June 1, 2006
• Study Completion (Actual): June 1, 2006

Study Registration Dates

• First Submitted: June 23, 2005
• First Submitted That Met QC Criteria: June 26, 2005
• First Posted (Estimate): June 24, 2005

Study Record Updates

• Last Update Posted (Actual): July 21, 2017
• Last Update Submitted That Met QC Criteria: July 18, 2017
• Last Verified: July 1, 2017

More Information

Terms related to this study

• Keywords: Training; Evaluation; Pediatrics; Simulation; Procedure; Curriculum
• Other Study ID Numbers: CH 05-05-040