Clinical trial NCT00115596: Reforming Pediatric Procedural Training
Official title: Reforming Pediatric Procedural Training: Developing an Evidence-Based Curriculum
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Health Personnel
Healthy
Keywords: Procedure
Training
Simulation
Pediatrics
Curriculum
Evaluation
Lead sponsor: Boston Children's Hospital
Sponsor class: OTHER
Collaborators: name: Association of Pediatric Program Directors
First posted: 2005-06-24
Enrollment: 38
Sex: ALL
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: OTHER

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

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.

Eligibility criteria: Inclusion Criteria:

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

Exclusion Criteria:

* None

Primary outcomes:
measure: 1. Percent successful IV placement over 6 months
timeFrame: 6/19/2005 - 6/30/2006
measure: 2. Percent successful venipunctures over 6 months
timeFrame: 6/19/2005 - 6/30/2006
measure: 3. Score on lumbar puncture subcomponent checklist on simulator at 6 months
timeFrame: 6/19/2005 - 6/30/2006
measure: Score on bag mask ventilation 9BMV) subcomponent checklist on simulator at 6 months.
timeFrame: 6/19/2005 - 6/30/2006
Secondary outcomes:
measure: Bag Mask Ventilation: 1. Percentage able to successfully ventilate simulator at 0 and 6 months
timeFrame: 6/19/2005 - 6/30/2006
measure: Average score on BMV checklist at 6 months
timeFrame: 6/19/2005 - 6/30/2006
measure: Average time to success at 0 and 6 months
timeFrame: 6/19/2005 - 6/30/2006
measure: 4. Score (%) on BMV written test at 0 and 6 months
timeFrame: 6/19/2005 - 6/30/2006
measure: 5. Average likert scale scores on confidence with BMV at 6 months
timeFrame: 6/19/2005 - 6/30/2006
measure: IV insertion: 1. Percent successful PIV insertion on simulator at 0 and 6 months
timeFrame: 6/19/2005 - 6/30/2006
measure: Score (%) on PIV subcomponent checklist at 0 and 6 months
timeFrame: 6/19/2005 - 6/30/2006
measure: Score (%) on PIV written test at 0 and 6 months
timeFrame: 6/19/2005 - 6/30/2006
measure: Average likert scale scores on confidence with PIV at 6 months
timeFrame: 6/19/2005 - 6/30/2006
measure: Venipuncture: 1. Percent successful VP insertion on simulator at 0 and 6 months
timeFrame: 6/19/2005 - 6/30/2006
measure: 2. Score (%) on VP subcomponent checklist at 0 and 6 months
timeFrame: 6/19/2005 - 6/30/2006
measure: 3. Score (%) on VP written test at 0 and 6 months
timeFrame: 6/19/2005 - 6/30/2006
measure: 4. Average likert scale scores on confidence with VP at 6 months
timeFrame: 6/19/2005 - 6/30/2006
measure: Lumbar puncture: 1. Percentage of atraumatic LP attempts over 6 months
timeFrame: 6/19/2005 - 6/30/2006
measure: 2. Score (%) on LP subcomponent checklist on simulator at 6 months
timeFrame: 6/19/2005 - 6/30/2006
measure: 3. Score (%) on subcomponent checklist on first live patient LP
timeFrame: 6/19/2005 - 6/30/2006
measure: 4. Number of LP attempts needed to demonstrate competence
timeFrame: 6/19/2005 - 6/30/2006
measure: 5. Score (%) on LP written test at 0 and 6 months
timeFrame: 6/19/2005 - 6/30/2006
measure: 6. Average likert scale scores on confidence with LP at 6 months
timeFrame: 6/19/2005 - 6/30/2006
Other outcomes:
Locations:
city: Boston
country: United States
facility: Children's Hospital Boston
state: Massachusetts
Study officials:
affiliation: Childrens's Hospital, Boston
name: Michael G Gaies, MD MPH
role: PRINCIPAL_INVESTIGATOR
References: