Using rapid cycle deliberate practice to improve primary and secondary survey in pediatric trauma.
Child
Clinical Competence
Computer Simulation
/ standards
Computer-Assisted Instruction
/ methods
Critical Illness
/ therapy
Curriculum
Education, Medical, Graduate
/ methods
Humans
Internship and Residency
/ methods
Pediatric Emergency Medicine
/ education
Problem-Based Learning
/ methods
Resuscitation
/ education
Simulation Training
/ methods
Education
Medical curriculum
Surgery simulation
Trauma
Journal
BMC medical education
ISSN: 1472-6920
Titre abrégé: BMC Med Educ
Pays: England
ID NLM: 101088679
Informations de publication
Date de publication:
28 Apr 2020
28 Apr 2020
Historique:
received:
01
11
2019
accepted:
07
04
2020
entrez:
30
4
2020
pubmed:
30
4
2020
medline:
18
2
2021
Statut:
epublish
Résumé
Optimal performance of the primary and secondary survey is the foundation of Advance Trauma Life Support care. Despite its importance, not all primary surveys completed at level 1 pediatric trauma centers are performed according to established guidelines (Gala et al., Pediatr Emerg Care 32:756-762, 2016, Carter et al., Resuscitation 84:66-71, 2013). We hypothesize that rapid cycle deliberate practice (RCDP) will improve surgical residents' confidence in performing the primary and secondary survey. We developed a curriculum to teach surgical interns the principles of performing the primary and secondary survey using RCDP. Surveys distributed after each session assessed the impact of the curriculum on learner confidence and perception that this curriculum would benefit patient care. Questions were scored on a 5-point Likert scale. Sixteen surgical interns participated during intern orientation and 100% of the participants completed the post curriculum survey. Thirteen (81%) of participants agreed or strongly agreed that the simulation would impact future performance in the pediatric trauma bay. The curriculum also significantly improved the confidence of our learners to perform trauma surveys (p < 0.001). This curriculum improves the confidence of junior surgical residents in learning the primary and secondary survey. Most learners enjoyed the session and felt that the curriculum would positively impact their performance.
Sections du résumé
BACKGROUND
BACKGROUND
Optimal performance of the primary and secondary survey is the foundation of Advance Trauma Life Support care. Despite its importance, not all primary surveys completed at level 1 pediatric trauma centers are performed according to established guidelines (Gala et al., Pediatr Emerg Care 32:756-762, 2016, Carter et al., Resuscitation 84:66-71, 2013). We hypothesize that rapid cycle deliberate practice (RCDP) will improve surgical residents' confidence in performing the primary and secondary survey.
METHODS
METHODS
We developed a curriculum to teach surgical interns the principles of performing the primary and secondary survey using RCDP. Surveys distributed after each session assessed the impact of the curriculum on learner confidence and perception that this curriculum would benefit patient care. Questions were scored on a 5-point Likert scale. Sixteen surgical interns participated during intern orientation and 100% of the participants completed the post curriculum survey.
RESULTS
RESULTS
Thirteen (81%) of participants agreed or strongly agreed that the simulation would impact future performance in the pediatric trauma bay. The curriculum also significantly improved the confidence of our learners to perform trauma surveys (p < 0.001).
CONCLUSION
CONCLUSIONS
This curriculum improves the confidence of junior surgical residents in learning the primary and secondary survey. Most learners enjoyed the session and felt that the curriculum would positively impact their performance.
Identifiants
pubmed: 32345288
doi: 10.1186/s12909-020-02038-z
pii: 10.1186/s12909-020-02038-z
pmc: PMC7189590
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
131Subventions
Organisme : University of Chicago Medicine, Academy of Distinguished Medical Educators
ID : N/A
Références
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