Teaching resuscitation to pediatric residents: the effects of an intervention

Arch Pediatr Adolesc Med. 2000 Oct;154(10):1049-54. doi: 10.1001/archpedi.154.10.1049.

Abstract

Objective: To evaluate the effectiveness of an educational intervention on pediatric residents' resuscitation fund of knowledge, technical skills, confidence, and overall performance.

Design: Prospective, nonconcurrent, controlled interventional trial.

Setting: Urban pediatric tertiary care hospital.

Participants: An intervention group (IG) of 28 pediatric residents graduating in 1997, and a control group (CG) of 30 pediatric residents graduating in 1996.

Interventions: Resuscitation course with didactic lectures and skills practice stations, as well as a minimum of 3 practice mock resuscitations with immediate feedback throughout postgraduate year 3.

Main outcome measures: Fund of knowledge, using the Pediatric Advanced Life Support test and short answer test; technical skills, using the Airway and Vascular Access Skills Assessment; experience and confidence, using an anonymous survey; and overall performance, evaluated using a videotaped mock resuscitation test.

Results: The IG scored better on the short answer test (P<.001). A larger number of IG residents were successful in the completion of ancillary airway maneuvers and femoral vascular access (P =.02), as well as endotracheal intubation (P =.004) and intraosseous access (P =.002). The IG was more confident in their leadership role (P =.0001) and technical skills (P =.05). Trends toward improved overall performance were noted for the IG mock resuscitations. Residents in the IG were more likely to assess the airway in fewer than 2 minutes (P =.02), recognize the threat to life in fewer than 5 minutes (P =.02), and complete the primary survey in a timely fashion (P =.05). They required fewer prompts (P =.04) and made fewer mistakes (P =.07).

Conclusions: A structured, formal curriculum can improve the necessary fund of knowledge, skills, confidence, and leadership required for resuscitation.

Publication types

  • Clinical Trial
  • Controlled Clinical Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Clinical Competence / standards
  • Curriculum
  • Education, Medical, Graduate / methods*
  • Humans
  • Internship and Residency / methods*
  • Medical Staff, Hospital / education*
  • Outcome Assessment, Health Care
  • Pediatrics / education*
  • Program Evaluation
  • Prospective Studies
  • Resuscitation / education*
  • Teaching / methods*
  • Time Factors
  • Videotape Recording