Central Line Proficiency Test Outcomes after Simulation Training versus Traditional Training to Competence

Alsaad, Ali A.; Bhide, Vandana Y.; Moss, Jimmy L.; Silvers, Scott M.; Johnson, Margaret M.; Maniaci, Michael J.

doi:10.1513/annalsats.201612-987oc

Cited by 22 publications

(22 citation statements)

References 25 publications

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“… 19 Central line proficiency after simulation training was shown to improve trainee performance based on these validated metrics, even in residents with sufficient procedural experience to have been previously deemed competent. 20 Even seasoned practitioners have been shown to frequently miss key elements of proper CVC. In a 2016 study of attending physician-placed central venous catheters, fewer than 50% of attendings studied participated in a timeout procedure, cleaned the area of the central line properly with chlorhexidine, or maintained sterile technique.…”

Section: Introductionmentioning

confidence: 99%

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Central venous catheterization training: current perspectives on the role of simulation

Soffler¹,

Hayes²,

Smith³

2018

AMEP

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Simulation is a popular and effective training modality in medical education across a variety of domains. Central venous catheterization (CVC) is commonly undertaken by trainees, and carries significant risk for patient harm when carried out incorrectly. Multiple studies have evaluated the efficacy of simulation-based training programs, in comparison with traditional training modalities, on learner and patient outcomes. In this review, we discuss relevant adult learning principles that support simulation-based CVC training, review the literature on simulation-based CVC training, and highlight the use of simulation-based CVC training programs at various institutions.

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Section: Introductionmentioning

confidence: 99%

“…If one of these critical actions was not completed, the trainee was required to repeat the simulation training component and the proficiency assessment. 20 …”

Section: Introductionmentioning

confidence: 99%

Central venous catheterization training: current perspectives on the role of simulation

Soffler¹,

Hayes²,

Smith³

2018

AMEP

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“…After evaluation of simulator training, fellows reported manual improvement, faster learning, and increased comfort with the procedure of the trainee. [8][9][10][11] In surgical specialties, the independent execution of substeps (within the entire procedure) is done to enhance trainee motivation and help them become gradually adept at complicated procedures. 12,13 This concept could also apply to complex procedures in the catheterization laboratory, whereas simple procedures such as closures of the atrial septal defect, balloon dilatation of coarctation, pulmonary stenosis, or closure of a patent ductus arteriosus could be excellent teaching procedures.…”

Section: Discussion Pediatric Cardiology Training-need For More Strucmentioning

confidence: 99%

Untitled

2020

Thorac cardiovasc Surg

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Background This is the first national survey of residents and fellows in pediatric cardiology in Germany evaluating training, research activity, and the general working environment. Methods An online questionnaire including 62 questions (SurveyMonkey) was developed by the "Junges Forum" of the German Society of Pediatric Cardiology. Fellows and residents during training and up to 3 years after completing their pediatric cardiology fellowship were invited to participate. Results A total of 102 pediatric cardiology fellows and residents completed the questionnaire. Many participants complained about their training as being unstructured (47%) and non-transparent (37%). The numbers of technical and catheter interventions required by the national medical board in Germany cannot be achieved, especially regarding invasive procedures. Sixty per cent work more than contractually agreed, usually in Germany it is 40 hours daytime work plus on calls, while 90% of all participants prefer less than 50 weekly working hours; 50% of the participants are engaged in research that is usually done during their spare time. More than 90% are satisfied with their professional relationships with colleagues and coworkers. Seventyeight per cent describe their career perspectives as promising, and 84% would start a fellowship in pediatric cardiology again. Conclusion The majority of pediatric cardiology fellows and residents are satisfied with their working environment and with their choice of a career in pediatric cardiology. Besides the heavy work load, we identified the urgent desire for better structured transparent clinical training concept including the teaching of manual skills, i.e., invasive procedures and catheterization.

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“…Traditionally taught through the "hands-on" approach in the clinical environment, they should be included as part of teaching in the simulated environment in order to ensure consistent and safe skills performance. 150,151 Cognitive Load and Task Complexity. Cognitive load theory suggests that, as working memory has limited capacity, more complex tasks take up increased amounts of that working memory.…”

Section: Evidence-based Education In Anesthesiologymentioning

confidence: 99%

Learners and Luddites in the Twenty-first Century

et al. 2019

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Anesthesiologists are both teachers and learners and alternate between these roles throughout their careers. However, few anesthesiologists have formal training in the methodologies and theories of education. Many anesthesiology educators often teach as they were taught and may not be taking advantage of current evidence in education to guide and optimize the way they teach and learn. This review describes the most up-to-date evidence in education for teaching knowledge, procedural skills, and professionalism. Methods such as active learning, spaced learning, interleaving, retrieval practice, e-learning, experiential learning, and the use of cognitive aids will be described. We made an effort to illustrate the best available evidence supporting educational practices while recognizing the inherent challenges in medical education research. Similar to implementing evidence in clinical practice in an attempt to improve patient outcomes, implementing an evidence-based approach to anesthesiology education may improve learning outcomes.

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Central Line Proficiency Test Outcomes after Simulation Training versus Traditional Training to Competence

Cited by 22 publications

References 25 publications

Central venous catheterization training: current perspectives on the role of simulation

Central venous catheterization training: current perspectives on the role of simulation

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Learners and Luddites in the Twenty-first Century

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