How Good is Good Enough?: Current-Day Pediatric Residency Program Directors’ Challenges in Assessing and Achieving Resident Procedural Competency

Forson-Dare, Zaneta; Du, Nan R.; Ocran, Amanda; Tiyyagura, Gunjan; Bruno, Christie J.; Johnston, Lindsay

doi:10.1016/j.acap.2022.11.005

Cited by 5 publications

(3 citation statements)

References 44 publications

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“…Developing pediatric residents with qualified skills remains challenging. Collaboration between training centers/organizations will help ensure the competency of pediatric residents and provide safe care to patients and families ( 39 ). Development of regional simulation centers and up-to-date faculty training may gradually benefit all residents.…”

Section: Discussionmentioning

confidence: 99%

Neonatal resuscitation workshop for trainees in standardized medical residency training—a pilot practice in Shenzhen, China

Xu,

Zhang,

Xue

et al. 2023

Front. Pediatr.

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BackgroundNeonatal resuscitation is an important skillset for clinicians attending deliveries. Accredited neonatal resuscitation training is not obligatory in most training centers of standardized medical residency programs before 2022 in China. We investigated the feasibility and effectiveness of neonatal resuscitation simulation training (neo-RST) in residents in Shenzhen, China.MethodsFour two-day neo-RST workshops were conducted in the University of Hong Kong-Shenzhen Hospital and Shenzhen Health Capacity Building and Continuing Education Center in 2020–2021. The workshops had Neonatal Resuscitation Program (NRP)® update, skill stations and simulation practice with debriefing. Each participant had the integrated skill station assessment (ISSA) at the end of workshop. Participants of workshops included residents of different disciplines and health care providers (HCPs) of neonatal and obstetrical departments. We compared demographic characteristics, neonatal resuscitation knowledge before training, ISSA overall and categorical scores on skill sets between residents and HCPs.ResultsIn 2020–2021, 4 neo-RST workshops were conducted with 48 residents and 48 HCPs. The residents group had less working experience, less prior experience in neo-RST and lower neonatal resuscitation knowledge scores than those of HCPs group. After the workshop, residents had higher overall ISSA score than that of HCPs group (90.2 ± 5.9 vs. 86.3 ± 6.6%, P = 0.003, respectively). There was no significant difference in the numbers of participants scored <80% in residents and HCPs group (3 [6.3%] vs. 7 [14.6%], respectively). Regarding the categorical scores, residents scored significantly higher in preparation, ventilation, crisis resource management and behavioral skills but lower in appropriate oxygen use, when compared with the HCPs.ConclusionNeo-RST for residents is feasible with promising short-term educational outcomes. Neo-RST could be implemented in standardized medical residency programs in China.

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Section: Discussionmentioning

confidence: 99%

Neonatal resuscitation workshop for trainees in standardized medical residency training—a pilot practice in Shenzhen, China

Xu,

Zhang,

Xue

et al. 2023

Front. Pediatr.

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“…Pediatric residents in the United States already experience fewer opportunities to attain procedural experience now than they did a decade ago. 4 Recent data suggest that by the time they graduate, residents only perform an average of three of each procedure currently required by the ACGME. 5 While programs such as the Neonatal Resuscitation Program and Pediatric Advanced Life Support are commonly used to teach critical resuscitation skills, current research shows that simple participation does not guarantee competency.…”

Section: Current Statementioning

confidence: 99%

“…Pediatric residents in the United States already experience fewer opportunities to attain procedural experience now than they did a decade ago 4 . Recent data suggest that by the time they graduate, residents only perform an average of three of each procedure currently required by the ACGME 5 .…”

Section: Current Statementioning

confidence: 99%

The Need for Simulation-Based Procedural Skills Training to Address Proposed Changes in Accreditation Council for Graduate Medical Education Requirements for Pediatric Residency Programs

Nawathe,

Kessler,

Yurasek

et al. 2023

Sim Healthcare

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Pediatric Residents’ Procedural Competency Requirements: A National Needs Assessment of Program Directors and Chief Residents

Nguyen,

Cunanan,

Liu

et al. 2024

Academic Pediatrics

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How Good is Good Enough?: Current-Day Pediatric Residency Program Directors’ Challenges in Assessing and Achieving Resident Procedural Competency

Cited by 5 publications

References 44 publications

Neonatal resuscitation workshop for trainees in standardized medical residency training—a pilot practice in Shenzhen, China

Neonatal resuscitation workshop for trainees in standardized medical residency training—a pilot practice in Shenzhen, China

The Need for Simulation-Based Procedural Skills Training to Address Proposed Changes in Accreditation Council for Graduate Medical Education Requirements for Pediatric Residency Programs

Pediatric Residents’ Procedural Competency Requirements: A National Needs Assessment of Program Directors and Chief Residents

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