Pediatric Resident Education in Pulmonary (PREP): A Subspecialty Preparatory Boot Camp Curriculum for Pediatric Residents

Khan, E.K.; Liptzin, Deborah R.; Baker, Joyce; Meier, Maxene; Baker, Christopher D.; Lockspeiser, Tai M.

doi:10.15766/mep_2374-8265.11066

Cited by 3 publications

(13 citation statements)

References 11 publications

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“…PREP Boot Camp was implemented in July 2018 as an intense educational onboarding experience for all post-graduate year 2 (PGY2) resident physicians rotating through the inpatient pediatric pulmonology service at Children's Hospital Colorado (CHCO). 10 During PREP, PGY2 residents participated in an interactive lecture followed by a case-based simulation session (SIM #1) covering common emergent scenarios that are known to occur in pediatric inpatients with tracheostomies and ventilators such as accidental decannulation, tracheostomy mucus plugging, hypoxemia, and cardiorespiratory arrest. 11 The New World Kirkpatrick's training evaluation model was used to determine the impact of this curriculum.…”

Section: Methodsmentioning

confidence: 99%

“…Studies have shown that standardized training for medical staff related to routine tracheostomy cares improves bedside provider comfort level. [9][10][11] However, there is no standardized recommendation for instruction and training of tracheostomy cares for prevention of common complications. One study showed that more than 50% of hospitals transferring tracheostomy-dependent patients from intensive care units (ICU) to ward teams lacked standard training for medical staff members and only 6% had guidelines in place for common complications such as accidental decannulation.…”

Section: Introductionmentioning

confidence: 99%

“…In response to these concerns, we implemented the Pediatric Resident Education in Pulmonary (PREP) Boot Camp, an intense educational program for resident physicians on the pediatric pulmonary ward team, with the goal to enhance resident comfort level in routine tracheostomy cares and equip them with contingency planning in the event of common tracheostomy-related complications. 10,11 This study evaluates the impact of PREP on pediatric residents' observed skills and tracheostomy-dependent patient outcomes.…”

Section: Introductionmentioning

confidence: 99%

“…Studies have shown that standardized training for medical staff related to routine tracheostomy cares improves bedside provider comfort level 9–11 . However, there is no standardized recommendation for instruction and training of tracheostomy cares for prevention of common complications.…”

Section: Introductionmentioning

confidence: 99%

“…3 | RESULTSPREP was initiated in July 2018 and monthly sessions were held with 2-3 residents participating each month 10. All PGY2 resident physicians (35/35) were scored in SIM #1, the initial simulation session immediately following educational intervention during PREP.…”

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confidence: 99%

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Improved tracheostomy‐dependent patient outcomes after implementation of the Pediatric Resident Education in Pulmonary (PREP) Boot Camp

Khan,

Lockspeiser,

Meier

et al. 2024

Pediatric Pulmonology

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IntroductionChildren with tracheostomies are high risk for morbidity and mortality. Pediatric resident physicians are not routinely taught skills to care for this vulnerable patient population. Few reports link educational interventions to improved patient outcomes. This study evaluates the impact of an intensive educational training program on pediatric residents' observed skills and tracheostomy‐dependent patient outcomes.MethodsPediatric post‐graduate year 2 (PGY2) resident physicians rotating through the inpatient pediatric pulmonology month at Children's Hospital Colorado July 2018–2019 participated in the Pediatric Resident Education in Pulmonary (PREP) Boot Camp, an intensive educational program with an interactive lecture and simulation experience on patients with tracheostomy‐dependence. PGY2s who partook in PREP and PGY3s who rotated before PREP initiation were invited to be studied. Primary outcomes included: (1) resident skills assessed by direct observation during simulation encounters and (2) rates of intensive care unit (ICU) transfers in tracheostomy‐dependent patients following acute events before and after introduction of PREP. We hypothesized that increased education would enhance resident skills and improve patient outcomes by decreasing the rate of ICU transfers.ResultsPGY2 residents retained skills learned during PREP up to 11 months following initial participation, and significantly outperformed their PGY3 counterparts. There was a significant decrease in ICU transfer rate in patients with tracheostomies admitted to the pulmonary team during the 19 months following initiation of PREP.ConclusionsEnhanced early education may improve resident physicians' ability to care for complex patients with tracheostomies and could improve outcomes in this high‐risk population.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

mentioning

confidence: 99%

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Improved tracheostomy‐dependent patient outcomes after implementation of the Pediatric Resident Education in Pulmonary (PREP) Boot Camp

Khan,

Lockspeiser,

Meier

et al. 2024

Pediatric Pulmonology

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Improved Tracheostomy-Dependent Patient Outcomes After Implementation of the Pediatric Resident Education in Pulmonary (PREP) Boot Camp

Khan,

Meier

et al. 2023

Preprint

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Introduction: Children with tracheostomies are high risk for morbidity and mortality. Pediatric resident physicians are not routinely taught skills to care for this vulnerable patient population. Few reports link educational interventions to improved patient outcomes. This study evaluates the impact of an intensive educational training program on pediatric residents’ observed skills and tracheostomy-dependent patient outcomes. Methods: Pediatric post-graduate year 2 (PGY2) resident physicians rotating through the inpatient pediatric pulmonology month at Children’s Hospital Colorado July 2018-2019 participated in the Pediatric Resident Education in Pulmonary (PREP) Boot Camp, an intensive educational program with an interactive lecture and simulation experience on patients with tracheostomy-dependence. PGY2s who partook in PREP and PGY3s who rotated prior to PREP initiation were invited to be studied. Primary outcomes included: 1) resident skills assessed by direct observation during simulation encounters and 2) rates of intensive care unit (ICU) transfers in tracheostomy-dependent patients following acute events before and after introduction of PREP. We hypothesized that increased education would enhance resident skills and improve patient outcomes by decreasing the rate of ICU transfers. Results: PGY2 residents retained skills learned during PREP up to 11 months following initial participation, and significantly outperformed their PGY3 counterparts. There was a significant decrease in ICU transfer rate in patients with tracheostomies admitted to the pulmonary team during the 19 months following initiation of PREP. Conclusions: Enhanced early education improves resident physicians’ ability to care for complex patients with tracheostomies and improves outcomes in this high-risk population.

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Simulation Training Effects on Resident-Perceived Readiness for Obstetric Anesthesia Rotation

2023

JEPM

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Background: Beginning an unfamiliar rotation can be challenging as residents must expand their knowledge and skills to meet new clinical expectations, work with a new team of providers, and sometimes care for a new patient demographic. This may detract from learning, resident well-being, and patient care. Methods:We implemented an obstetric anesthesia simulation session for anesthesiology residents prior to their first obstetric anesthesia rotation and measured the effect on residents' self-perceived preparedness. Results:The simulation session increased residents' feelings of preparedness for the rotation and increased residents' confidence in specific obstetric anesthesia skills.Conclusions: Importantly, this study shows the potential for the use of a prerotation, rotation-specific simulation session to better prepare learners for rotations.

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Pediatric Resident Education in Pulmonary (PREP): A Subspecialty Preparatory Boot Camp Curriculum for Pediatric Residents

Cited by 3 publications

References 11 publications

Improved tracheostomy‐dependent patient outcomes after implementation of the Pediatric Resident Education in Pulmonary (PREP) Boot Camp

Improved tracheostomy‐dependent patient outcomes after implementation of the Pediatric Resident Education in Pulmonary (PREP) Boot Camp

Improved Tracheostomy-Dependent Patient Outcomes After Implementation of the Pediatric Resident Education in Pulmonary (PREP) Boot Camp

Simulation Training Effects on Resident-Perceived Readiness for Obstetric Anesthesia Rotation

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