Perceptions on the Impact of a Just-in-Time Room on Trainees and Supervising Physicians in a Pediatric Emergency Department

Abstract

Background Just-in-time (JIT) training refers to education occurring immediately prior to clinical encounters. An in situ JIT room in a pediatric emergency department (ED) was created for procedural education.

Clinical Teaching: An Evidence-based Guide to Best Practices from the Council of Emergency Medicine Residency Directors

“…108,111,112 However, JITT may not be helpful for all types of procedures and training with some research showing conflicting success rate for certain procedures, such as pediatric intubation and infant lumbar puncture. 113,114 Importantly, in the era of mounting technology and easy availability, it is vital to screen the JITT resources for quality and applicability prior to incorporation into clinical practice. 115,116 One study performed a systematic search of YouTube TM to assess videos focused on teaching ophthalmoscopy.…”

“… 108 , 111 , 112 However, JITT may not be helpful for all types of procedures and training with some research showing conflicting success rate for certain procedures, such as pediatric intubation and infant lumbar puncture. 113 , 114 …”

Just‐in‐time clinical video review improves successful placement of Sengstaken‐Blakemore tube by emergency medicine resident physicians: A randomized control simulation‐based study

“…JIT training aims to provide relevant instruction at the point of clinical care 14 and has a demonstrated track record of success in medicine for a variety of procedures. [15][16][17][18] Among the many published studies of JIT training are patient-specific three-dimensional teaching models, in situ simulations, 19 and simulator practice prior to performance of bedside or surgical procedures. [20][21][22][23][24][25][26][27] Video is an optimal media for JIT training just prior to the actual performance of a procedure or maneuver; platforms to review video are ubiquitous in the clinical environment (desktop computers and mobile devices), and video provides a visual demonstration of the physical actions required.…”

Factors Related to Self-Reported Distress Experienced by Physicians During Their First COVID-19 Triage Decisions

“…[8][9][10][11] JiTT is a method of out-of-classroom foundational instruction, at times in the form of a video or simulation, aimed at bolstering clinical learning. Previous studies have reported that JiTT is an effective tool in helping physicians-in-training improve their confidence and comfort level with procedural interventions (e.g., suturing, lumbar punctures, and intraosseous needle placement), [12][13][14] while also reinforcing skills that were previously learned (e.g., splinting). 14 Clinical guidelines have long been used by clinicians as a framework (informed by evidence-based medicine) for delivering patient care and developing standards of care.…”