دورية أكاديمية
أعرض في EDS

Improving emergency medicine resident pediatric lumbar puncture procedural performance through a brief just-in-time video intervention.

التفاصيل البيبلوغرافية
العنوان: Improving emergency medicine resident pediatric lumbar puncture procedural performance through a brief just-in-time video intervention.
المؤلفون: McGuire SS; Department of Emergency Medicine, Mayo Clinic, 200 First St SW, Rochester, MN, 55905, USA. McGuire.Sarayna@mayo.edu., Finch AS; Department of Emergency Medicine, Mayo Clinic, 200 First St SW, Rochester, MN, 55905, USA., Thomas JM; Department of Emergency Medicine, Washington University School of Medicine, St Louis, MO, USA., Lazaro O; Department of Emergency Medicine, Mayo Clinic, 200 First St SW, Rochester, MN, 55905, USA., Hevesi SA; Department of Emergency Medicine, Mayo Clinic, 200 First St SW, Rochester, MN, 55905, USA., Mullan AF; Department of Quantitative Health Sciences, Mayo Clinic, Rochester, MN, USA., Homme JL; Department of Emergency Medicine, Mayo Clinic, 200 First St SW, Rochester, MN, 55905, USA.
المصدر: BMC medical education [BMC Med Educ] 2024 Jun 20; Vol. 24 (1), pp. 682. Date of Electronic Publication: 2024 Jun 20.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: BioMed Central Country of Publication: England NLM ID: 101088679 Publication Model: Electronic Cited Medium: Internet ISSN: 1472-6920 (Electronic) Linking ISSN: 14726920 NLM ISO Abbreviation: BMC Med Educ Subsets: MEDLINE
أسماء مطبوعة: Original Publication: London : BioMed Central, [2001-
مواضيع طبية MeSH: Spinal Puncture*/methods , Internship and Residency* , Clinical Competence* , Emergency Medicine*/education , Video Recording*, Humans ; Pilot Projects ; Pediatrics/education ; Emergency Service, Hospital ; Checklist ; Male ; Infant
مستخلص: Background: Emergency medicine (EM) trainee comfort level with lumbar puncture (LP) has decreased over time due to changing practice guidelines, particularly amongst pediatric patients. We implemented a "just in time" (JIT) brief educational video based on a previously published LP Performance Scoring Checklist to improve trainee efficiency and competence in LP performance.
Methods: Our pilot quasi-experimental study took place January-June 2022 within a large, academic Midwestern emergency department (ED) with an established 3-year EM residency program. All 9 interns performed a timed diagnostic LP on an infant LP model in January, scored according to the LP Performance Scoring Checklist. In June, interns repeated the timed LP procedure directly after watching a brief educational video based on major checklist steps. The study was deemed exempt by the Institutional Review Board.
Results: All interns completed both assessments. At baseline, interns had logged performance of median 2 (IQR 0-5) LPs and spent 12.9 (10.3-14.4) minutes performing the procedure. Post-intervention, interns had logged an additional median 2 (0-5) LPs and completed the procedure faster with an average time of 10.3 (9.7-11.3) minutes (p = 0.004). A median of 5 (4-7) major steps were missed at baseline, compared to 1 (1-2) at time of post-intervention assessment (p = 0.015).
Conclusion: Development of a brief educational video improved efficiency and competency amongst our intern class in performing an infant LP when viewed Just-In-Time. Similar efforts may improve education and performance of other rare (or decreasing in frequency) procedures within EM training.
(© 2024. The Author(s).)
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فهرسة مساهمة: Keywords: Emergency medicine; Just-in-time education; Lumbar puncture; Medical education; Pediatric lumbar puncture; Pediatric procedure; Procedural efficiency; Resident education
تواريخ الأحداث: Date Created: 20240620 Date Completed: 20240621 Latest Revision: 20240623
رمز التحديث: 20240623
مُعرف محوري في PubMed: PMC11188195
DOI: 10.1186/s12909-024-05654-1
PMID: 38902689
قاعدة البيانات: MEDLINE
الوصف
تدمد:1472-6920
DOI:10.1186/s12909-024-05654-1