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Self-reported experience and competence in core procedures among Canadian pediatric emergency medicine fellowship trainees

Published online by Cambridge University Press:  21 May 2015

Majid Al-Eissa ,
Simon Chu ,
Timothy Lynch ,
David Warren ,
Jamie A. Seabrook ,
Michael J. Rieder  and
Rodrick Lim
Majid Al-Eissa
Affiliation:
Department of Pediatrics, University of Western Ontario, London, Ont.
Simon Chu
Affiliation:
Department of Pediatrics, University of Western Ontario, London, Ont.
Timothy Lynch
Affiliation:
Department of Pediatrics, University of Western Ontario, London, Ont. Division of Emergency Medicine, Department of Medicine, University of Western Ontario, London, Ont.
David Warren
Affiliation:
Department of Pediatrics, University of Western Ontario, London, Ont. Division of Emergency Medicine, Department of Medicine, University of Western Ontario, London, Ont.
Jamie A. Seabrook
Affiliation:
Department of Pediatrics, University of Western Ontario, London, Ont. Department of Physiology and Pharmacology, University of Western Ontario, London, Ont.
Michael J. Rieder
Affiliation:
Department of Pediatrics, University of Western Ontario, London, Ont. Department of Physiology and Pharmacology, University of Western Ontario, London, Ont. Children's Health Research Institute, Children's Hospital, London, Ont.
Rodrick Lim*
Affiliation:
Department of Pediatrics, University of Western Ontario, London, Ont. Division of Emergency Medicine, Department of Medicine, University of Western Ontario, London, Ont. Department of Physiology and Pharmacology, University of Western Ontario, London, Ont.
*
Children's Hospital, London Health Sciences Centre, 800 Commissioners Rd. E., London ON N6C 2V5; Rod.Lim@lhsc.on.ca

Abstract

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Objective:

We sought to determine the frequency with which fellows in accredited Canadian pediatric emergency medicine (PEM) fellowships perform specific procedures, the level of confidence fellows have in their abilities and whether there are differences in self-perceived success between first- and second-year fellows.

Methods:

A national survey was developed that focused on 24 PEM procedural skills. The survey asked respondents how many times they had performed these procedures within the past 12 months and within the past 3 years. Respondents were then asked to rate their confidence in successfully performing each of the 24 procedures.

Results:

Of the 46 surveys sent to PEM fellows, 32 (70%) were returned. Most respondents were in their second year of training and the vast majority had previous training in pediatrics. In order of frequency, the most common procedures performed were closed reduction of fractures, peripheral intravenous insertion, complex laceration repair and endotracheal intubation. Of the surveyed skills, oropharyngeal/nasopharyngeal airway insertion was deemed the most successful (100% success rate for second-year fellows v. 92.5% success rate for first-year fellows, p = 0.01). Similarly, second-year fellows had a higher self-perceived success rate for intraosseous line insertion than did first-year fellows (95.0% v. 80.0% for second- and first-year fellows, respectively, p < 0.001).

Conclusion:

In surveying PEM trainees across Canada, we have described the frequency and self-perceived success rate for 24 important procedures. This information may be helpful for program directors in evaluating future directions and opportunities for training of their PEM trainees.

Keywords

pediatric emergency medicineeducationclinical competence
Type
Education • Enseignment
Information
Canadian Journal of Emergency Medicine , Volume 10 , Issue 6 , November 2008 , pp. 533 - 538
Copyright
Copyright © Canadian Association of Emergency Physicians 2008

References

1.Babl, FE, Weiner, DL, Bhanji, F, et al.Advanced training in pediatric emergency medicine in the United States, Canada, United Kingdom, and Australia: an international comparison and resources guide. Ann Emerg Med 2005;45:269–75.CrossRefGoogle ScholarPubMed
2.Royal College of Physicians and Surgeons of Canada. Information by specialty or subspecialty. Ottawa (ON): The College; 2008. Available: http://rcpsc.medical.org/information/index.php?specialty=462&submit=Select (accessed 2008 Sept 29).Google Scholar
3.Farion, K, Morrison, L. Redefining emergency medicine procedures: Canadian competence and frequency survey. Acad Emerg Med 2001;8:731–8.Google Scholar
4.Hayden, SR, Panacek, EA. Procedural competency in emergency medicine. Acad Emerg Med 1999;6:728–35.CrossRefGoogle ScholarPubMed
5.Pediatric Emergency Medicine (PEM) Fellowship Curriculum Statement. Curriculum Subcommittee, Section of Emergency Medicine, American Academy of Pediatrics. Pediatr Emerg Care 1993;9: 60–6.Google Scholar
6.Dillman, DA. Mail and telephone surveys: the total design method. Washington (DC): John Wiley and Sons; 1978.Google Scholar
7.American Board of Internal Medicine. Guide to evaluation of residents in internal medicine, 1991–1992. Philadelphia (PA): The Board; 1991.Google Scholar
8.Quan, L, Shugerman, R, Kunkel, N, et al.Evaluation of resuscitation skills in new residents before and after pediatric advanced life support course. Pediatrics 2001;108:e110.Google Scholar
9.Resident Review Committee for Emergency Medicine. Program information forms. Chicago IL: American Board of Emergency Medicine, 1995.Google Scholar
10.Task Force on the Core Content for Emergency Medicine Revision. Core content for emergency medicine. Acad Emerg Med 1997;4:628–42.Google Scholar
11.Australasia College for Emergency Medicine. Handbook of training in emergency medicine. Victoria (AU): The College; 2007.Google Scholar
12.Paul, RI, King, L. Technical skills experiences in pediatric emergency medicine fellowship programs. Pediatr Emerg Care 1996;12:10–2.CrossRefGoogle ScholarPubMed
13.Olshaker, JS, Brown, CK, Arthur, DC, et al.Animal procedure laboratory surveys: use of the animal laboratory to improve physician confidence and ability. J Emerg Med 1989;7:593–7.CrossRefGoogle ScholarPubMed
14.Sternbach, GL, Rosen, P. Use of laboratory animals in the teaching of emergency procedures. JACEP 1977;6:543–5.CrossRefGoogle ScholarPubMed
15.Chapman, DM, Marx, JA, Honigman, B, et al.Emergency thoracotomy: comparison of medical students, resident and faculty performance on written, computer and animal-model assessments. Acad Emerg Med 1994;1:373–81.CrossRefGoogle ScholarPubMed
16.Chapman, DM. Use of computer-based technologies in teaching emergency procedural skills. Acad Emerg Med 1994;1:404–7.Google Scholar
17.Chapman, DM, Marx, JA, Honigman, B, et al.Final report: computer-based teaching and evaluation of critical emergency medicine procedure skills. Dallas (TX): Emergency Medicine Foundation; 1990.Google Scholar
18.Frank, J, Mann, K, Neely, E. Portfolios and logbooks. In: Bandiera, G, Sherbino, J, Frank, JR. The CanMEDS assessment tools handbook. An introductory guide to assessment methods for the CanMEDS competencies. Ottawa (ON): The Royal College of Physicians and Surgeons of Canada; 2006. p. 32–5.Google Scholar
19.Penciner, R, Siddiqui, S, Lee, S. Emergency medicine clerkship encounter and procedure logging using handheld computers. Acad Emerg Med 2007;14:727–31.CrossRefGoogle ScholarPubMed
20.Kovacs, G. Procedural skills in medicine: linking theory to practice. J Emerg Med 1997;15:387–91.Google Scholar