Reforming Pediatric Procedural Training

Healthy Clinical Trial

Official title:

Reforming Pediatric Procedural Training: Developing an Evidence-Based Curriculum

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT00115596
• Other study ID #: CH 05-05-040
• Status: Completed
• Phase: N/A
• First received: June 23, 2005
• Last updated: July 18, 2017
• Start date: June 2005
• Est. completion date: June 2006

Study information

• Verified date: July 2017
• Source: Boston Children’s Hospital
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

This study is randomized trial of a procedural skills training curriculum utilizing simulation to teach basic procedural skills to pediatric residents.

Description:

This study is designed to evaluate a formal curriculum for teaching basic procedures to pediatric interns at Children's Hospital, Boston. The incoming class of interns for the academic year '05-06 will be randomly assigned to participate in the curriculum or not. Four procedures including intravenous catheter insertion, venipuncture (blood drawing), bag-and-mask ventilation, and lumbar puncture (spinal tap) will be taught. Interns will then be tested on their ability to perform these skills on anatomic models and on live patients. Our hypothesis is that interns receiving the formal curriculum will be more confident and more successful in performing these procedures than those who do not.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 38
• Est. completion date: June 2006
• Est. primary completion date: June 2006
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: N/A and older

Eligibility

Inclusion Criteria:

• Pediatric Intern in the Boston Combined Residency Program for AY '05-'06

Exclusion Criteria:

Related Conditions & MeSH terms

• Health Personnel
• Healthy

Intervention

Other:
• Formal Curriculum; Low-Fidelity Simulation
The intervention was a formal procedural skills training curriculum consisting of didactic lectures and simulation training.

Locations

Country	Name	City	State
United States	Children's Hospital Boston	Boston	Massachusetts

Sponsors (2)

Lead Sponsor	Collaborator
Boston Children’s Hospital	Association of Pediatric Program Directors

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	1. Percent successful IV placement over 6 months	% IVs successfully placed	6/19/2005 - 6/30/2006
Primary	2. Percent successful venipunctures over 6 months	% venipunctures with adequate sample for testing	6/19/2005 - 6/30/2006
Primary	3. Score on lumbar puncture subcomponent checklist on simulator at 6 months	% steps correct on checklist	6/19/2005 - 6/30/2006
Primary	Score on bag mask ventilation 9BMV) subcomponent checklist on simulator at 6 months.	% steps correct on checklist	6/19/2005 - 6/30/2006
Secondary	Bag Mask Ventilation: 1. Percentage able to successfully ventilate simulator at 0 and 6 months	Percentage able to successfully ventilate simulator at 0 and 6 months	6/19/2005 - 6/30/2006
Secondary	Average score on BMV checklist at 6 months	Average score on subcomponent checklist at 6 months	6/19/2005 - 6/30/2006
Secondary	Average time to success at 0 and 6 months	Average time to success at 0 and 6 months	6/19/2005 - 6/30/2006
Secondary	4. Score (%) on BMV written test at 0 and 6 months	Score (%) on written test at 0 and 6 months	6/19/2005 - 6/30/2006
Secondary	5. Average likert scale scores on confidence with BMV at 6 months	Average likert scale scores on confidence with procedures at 6 months	6/19/2005 - 6/30/2006
Secondary	IV insertion: 1. Percent successful PIV insertion on simulator at 0 and 6 months	Percent successful PIV insertion on simulator at 0 and 6 months	6/19/2005 - 6/30/2006
Secondary	Score (%) on PIV subcomponent checklist at 0 and 6 months	Score (%) on subcomponent checklist at 0 and 6 months	6/19/2005 - 6/30/2006
Secondary	Score (%) on PIV written test at 0 and 6 months	Score on written test	6/19/2005 - 6/30/2006
Secondary	Average likert scale scores on confidence with PIV at 6 months	Likert scale score	6/19/2005 - 6/30/2006
Secondary	Venipuncture: 1. Percent successful VP insertion on simulator at 0 and 6 months	% VP successul on simulator	6/19/2005 - 6/30/2006
Secondary	2. Score (%) on VP subcomponent checklist at 0 and 6 months	Score on checklist	6/19/2005 - 6/30/2006
Secondary	3. Score (%) on VP written test at 0 and 6 months	Score on written test	6/19/2005 - 6/30/2006
Secondary	4. Average likert scale scores on confidence with VP at 6 months	Likert score	6/19/2005 - 6/30/2006
Secondary	Lumbar puncture: 1. Percentage of atraumatic LP attempts over 6 months	Successful LPs on patients	6/19/2005 - 6/30/2006
Secondary	2. Score (%) on LP subcomponent checklist on simulator at 6 months	Score on checklist	6/19/2005 - 6/30/2006
Secondary	3. Score (%) on subcomponent checklist on first live patient LP	checklist score	6/19/2005 - 6/30/2006
Secondary	4. Number of LP attempts needed to demonstrate competence	number of LPs	6/19/2005 - 6/30/2006
Secondary	5. Score (%) on LP written test at 0 and 6 months	Score on written test	6/19/2005 - 6/30/2006
Secondary	6. Average likert scale scores on confidence with LP at 6 months	Likert score	6/19/2005 - 6/30/2006