Improving Resident Self-Efficacy in Tracheostomy Management Using a Novel Curriculum

Introduction Patients receiving pediatric tracheostomy have significant risk for mortality due to compromised airway. Timely management of airway emergencies in children with tracheostomies is an important clinical skill for pediatricians. We developed this curriculum to improve residents’ self-effi...

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Autores principales:	J. Benjamin, K. Roy, G. Paul, S. Kumar, E. Charles, E. Miller, H. Narsi-Prasla, J. D. Mahan, S. Thammasitboon
Formato:	article
Lenguaje:	EN
Publicado:	Association of American Medical Colleges 2020
Materias:	Tracheostomy Management Simulation Self-Efficacy Airway Management Airway Emergency Critical Care Medicine Medicine (General) R5-920 Education L
Acceso en línea:	https://doaj.org/article/32b205982d4b41f4b2e8d3ffcf712bd9
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spelling	oai:doaj.org-article:32b205982d4b41f4b2e8d3ffcf712bd92021-11-19T15:07:03ZImproving Resident Self-Efficacy in Tracheostomy Management Using a Novel Curriculum10.15766/mep_2374-8265.110102374-8265https://doaj.org/article/32b205982d4b41f4b2e8d3ffcf712bd92020-11-01T00:00:00Zhttp://www.mededportal.org/doi/10.15766/mep_2374-8265.11010https://doaj.org/toc/2374-8265Introduction Patients receiving pediatric tracheostomy have significant risk for mortality due to compromised airway. Timely management of airway emergencies in children with tracheostomies is an important clinical skill for pediatricians. We developed this curriculum to improve residents’ self-efficacy with tracheostomy management. Methods We collected baseline data on 67 residents from two hospitals while creating a blended curriculum with video-based instruction on routine tracheostomy change and team management of tracheostomy emergency. Forty residents enrolled in the curriculum. During an ICU rotation, they received face-to-face instruction on routine tracheostomy change in small groups, followed by assessment of managing a tracheostomy emergency during a simulation. A video completed prior to the simulation took 9 minutes, the routine tracheostomy change didactic session took 15 minutes, and the simulation instruction was completed in 10–15 minutes. We collected feedback on the effectiveness of the curriculum from the participants. Results All 107 residents from the baseline and intervention groups completed the self-efficacy survey. The intervention group had significantly higher changes in scores across all self-efficacy domains than the baseline group. On the curriculum feedback survey, residents rated the curriculum very highly, between 4.4 and 4.8 on a 5-point Likert scale. Discussion Our blended curriculum increased learners’ self-efficacy and promoted learner competence in tracheostomy management. Residents scored more than 80% across all aspects of simulation assessment and reported higher self-efficacy scores following our curricular intervention.J. BenjaminK. RoyG. PaulS. KumarE. CharlesE. MillerH. Narsi-PraslaJ. D. MahanS. ThammasitboonAssociation of American Medical CollegesarticleTracheostomy ManagementSimulationSelf-EfficacyAirway ManagementAirway EmergencyCritical Care MedicineMedicine (General)R5-920EducationLENMedEdPORTAL, Vol 16 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	Tracheostomy Management Simulation Self-Efficacy Airway Management Airway Emergency Critical Care Medicine Medicine (General) R5-920 Education L
spellingShingle	Tracheostomy Management Simulation Self-Efficacy Airway Management Airway Emergency Critical Care Medicine Medicine (General) R5-920 Education L J. Benjamin K. Roy G. Paul S. Kumar E. Charles E. Miller H. Narsi-Prasla J. D. Mahan S. Thammasitboon Improving Resident Self-Efficacy in Tracheostomy Management Using a Novel Curriculum
description	Introduction Patients receiving pediatric tracheostomy have significant risk for mortality due to compromised airway. Timely management of airway emergencies in children with tracheostomies is an important clinical skill for pediatricians. We developed this curriculum to improve residents’ self-efficacy with tracheostomy management. Methods We collected baseline data on 67 residents from two hospitals while creating a blended curriculum with video-based instruction on routine tracheostomy change and team management of tracheostomy emergency. Forty residents enrolled in the curriculum. During an ICU rotation, they received face-to-face instruction on routine tracheostomy change in small groups, followed by assessment of managing a tracheostomy emergency during a simulation. A video completed prior to the simulation took 9 minutes, the routine tracheostomy change didactic session took 15 minutes, and the simulation instruction was completed in 10–15 minutes. We collected feedback on the effectiveness of the curriculum from the participants. Results All 107 residents from the baseline and intervention groups completed the self-efficacy survey. The intervention group had significantly higher changes in scores across all self-efficacy domains than the baseline group. On the curriculum feedback survey, residents rated the curriculum very highly, between 4.4 and 4.8 on a 5-point Likert scale. Discussion Our blended curriculum increased learners’ self-efficacy and promoted learner competence in tracheostomy management. Residents scored more than 80% across all aspects of simulation assessment and reported higher self-efficacy scores following our curricular intervention.
format	article
author	J. Benjamin K. Roy G. Paul S. Kumar E. Charles E. Miller H. Narsi-Prasla J. D. Mahan S. Thammasitboon
author_facet	J. Benjamin K. Roy G. Paul S. Kumar E. Charles E. Miller H. Narsi-Prasla J. D. Mahan S. Thammasitboon
author_sort	J. Benjamin
title	Improving Resident Self-Efficacy in Tracheostomy Management Using a Novel Curriculum
title_short	Improving Resident Self-Efficacy in Tracheostomy Management Using a Novel Curriculum
title_full	Improving Resident Self-Efficacy in Tracheostomy Management Using a Novel Curriculum
title_fullStr	Improving Resident Self-Efficacy in Tracheostomy Management Using a Novel Curriculum
title_full_unstemmed	Improving Resident Self-Efficacy in Tracheostomy Management Using a Novel Curriculum
title_sort	improving resident self-efficacy in tracheostomy management using a novel curriculum
publisher	Association of American Medical Colleges
publishDate	2020
url	https://doaj.org/article/32b205982d4b41f4b2e8d3ffcf712bd9
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Improving Resident Self-Efficacy in Tracheostomy Management Using a Novel Curriculum

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