Pediatric Airway Assessment Tool (PAAT): A Rating Tool to Assess Resident Proficiency in Simulated Pediatric Airway Skills Performance

Introduction The Accreditation Council for Graduate Medical Education has identified the need for assessment of core skills for pediatric and emergency medicine residents, which includes pediatric airway management. Although there are standard courses for pediatric airway management, there is no val...

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Autores principales: Robyn Wing, Janette Baird, Susan Duffy, Linda Brown, Frank Overly, Mariann Nocera Kelley, Chris Merritt
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Publicado: Association of American Medical Colleges 2020
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Acceso en línea:https://doaj.org/article/47789f3d890041baab6a81f6aa511844
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spelling oai:doaj.org-article:47789f3d890041baab6a81f6aa5118442021-11-19T14:50:22ZPediatric Airway Assessment Tool (PAAT): A Rating Tool to Assess Resident Proficiency in Simulated Pediatric Airway Skills Performance10.15766/mep_2374-8265.109972374-8265https://doaj.org/article/47789f3d890041baab6a81f6aa5118442020-10-01T00:00:00Zhttp://www.mededportal.org/doi/10.15766/mep_2374-8265.10997https://doaj.org/toc/2374-8265Introduction The Accreditation Council for Graduate Medical Education has identified the need for assessment of core skills for pediatric and emergency medicine residents, which includes pediatric airway management. Although there are standard courses for pediatric airway management, there is no validated tool to assess basic and advanced pediatric airway skills performance. Our objective was to develop a simulation-based tool for the formative assessment of resident pediatric airway skills performance that was concise, yet comprehensive, and to evaluate the evidence supporting the argument for the tool's validity. Methods We developed a pediatric airway assessment tool (PAAT) to assess six major domains of pediatric airway skills performance: basic airway maneuvers, airway adjuncts, bag-valve mask ventilation, advanced airway equipment preparation, direct laryngoscopy, and video laryngoscopy. This tool consisted of a 72-item pediatric airway skills assessment checklist to be used in simulation. We enrolled 12 subjects at four different training levels to participate. Assessment scores were rated by two independent expert raters. Results The interrater agreement was high, ranging from 0.92 (adult bagging rate) to 1 (basic airway maneuvers). There was a significant trend of increasing scores with increased training level. Discussion The PAAT demonstrated excellent interrater reliability and provided evidence of the construct's validity. Although further validation of this assessment tool is needed, these results suggest that the PAAT may eventually be useful for assessment of resident proficiency in pediatric airway skills performance.Robyn WingJanette BairdSusan DuffyLinda BrownFrank OverlyMariann Nocera KelleyChris MerrittAssociation of American Medical CollegesarticlePediatric AirwaySimulationPhysicianEmergency MedicinePediatric Emergency MedicinePediatricsMedicine (General)R5-920EducationLENMedEdPORTAL, Vol 16 (2020)
institution DOAJ
collection DOAJ
language EN
topic Pediatric Airway
Simulation
Physician
Emergency Medicine
Pediatric Emergency Medicine
Pediatrics
Medicine (General)
R5-920
Education
L
spellingShingle Pediatric Airway
Simulation
Physician
Emergency Medicine
Pediatric Emergency Medicine
Pediatrics
Medicine (General)
R5-920
Education
L
Robyn Wing
Janette Baird
Susan Duffy
Linda Brown
Frank Overly
Mariann Nocera Kelley
Chris Merritt
Pediatric Airway Assessment Tool (PAAT): A Rating Tool to Assess Resident Proficiency in Simulated Pediatric Airway Skills Performance
description Introduction The Accreditation Council for Graduate Medical Education has identified the need for assessment of core skills for pediatric and emergency medicine residents, which includes pediatric airway management. Although there are standard courses for pediatric airway management, there is no validated tool to assess basic and advanced pediatric airway skills performance. Our objective was to develop a simulation-based tool for the formative assessment of resident pediatric airway skills performance that was concise, yet comprehensive, and to evaluate the evidence supporting the argument for the tool's validity. Methods We developed a pediatric airway assessment tool (PAAT) to assess six major domains of pediatric airway skills performance: basic airway maneuvers, airway adjuncts, bag-valve mask ventilation, advanced airway equipment preparation, direct laryngoscopy, and video laryngoscopy. This tool consisted of a 72-item pediatric airway skills assessment checklist to be used in simulation. We enrolled 12 subjects at four different training levels to participate. Assessment scores were rated by two independent expert raters. Results The interrater agreement was high, ranging from 0.92 (adult bagging rate) to 1 (basic airway maneuvers). There was a significant trend of increasing scores with increased training level. Discussion The PAAT demonstrated excellent interrater reliability and provided evidence of the construct's validity. Although further validation of this assessment tool is needed, these results suggest that the PAAT may eventually be useful for assessment of resident proficiency in pediatric airway skills performance.
format article
author Robyn Wing
Janette Baird
Susan Duffy
Linda Brown
Frank Overly
Mariann Nocera Kelley
Chris Merritt
author_facet Robyn Wing
Janette Baird
Susan Duffy
Linda Brown
Frank Overly
Mariann Nocera Kelley
Chris Merritt
author_sort Robyn Wing
title Pediatric Airway Assessment Tool (PAAT): A Rating Tool to Assess Resident Proficiency in Simulated Pediatric Airway Skills Performance
title_short Pediatric Airway Assessment Tool (PAAT): A Rating Tool to Assess Resident Proficiency in Simulated Pediatric Airway Skills Performance
title_full Pediatric Airway Assessment Tool (PAAT): A Rating Tool to Assess Resident Proficiency in Simulated Pediatric Airway Skills Performance
title_fullStr Pediatric Airway Assessment Tool (PAAT): A Rating Tool to Assess Resident Proficiency in Simulated Pediatric Airway Skills Performance
title_full_unstemmed Pediatric Airway Assessment Tool (PAAT): A Rating Tool to Assess Resident Proficiency in Simulated Pediatric Airway Skills Performance
title_sort pediatric airway assessment tool (paat): a rating tool to assess resident proficiency in simulated pediatric airway skills performance
publisher Association of American Medical Colleges
publishDate 2020
url https://doaj.org/article/47789f3d890041baab6a81f6aa511844
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