A Global Rating Scale and Checklist Instrument for Pediatric Laceration Repair

Introduction Laceration repair is a core procedural skill in which pediatric residents are expected to attain proficiency per the Accreditation Council for Graduate Medical Education. Restricted trainee work hours have decreased clinical opportunities for laceration repair, and simulation may be a m...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Suzanne Seo, Anita Thomas, Neil G. Uspal
Formato:	article
Lenguaje:	EN
Publicado:	Association of American Medical Colleges 2019
Materias:	Simulation Assessment Procedure Pediatric Laceration Medicine (General) R5-920 Education L
Acceso en línea:	https://doaj.org/article/537dafa92f9f412c8a7f5db542376cef
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:537dafa92f9f412c8a7f5db542376cef
record_format	dspace
spelling	oai:doaj.org-article:537dafa92f9f412c8a7f5db542376cef2021-11-22T13:41:13ZA Global Rating Scale and Checklist Instrument for Pediatric Laceration Repair10.15766/mep_2374-8265.108062374-8265https://doaj.org/article/537dafa92f9f412c8a7f5db542376cef2019-02-01T00:00:00Zhttp://www.mededportal.org/doi/10.15766/mep_2374-8265.10806https://doaj.org/toc/2374-8265Introduction Laceration repair is a core procedural skill in which pediatric residents are expected to attain proficiency per the Accreditation Council for Graduate Medical Education. Restricted trainee work hours have decreased clinical opportunities for laceration repair, and simulation may be a modality to fill that clinical gap. There is a therefore a need for objective measures of pediatric resident competence in laceration repair. Methods We created a global rating scale and checklist to assess laceration repair in the pediatric emergency department. We adapted the global rating scale from the Objective Structured Assessment of Technical Skills tool used to evaluate surgical residents' technical skills and adapted the checklist from a mastery training checklist related to infant lumbar puncture. We tested both tools in the pediatric emergency department. Eight supervising physicians used the tools to evaluate 30 residents' technical skills in laceration repair. We performed validation testing of both tools in the simulation environment. Based on formal evaluation, we developed a video to train future evaluators on the use of the global rating scale. Results The global rating scale and checklist showed fair concordance across reviewers. Both tools received positive feedback from supervising physicians who used them. Discussion We found that the global rating scale and checklist are more applicable to formative, rather than summative, training for resident laceration repair. We recommend using these educational tools with trainees in the simulation environment prior to trainees performing laceration repairs on actual patients.Suzanne SeoAnita ThomasNeil G. UspalAssociation of American Medical CollegesarticleSimulationAssessmentProcedurePediatricLacerationMedicine (General)R5-920EducationLENMedEdPORTAL, Vol 15 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	Simulation Assessment Procedure Pediatric Laceration Medicine (General) R5-920 Education L
spellingShingle	Simulation Assessment Procedure Pediatric Laceration Medicine (General) R5-920 Education L Suzanne Seo Anita Thomas Neil G. Uspal A Global Rating Scale and Checklist Instrument for Pediatric Laceration Repair
description	Introduction Laceration repair is a core procedural skill in which pediatric residents are expected to attain proficiency per the Accreditation Council for Graduate Medical Education. Restricted trainee work hours have decreased clinical opportunities for laceration repair, and simulation may be a modality to fill that clinical gap. There is a therefore a need for objective measures of pediatric resident competence in laceration repair. Methods We created a global rating scale and checklist to assess laceration repair in the pediatric emergency department. We adapted the global rating scale from the Objective Structured Assessment of Technical Skills tool used to evaluate surgical residents' technical skills and adapted the checklist from a mastery training checklist related to infant lumbar puncture. We tested both tools in the pediatric emergency department. Eight supervising physicians used the tools to evaluate 30 residents' technical skills in laceration repair. We performed validation testing of both tools in the simulation environment. Based on formal evaluation, we developed a video to train future evaluators on the use of the global rating scale. Results The global rating scale and checklist showed fair concordance across reviewers. Both tools received positive feedback from supervising physicians who used them. Discussion We found that the global rating scale and checklist are more applicable to formative, rather than summative, training for resident laceration repair. We recommend using these educational tools with trainees in the simulation environment prior to trainees performing laceration repairs on actual patients.
format	article
author	Suzanne Seo Anita Thomas Neil G. Uspal
author_facet	Suzanne Seo Anita Thomas Neil G. Uspal
author_sort	Suzanne Seo
title	A Global Rating Scale and Checklist Instrument for Pediatric Laceration Repair
title_short	A Global Rating Scale and Checklist Instrument for Pediatric Laceration Repair
title_full	A Global Rating Scale and Checklist Instrument for Pediatric Laceration Repair
title_fullStr	A Global Rating Scale and Checklist Instrument for Pediatric Laceration Repair
title_full_unstemmed	A Global Rating Scale and Checklist Instrument for Pediatric Laceration Repair
title_sort	global rating scale and checklist instrument for pediatric laceration repair
publisher	Association of American Medical Colleges
publishDate	2019
url	https://doaj.org/article/537dafa92f9f412c8a7f5db542376cef
work_keys_str_mv	AT suzanneseo aglobalratingscaleandchecklistinstrumentforpediatriclacerationrepair AT anitathomas aglobalratingscaleandchecklistinstrumentforpediatriclacerationrepair AT neilguspal aglobalratingscaleandchecklistinstrumentforpediatriclacerationrepair AT suzanneseo globalratingscaleandchecklistinstrumentforpediatriclacerationrepair AT anitathomas globalratingscaleandchecklistinstrumentforpediatriclacerationrepair AT neilguspal globalratingscaleandchecklistinstrumentforpediatriclacerationrepair
_version_	1718417552576610304

A Global Rating Scale and Checklist Instrument for Pediatric Laceration Repair

Ejemplares similares