Abstract
Background Simulation training can improve proficiency in central line placement, but it is expensive and resource intensive. The authors developed a 3-phase approach to central venous catheter placement training, including an online module, mannequin-based simulation using a single faculty member, followed by department directed clinical observation. The hypothesis was that standardizing institutional central venous catheter placement training would maintain training efficiency and reduce faculty and resource demands. Methods Preintervention and postintervention assessments of the trainees' performance were collected to evaluate program effectiveness. Program surveys were collected to evaluate residents' satisfaction and comfort with the procedure. Resource utilization was compared between the period before program implementation and the 2 following years. Results Mean pretest to posttest scores for the online module improved significantly from 7.0 to 8.4 in 2010 and from 7.1 to 8.4 in 2011. Video evaluation demonstrated significant improvement across all postgraduate year levels. Surveys revealed high resident satisfaction and increased procedural confidence. Overall resource costs and faculty requirements decreased. Conclusions A standardized training program for an entire institution can maintain quality while being more cost effective than traditional central venous catheter placement training.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 243-250 |
| Number of pages | 8 |
| Journal | American Journal of Surgery |
| Volume | 207 |
| Issue number | 2 |
| DOIs | |
| State | Published - Feb 2014 |
Fingerprint
Keywords
- Central line simulation
- CVC simulation
- Resource utilization
- Standardized training
ASJC Scopus subject areas
- Surgery
Cite this
Do more with less : A surgery directed institutional model for resident central line training. / Leshikar, David; Pierce, Jonathan L; Salcedo, Edgardo; Bola, Gurpreet; Galante, Joseph M.
In: American Journal of Surgery, Vol. 207, No. 2, 02.2014, p. 243-250.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Do more with less
T2 - A surgery directed institutional model for resident central line training
AU - Leshikar, David
AU - Pierce, Jonathan L
AU - Salcedo, Edgardo
AU - Bola, Gurpreet
AU - Galante, Joseph M
PY - 2014/2
Y1 - 2014/2
N2 - Background Simulation training can improve proficiency in central line placement, but it is expensive and resource intensive. The authors developed a 3-phase approach to central venous catheter placement training, including an online module, mannequin-based simulation using a single faculty member, followed by department directed clinical observation. The hypothesis was that standardizing institutional central venous catheter placement training would maintain training efficiency and reduce faculty and resource demands. Methods Preintervention and postintervention assessments of the trainees' performance were collected to evaluate program effectiveness. Program surveys were collected to evaluate residents' satisfaction and comfort with the procedure. Resource utilization was compared between the period before program implementation and the 2 following years. Results Mean pretest to posttest scores for the online module improved significantly from 7.0 to 8.4 in 2010 and from 7.1 to 8.4 in 2011. Video evaluation demonstrated significant improvement across all postgraduate year levels. Surveys revealed high resident satisfaction and increased procedural confidence. Overall resource costs and faculty requirements decreased. Conclusions A standardized training program for an entire institution can maintain quality while being more cost effective than traditional central venous catheter placement training.
AB - Background Simulation training can improve proficiency in central line placement, but it is expensive and resource intensive. The authors developed a 3-phase approach to central venous catheter placement training, including an online module, mannequin-based simulation using a single faculty member, followed by department directed clinical observation. The hypothesis was that standardizing institutional central venous catheter placement training would maintain training efficiency and reduce faculty and resource demands. Methods Preintervention and postintervention assessments of the trainees' performance were collected to evaluate program effectiveness. Program surveys were collected to evaluate residents' satisfaction and comfort with the procedure. Resource utilization was compared between the period before program implementation and the 2 following years. Results Mean pretest to posttest scores for the online module improved significantly from 7.0 to 8.4 in 2010 and from 7.1 to 8.4 in 2011. Video evaluation demonstrated significant improvement across all postgraduate year levels. Surveys revealed high resident satisfaction and increased procedural confidence. Overall resource costs and faculty requirements decreased. Conclusions A standardized training program for an entire institution can maintain quality while being more cost effective than traditional central venous catheter placement training.
KW - Central line simulation
KW - CVC simulation
KW - Resource utilization
KW - Standardized training
UR - http://www.scopus.com/inward/record.url?scp=84893695899&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84893695899&partnerID=8YFLogxK
U2 - 10.1016/j.amjsurg.2013.09.005
DO - 10.1016/j.amjsurg.2013.09.005
M3 - Article
VL - 207
SP - 243
EP - 250
JO - American Journal of Surgery
JF - American Journal of Surgery
SN - 0002-9610
IS - 2
ER -