Overview

This trial is active, not recruiting.

Conditions health personnel, healthy
Treatment formal curriculum; low-fidelity simulation
Sponsor Children's Hospital Boston
Collaborator Association of Pediatric Program Directors
Start date June 2005
End date June 2006
Trial size 38 participants
Trial identifier NCT00115596, CH 05-05-040

Summary

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.

United States No locations recruiting
Other Countries No locations recruiting

Study Design

Allocation randomized
Endpoint classification efficacy study
Intervention model factorial assignment
Masking open label
Primary purpose educational/counseling/training

Primary Outcomes

Measure
1. Percent successful IV placement over 6 months
time frame:
2. Percent successful venipunctures over 6 months
time frame:
3. Score on lumbar puncture subcomponent checklist on simulator at 6 months
time frame:
4. Score on bag mask ventilation subcomponent checklist on simulator at 6 months.
time frame:

Secondary Outcomes

Measure
Bag Mask Ventilation: 1. Percentage able to successfully ventilate simulator at 0 and 6 months
time frame:
2. Average score on subcomponent checklist at 6 months
time frame:
3. Average time to success at 0 and 6 months
time frame:
4. Score (%) on written test at 0 and 6 months
time frame:
5. Average likert scale scores on confidence with procedures at 6 months
time frame:
IV insertion: 1. Percent successful PIV insertion on simulator at 0 and 6 months
time frame:
2. Score (%) on subcomponent checklist at 0 and 6 months
time frame:
3. Score (%) on written test at 0 and 6 months
time frame:
4. Average likert scale scores on confidence with procedures at 6 months
time frame:
Venipuncture: 1. Percent successful VP insertion on simulator at 0 and 6 months
time frame:
Lumbar puncture: 1. Percentage of atraumatic LP attempts over 6 months
time frame:
2. Score (%) on subcomponent checklist on simulator at 6 months
time frame:
3. Score (%) on subcomponent checklist on first live patient LP
time frame:
4. Number of attempts needed to demonstrate competence
time frame:
5. Score (%) on written test at 0 and 6 months
time frame:
6. Average likert scale scores on confidence with procedures at 6 months
time frame:

Eligibility Criteria

Male or female participants of any age.

Inclusion Criteria: - Pediatric Intern in the Boston Combined Residency Program for AY '05-'06 Exclusion Criteria: - None

Additional Information

Official title Reforming Pediatric Procedural Training: Developing an Evidence-Based Curriculum
Principal investigator Michael G Gaies, MD MPH
Trial information was received from ClinicalTrials.gov and was last updated in June 2005.
Information provided to ClinicalTrials.gov by Children's Hospital Boston.