부산대학교 도서관

PURPOSE OF STUDY: The need for resident education and competency in procedural skills has long been recognised. Studies show that residents are often uncomfortable with procedures and are frequently supervised by underqualified peers. Increasing duty hour restrictions and concerns for patient safety have limited procedural educational opportunities. In an effort to compensate, procedural rotations are becoming more common in internal medicine, but little to no data exists as to their role in paediatrics residency training This study is a survey of perceptions of paediatric residents who have completed procedural rotations. METHODS USED: All UCSF Fresno paediatrics residents in their 2nd and 3rd year of training were surveyed (24 residents in total). Each resident had completed 2 weeks of anesthesiology and 2 weeks of procedural hematology-oncology (HM) during their first year of training. Lumbar puncture (LP) and intubations were the procedures evaluated. Surveys were completed online or on paper, and data was de-identified for analysis.Questions measured resident experience and self-reported confidence in performing and supervising the specified procedures as well as the impact of the procedural rotations. SUMMARY OF RESULTS: All 24 paediatric residents completed the survey. 67% of residents surveyed had not done LPs or intubations prior to residency. 92% of residents reported completing at least 10 LPs and 79% reported completing at least 10 intubations during their procedural rotations. All residents reported improved confidence in their ability to perform LPs, and 88% reported improved confidence in their ability to intubate after the procedural rotations. Similarly, 92% and 46% of residents reported improved confidence in supervising LPs and intubations, respectively. 92% of residents felt the procedural HM and 88% felt that the procedural anesthesiology rotations should be a mandatory part of paediatric residency training. CONCLUSIONS: Procedural rotations can improve paediatric resident confidence in performing and supervising lumbar punctures and intubations. These findings several months after the procedural rotation may suggest persistence of this effect beyond the immediate completion of the rotation. Procedural rotations were well received by paediatric residents who felt that they are an essential part of their paediatric residency training.