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Completed

NCT Number: NCT00115596

Reforming Pediatric Procedural Training

This study is randomized trial of a procedural skills training curriculum utilizing simulation to teach basic procedural skills to pediatric residents.

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Key information

Conditions

Health Personnel Healthy

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Children's Hospital Boston

Boston, Massachusetts, 02115, United States

About this study

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.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Pediatric Intern in the Boston Combined Residency Program for AY '05-'06

Exclusion criteria

  • None

Treatment and study plan

Formal Curriculum; Low-Fidelity Simulation

Other

The intervention was a formal procedural skills training curriculum consisting of didactic lectures and simulation training.

Primary outcomes

  1. 1. Percent successful IV placement over 6 months

    Time frame: 6/19/2005 - 6/30/2006

    % IVs successfully placed

  2. 2. Percent successful venipunctures over 6 months

    Time frame: 6/19/2005 - 6/30/2006

    % venipunctures with adequate sample for testing

  3. 3. Score on lumbar puncture subcomponent checklist on simulator at 6 months

    Time frame: 6/19/2005 - 6/30/2006

    % steps correct on checklist

  4. Score on bag mask ventilation 9BMV) subcomponent checklist on simulator at 6 months.

    Time frame: 6/19/2005 - 6/30/2006

    % steps correct on checklist

Secondary outcomes

  1. Bag Mask Ventilation: 1. Percentage able to successfully ventilate simulator at 0 and 6 months

    Time frame: 6/19/2005 - 6/30/2006

    Percentage able to successfully ventilate simulator at 0 and 6 months

  2. Average score on BMV checklist at 6 months

    Time frame: 6/19/2005 - 6/30/2006

    Average score on subcomponent checklist at 6 months

  3. Average time to success at 0 and 6 months

    Time frame: 6/19/2005 - 6/30/2006

    Average time to success at 0 and 6 months

  4. 4. Score (%) on BMV written test at 0 and 6 months

    Time frame: 6/19/2005 - 6/30/2006

    Score (%) on written test at 0 and 6 months

  5. 5. Average likert scale scores on confidence with BMV at 6 months

    Time frame: 6/19/2005 - 6/30/2006

    Average likert scale scores on confidence with procedures at 6 months

  6. IV insertion: 1. Percent successful PIV insertion on simulator at 0 and 6 months

    Time frame: 6/19/2005 - 6/30/2006

    Percent successful PIV insertion on simulator at 0 and 6 months

  7. Score (%) on PIV subcomponent checklist at 0 and 6 months

    Time frame: 6/19/2005 - 6/30/2006

    Score (%) on subcomponent checklist at 0 and 6 months

  8. Score (%) on PIV written test at 0 and 6 months

    Time frame: 6/19/2005 - 6/30/2006

    Score on written test

  9. Average likert scale scores on confidence with PIV at 6 months

    Time frame: 6/19/2005 - 6/30/2006

    Likert scale score

  10. Venipuncture: 1. Percent successful VP insertion on simulator at 0 and 6 months

    Time frame: 6/19/2005 - 6/30/2006

    % VP successul on simulator

  11. 2. Score (%) on VP subcomponent checklist at 0 and 6 months

    Time frame: 6/19/2005 - 6/30/2006

    Score on checklist

  12. 3. Score (%) on VP written test at 0 and 6 months

    Time frame: 6/19/2005 - 6/30/2006

    Score on written test

  13. 4. Average likert scale scores on confidence with VP at 6 months

    Time frame: 6/19/2005 - 6/30/2006

    Likert score

  14. Lumbar puncture: 1. Percentage of atraumatic LP attempts over 6 months

    Time frame: 6/19/2005 - 6/30/2006

    Successful LPs on patients

  15. 2. Score (%) on LP subcomponent checklist on simulator at 6 months

    Time frame: 6/19/2005 - 6/30/2006

    Score on checklist

  16. 3. Score (%) on subcomponent checklist on first live patient LP

    Time frame: 6/19/2005 - 6/30/2006

    checklist score

  17. 4. Number of LP attempts needed to demonstrate competence

    Time frame: 6/19/2005 - 6/30/2006

    number of LPs

  18. 5. Score (%) on LP written test at 0 and 6 months

    Time frame: 6/19/2005 - 6/30/2006

    Score on written test

  19. 6. Average likert scale scores on confidence with LP at 6 months

    Time frame: 6/19/2005 - 6/30/2006

    Likert score

Sponsors and collaborators

Lead sponsor

Boston Children's Hospital

Other

Collaborators

  • Association of Pediatric Program Directors

Registry information

Official study title

Reforming Pediatric Procedural Training: Developing an Evidence-Based Curriculum

Important dates

Study start
2005
Primary completion
2006
Study completion
2006
First posted
Jun 24, 2005
Registry last updated
Jul 21, 2017

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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