Augustine EM, and Kahana M. Effect of procedure simulation workshops on resident procedural confidence and competence. J Grad Med Educ.2012 Dec;4(4):479-85.

PMID: 24294425

Abstract

Pediatrics residents perform a limited number of some procedures in the clinical setting and may benefit from procedure simulation workshops.

OBJECTIVE:
To examine (1) the number and types of procedures performed by pediatrics residents in the clinical setting, (2) the relationship between the number of procedures performed and self-reported procedural confidence and competence, and (3) the effect of a procedure simulation workshop on self-reported procedural confidence and competence.

METHODS:
Pediatrics residents at Lucile Packard Children's Hospital at Stanford attended a half-day procedure workshop, rotating between 6 procedure simulation stations: vascular access, airway management, bladder catheterization, chest tube placement, lumbar puncture, and umbilical lines. Residents completed a survey immediately before and after the workshop to self-assess procedural confidence and competence.

RESULTS:
Seventy-two residents participated in a procedure workshop. The average number of procedures performed increased significantly from intern to junior to senior year. A positive correlation was found between number of procedures performed and preworkshop confidence (P < .001, R (2)  =  0.86) and competence (P < .001, R (2)  =  0.88). For each procedure assessed, completion of the procedure simulation workshop resulted in a statistically significant (P < .001) increase in self-perceived confidence (14%-131%; average, 48%) and competence (12%-119%; average, 50%). Statistically significant (P < .05) increases remained when results for interns, juniors, and seniors were examined separately.

CONCLUSION:
Procedure simulation workshops improve resident self-reported procedural confidence and competence, particularly for procedures that are least performed.