%0 Journal Article
%T Central Line Insertion Using Simulators
%A Barry O. Kassen
%A MD
%A Irene W.Y. Ma
%A MD
%A James M. Roberts
%A MD
%A Roger Y. Wong
%A MD
%A Scott J. Millington
%A MD
%J Journal of Hospital Medicine
%D 2009
%R 10.1002/jhm.570
%X AbstractBACKGROUND:Efficacy of simulators in teaching central venous catheterization (CVC) in an internal medicine residency program is unknown.OBJECTIVE:To determine whether or not learning CVC on simulators is associated with improvement in performance of CVC, knowledge about the procedure, and self©\reported confidence.METHODS:All consenting first©\year internal medicine residents who completed training in CVC on simulators were included. Participants were evaluated pre©\ and post©\training by video©\recorded CVC insertion and multiple©\choice knowledge assessments. Procedural technique was rated in a blinded fashion by two independent adjudicators. Knowledge retention and self©\reported confidence were reassessed at 18 months.MEASUREMENTS:Primary outcome of CVC performance was assessed based on global rating score (minimum 1, maximum 5). Secondary measures include checklist score (out of ten), knowledge score and self©\reported confidence (6©\point Likert scale ranging from ¡°none¡± to ¡°complete¡±).RESULTS:Median global rating scores in 30 participants increased from 3.5 (IQR = 3©\4) to 4.5 (IQR = 4©\4.5) (P < 0.001). Checklist score increased from 9 (IQR = 6©\9.5) to 9.5 (IQR = 9©\9.5) (P < 0.001). Knowledge score increased from 65.7 ¡À 11.9% to 81.2 ¡À 10.7% (P < 0.001). Confidence increased from 3 (¡°moderate¡±, IQR = 2©\3) to 4 (¡°good¡±, IQR=3©\4) (P < 0.001). Sixteen participants completed the retention tests. Improvement in knowledge score and confidence at 18 months was retained compared with baseline (P = 0.002 and P < 0.0001 respectively).CONCLUSIONS:Use of simulators in teaching CVC in an internal medicine residency program results in improved procedural performance, knowledge, and self©\reported confidence. Improvement in knowledge and confidence was retained at 18 months. Journal of Hospital Medicine 2009;4:410¨C416. £¿ 2009 Society of Hospital Medicine
%U https://www.journalofhospitalmedicine.com/jhospmed/article/128106/central-line-insertion-using-simulators