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Self-reported experience and competence in core procedures among Canadian pediatric emergency medicine fellowship trainees

Published online by Cambridge University Press:  21 May 2015

Majid Al-Eissa ,
Simon Chu ,
Timothy Lynch ,
David Warren ,
Jamie A. Seabrook ,
Michael J. Rieder  and
Rodrick Lim
Majid Al-Eissa
Affiliation:
Department of Pediatrics, University of Western Ontario, London, Ont.
Simon Chu
Affiliation:
Department of Pediatrics, University of Western Ontario, London, Ont.
Timothy Lynch
Affiliation:
Department of Pediatrics, University of Western Ontario, London, Ont. Division of Emergency Medicine, Department of Medicine, University of Western Ontario, London, Ont.
David Warren
Affiliation:
Department of Pediatrics, University of Western Ontario, London, Ont. Division of Emergency Medicine, Department of Medicine, University of Western Ontario, London, Ont.
Jamie A. Seabrook
Affiliation:
Department of Pediatrics, University of Western Ontario, London, Ont. Department of Physiology and Pharmacology, University of Western Ontario, London, Ont.
Michael J. Rieder
Affiliation:
Department of Pediatrics, University of Western Ontario, London, Ont. Department of Physiology and Pharmacology, University of Western Ontario, London, Ont. Children's Health Research Institute, Children's Hospital, London, Ont.
Rodrick Lim*
Affiliation:
Department of Pediatrics, University of Western Ontario, London, Ont. Division of Emergency Medicine, Department of Medicine, University of Western Ontario, London, Ont. Department of Physiology and Pharmacology, University of Western Ontario, London, Ont.
*
Children's Hospital, London Health Sciences Centre, 800 Commissioners Rd. E., London ON N6C 2V5; Rod.Lim@lhsc.on.ca

Abstract

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Objective:

We sought to determine the frequency with which fellows in accredited Canadian pediatric emergency medicine (PEM) fellowships perform specific procedures, the level of confidence fellows have in their abilities and whether there are differences in self-perceived success between first- and second-year fellows.

Methods:

A national survey was developed that focused on 24 PEM procedural skills. The survey asked respondents how many times they had performed these procedures within the past 12 months and within the past 3 years. Respondents were then asked to rate their confidence in successfully performing each of the 24 procedures.

Results:

Of the 46 surveys sent to PEM fellows, 32 (70%) were returned. Most respondents were in their second year of training and the vast majority had previous training in pediatrics. In order of frequency, the most common procedures performed were closed reduction of fractures, peripheral intravenous insertion, complex laceration repair and endotracheal intubation. Of the surveyed skills, oropharyngeal/nasopharyngeal airway insertion was deemed the most successful (100% success rate for second-year fellows v. 92.5% success rate for first-year fellows, p = 0.01). Similarly, second-year fellows had a higher self-perceived success rate for intraosseous line insertion than did first-year fellows (95.0% v. 80.0% for second- and first-year fellows, respectively, p < 0.001).

Conclusion:

In surveying PEM trainees across Canada, we have described the frequency and self-perceived success rate for 24 important procedures. This information may be helpful for program directors in evaluating future directions and opportunities for training of their PEM trainees.

Keywords

pediatric emergency medicineeducationclinical competence
Type
Education • Enseignment
Information
Canadian Journal of Emergency Medicine , Volume 10 , Issue 6 , November 2008 , pp. 533 - 538
Copyright
Copyright © Canadian Association of Emergency Physicians 2008

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