Assistant Professor, Departments of Pediatrics and Emergency Medicine, Yale University School of Medicine.
Resident in Pediatrics, Riley Hospital for Children, Indiana University Health.
MedEdPORTAL. 2020 Sep 4;16:10962. doi: 10.15766/mep_2374-8265.10962.
Advanced airway management in pediatrics is a rare, high stakes skillset. Developing proficiency in these skills is paramount, albeit challenging. Providers require innovative approaches to address initial training and maintenance of procedural competency. To address this, we developed a multimodality curriculum.
Through an interactive problem-based learning session utilizing real intubation videos, hands-on skill stations, and two simulation-based scenarios, participants advanced through educational objectives towards the goal of improving perceived comfort, knowledge, skills, and attitudes in emergency pediatric advanced airway management. Content was developed by integrating varied learning modalities under the construct. Please note the specialized equipment needed for this curriculum included pediatric airway trainers and a video laryngoscope.
We have conducted the curriculum in its entirety four times, reaching 131 interdisciplinary participants. Forty-nine physicians of varying training backgrounds and clinical working environments completed postparticipation evaluations. On a Likert scale ranging from 1 () to 5 (), a significant improvement in perception of comfort with managing the emergent pediatric airway was noted (2.7 to 4.6, < .0001). Further, 94% of participants reported they strongly agreed (71%) or agreed (23%) that each station added to their perceived knowledge, skills, and attitudes of pediatric airway management.
After participating in our curriculum, participants self-reported improved comfort in managing the emergent pediatric airway. This curriculum provides educators with resources to navigate the paradigm of obtaining and maintaining competency of a rare but critical skillset.
儿科高级气道管理是一项罕见且高风险的技能。熟练掌握这些技能至关重要，但也极具挑战性。为了满足这一需求，我们开发了一种多模式课程。
通过利用真实插管视频的互动式基于问题的学习课程、实践技能站和两个基于模拟的场景，参与者逐步实现教育目标，以提高在紧急儿科高级气道管理方面的舒适度、知识、技能和态度。内容是通过整合各种学习模式来构建的。请注意，本课程需要特殊设备，包括儿科气道训练器和视频喉镜。
我们已经完整地进行了四次课程，共有 131 名跨学科参与者参加。49 名具有不同培训背景和临床工作环境的医生完成了参与后的评估。在 1（非常不同意）到 5（非常同意）的李克特量表上，对管理紧急儿科气道的舒适度的认知有了显著提高（从 2.7 到 4.6，<0.0001）。此外，94%的参与者表示，每个站点都增加了他们对儿科气道管理的知识、技能和态度的理解，他们强烈同意（71%）或同意（23%）。
在参加我们的课程后，参与者自我报告说在管理紧急儿科气道方面的舒适度有所提高。本课程为教育工作者提供了资源，帮助他们掌握获得和维持罕见但关键技能的能力。
