Johns Hopkins University, Baltimore, MD.
Division of Pediatric Emergency Medicine, Department of Pediatrics, The Johns Hopkins University School of Medicine, Baltimore, MD.
Air Med J. 2022 Sep-Oct;41(5):442-446. doi: 10.1016/j.amj.2022.06.007. Epub 2022 Aug 4.
Pediatric interfacility transports are frequent. Despite the absence of a formal pediatric transport curriculum in eastern Canada, directly managing patients during transport and medical direction of the referring center and transport team are part of the pediatric critical care medicine (PCCM) and pediatric emergency medicine (PEM) program requirements. The authors developed a pediatric interfacility transport curriculum and measured its impact on fellows' confidence and performance.
This was a pilot interventional prospective study in Montreal, Canada. Postcurriculum surveys were used to measure confidence, and high-fidelity simulations were used to measure performance. A target threshold for confidence was defined before implementation, and pre- and post values were compared. The simulation scenario and assessment checklist were locally developed.
The participants were 11 PCCM and 3 PEM fellows. The content of the curriculum and educational methods were selected based on the literature and a needs assessment survey. All participants rated themselves as confident at the end of the curriculum. Eighty-three percent of the participants were deemed proficient with a perfect interrater agreement.
The pediatric transport curriculum had a positive impact on PEM and PCCM fellows' confidence and performance in transport. Further studies should look at the impact of such a curriculum on participants' real-life performance and patient care.
儿科医院间转运较为频繁。尽管在加拿大东部没有正式的儿科转运课程，但在转运期间直接管理患者以及对转诊中心和转运团队进行医疗指导，是儿科危重病医学（PCCM）和儿科急诊医学（PEM）项目要求的一部分。作者制定了儿科医院间转运课程，并测量了其对研究员信心和表现的影响。
这是在加拿大蒙特利尔进行的一项试点干预性前瞻性研究。课程结束后进行了问卷调查，以衡量信心，并用高保真模拟来衡量表现。在实施前定义了信心的目标阈值，并比较了前后值。模拟场景和评估检查表是在当地开发的。
参与者包括 11 名 PCCM 和 3 名 PEM 研究员。课程内容和教育方法是根据文献和需求评估调查选择的。所有参与者在课程结束时都自我评估为有信心。83%的参与者被认为具有熟练的技能，并且具有完美的评分者间一致性。
儿科转运课程对 PEM 和 PCCM 研究员在转运方面的信心和表现产生了积极影响。进一步的研究应该关注此类课程对参与者实际表现和患者护理的影响。
