0
Education, Teaching, and Quality Improvement |

The Long-term Impact of Simulation-Based Training for Central Venous Catheter Insertion

Laura Thomas, BA; Jonathan Mahnken; Sally Rigler, MPH; Matthew Sharpe; Emily Diederich
Author and Funding Information

University of Kansas, Kansas City, KS


Chest. 2014;146(4_MeetingAbstracts):492A. doi:10.1378/chest.1988518
Text Size: A A A
Published online

Abstract

SESSION TITLE: Education and Teaching in Critical Care

SESSION TYPE: Original Investigation Slide

PRESENTED ON: Wednesday, October 29, 2014 at 07:30 AM - 08:30 AM

PURPOSE: To evaluate the long term retention of central venous catheter (CVC) insertion skills after simulation-based training.

METHODS: Forty residents rotating through the medical intensive care unit of an academic medical center completed a simulation-based training program for CVC insertion. The curriculum was designed in accordance with the principles of deliberate practice and mastery learning. Each resident underwent baseline skills testing, then received one-on-one instruction until they were able to insert the CVC on the model while achieving the previously determined minimum passing score on a 26-item checklist. Upon completion of their 1-month ICU rotation, residents returned for repeat skills testing. One year later, the residents who were available returned to the lab again to repeat the same skills testing. Mean score on the 26-item checklist one year after simulation-based training was compared with resident performance prior to training and one month after training in order to assess skill retention.

RESULTS: A total of 27 of the original 40 residents (67.5%) participated in long-term follow-up testing. The mean checklist score one year after simulation-based training was over five points higher than pre-training (average difference 5.3; 95% confidence interval: 3.2, 7.5; p<0.01). The mean checklist score at one year did, however, significantly decline compared with the performance one month after training (average difference -3.7; 95% confidence interval: -5.9, -1.6; p<0.01).

CONCLUSIONS: Although resident performance after simulation-based training for CVC insertion declined over time, the performance on skills testing remained significantly improved over pre-training levels even into the following academic year.

CLINICAL IMPLICATIONS: Simulation-based education for CVC insertion provides a lasting impact on resident performance, although refresher instruction may be needed to maintain skills at a mastery level.

DISCLOSURE: The following authors have nothing to disclose: Laura Thomas, Jonathan Mahnken, Sally Rigler, Matthew Sharpe, Emily Diederich

No Product/Research Disclosure Information


Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Figures

Tables

References

NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Related Content

Customize your page view by dragging & repositioning the boxes below.

Find Similar Articles
CHEST Journal Articles
PubMed Articles
  • CHEST Journal
    Print ISSN: 0012-3692
    Online ISSN: 1931-3543