TY - JOUR
T1 - Pediatric Interfacility Transport Curriculum
T2 - Its Impact on the Pediatric Intensive Care and Emergency Medicine Fellows’ Performance and Confidence
AU - De Cloedt, Lise
AU - Jeffers, Justin
AU - Alix-Séguin, Laurence
AU - Sauthier, Michaël
AU - Tremblay-Roy, Jean Sébastien
AU - Pettersen, Géraldine
N1 - Publisher Copyright:
© 2022 Air Medical Journal Associates
PY - 2022/9/1
Y1 - 2022/9/1
N2 - Objective: 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. Methods: 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. Results: 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. Conclusion: 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.
AB - Objective: 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. Methods: 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. Results: 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. Conclusion: 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.
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U2 - 10.1016/j.amj.2022.06.007
DO - 10.1016/j.amj.2022.06.007
M3 - Article
C2 - 36153140
AN - SCOPUS:85135404125
SN - 1067-991X
VL - 41
SP - 442
EP - 446
JO - Air Medical Journal
JF - Air Medical Journal
IS - 5
ER -