Premium
Resident perception of standardization and credentialing for high‐risk bedside procedures in cardiothoracic surgery: Results from an institutional pilot study
Author(s) -
Okusanya Olugbenga,
Bartow Alexandrea,
ArandaMichel Edgar,
Kinnunen Angela,
Schuchert Matthew,
Kilic Arman,
Sanchez Pablo,
Dhupar Rajeev,
Luketich James,
Sultan Ibrahim
Publication year - 2020
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/jocs.15007
Subject(s) - medicine , thoracentesis , credentialing , thoracostomy , pneumothorax , cardiothoracic surgery , surgery , medical physics , pleural effusion , nursing
Objectives Though clear‐guidelines are set by the American Board of Thoracic Surgery (ABTS) for the operative cases that cardiothoracic surgery residents must perform to be board‐eligible, no such recommendations exist to assess competency for the wide range of high‐risk bedside procedures. Our department created and implemented a multidisciplinary course designed to standardize common high‐risk bedside procedures and credential our trainees. The aim of this study was to survey the attitudes of residents towards and query the efficacy of such a course. Methods The course was designed with the goal of standardizing endotracheal intubation, arterial line insertion (radial and femoral), central venous line insertion, pigtail tube thoracostomy, thoracentesis and nasogastric tube placement. The course consisted of an online module followed by a 4‐hour hands‐on simulation session. Knowledge‐based pre‐ and post‐evaluations were administered as well as a Likert‐based survey regarding multiple aspects of the residents′ perceptions of the course and the procedures. Results Twenty‐three (7 traditional and 16 integrated) cardiothoracic surgical residents participated in the course. Residents reported that 48% of the time, bedside procedures were historically taught by other trainees rather than by faculty. All residents endorsed increased standardization of all procedures after the course. Likewise, residents showed increased confidence in all procedures except for pigtail tube thoracostomy, thoracentesis as well as nasogastric tube placement. 43.5% of the participants demonstrated improvement in the pretest and posttest knowledge‐based evaluations. Conclusion Cardiothoracic residents have favorable attitudes towards standardization and credentialing for high‐risk bedside procedures and utilizing such courses may help standardize procedural techniques.