
Improving the competence and confidence of pulmonary and critical care medicine fellows in performing a cricothyrotomy
Author(s) -
Kapil Rajwani,
Elizabeth Mauer,
Timothy C. Clapper
Publication year - 2019
Publication title -
canadian medical education journal
Language(s) - English
Resource type - Journals
ISSN - 1923-1202
DOI - 10.36834/cmej.61818
Subject(s) - competence (human resources) , cricothyrotomy , medicine , respiratory medicine , medical education , psychology , surgery , social psychology , intubation , airway management
Clinical opportunities to practice or perform a cricothyrotomy are limited. We developed an evidence-based cricothyrotomy course following the 4-phase lesson plan for simulation that provides pulmonary and critical care medicine fellows with demonstrations, practice, and feedback to increase their confidence and competence.Survey results demonstrated an improvement in perceived confidence (p<0.005) and competence (p<0.002) following this educational intervention. Fellows also achieved significant improvement in knowledge (p<0.003) and performance in two cricothyrotomy techniques (Seldinger and MacIntyre) (p<0.004).It is important that we provide fellows with practice opportunities that can be used to develop and maintain proficiency, particularly in low frequency events.