Impact of a respiratory ICU rotation on resident knowledge and confidence in managing mechanical ventilation
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Outros Autores: | , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Jornal Brasileiro de Pneumologia (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1806-37132020000500202 |
Resumo: | ABSTRACT Objective: To develop and apply a competency-based test to assess learning among internal medicine residents during a respiratory ICU rotation at a university hospital. Methods: We developed a test comprising 19 multiple-choice questions regarding knowledge of mechanical ventilation (MV) and 4 self-assessment questions regarding the degree of confidence in the management of MV. The test was applied on the first and last day of a 30-day respiratory ICU rotation (pre-rotation and post-rotation, respectively). During the rotation, the residents had lectures, underwent simulator training, and shadowed physicians on daily bedside rounds focused on teaching MV management. Results: Fifty residents completed the test at both time points. The mean score increased from 6.9 ± 1.2 (pre-rotation) to 8.6 ± 0.8 (post-rotation; p < 0.001). On questions regarding the approach to hypoxemia, the recognition of patient-ventilator asynchrony, and the recognition of risk factors for extubation failure, the post-rotation scores were significantly higher than the pre-rotation scores. Confidence in airway management increased from 6% before the rotation to 22% after the rotation (p = 0.02), whereas confidence in making the initial MV settings increased from 31% to 96% (p < 0.001) and confidence in adjusting the ventilator modes increased from 23% to 77% (p < 0.001). Conclusions: We developed a competency-based test to assess knowledge of MV among residents before and after an rotation in a respiratory ICU. Resident performance increased significantly after the rotation, as did their confidence in caring for patients on MV. |
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Jornal Brasileiro de Pneumologia (Online) |
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Impact of a respiratory ICU rotation on resident knowledge and confidence in managing mechanical ventilationEducation, medicalRespiration, artificialSurveys and questionnairesinternship and residencyCompetency-based educationEducational measurementABSTRACT Objective: To develop and apply a competency-based test to assess learning among internal medicine residents during a respiratory ICU rotation at a university hospital. Methods: We developed a test comprising 19 multiple-choice questions regarding knowledge of mechanical ventilation (MV) and 4 self-assessment questions regarding the degree of confidence in the management of MV. The test was applied on the first and last day of a 30-day respiratory ICU rotation (pre-rotation and post-rotation, respectively). During the rotation, the residents had lectures, underwent simulator training, and shadowed physicians on daily bedside rounds focused on teaching MV management. Results: Fifty residents completed the test at both time points. The mean score increased from 6.9 ± 1.2 (pre-rotation) to 8.6 ± 0.8 (post-rotation; p < 0.001). On questions regarding the approach to hypoxemia, the recognition of patient-ventilator asynchrony, and the recognition of risk factors for extubation failure, the post-rotation scores were significantly higher than the pre-rotation scores. Confidence in airway management increased from 6% before the rotation to 22% after the rotation (p = 0.02), whereas confidence in making the initial MV settings increased from 31% to 96% (p < 0.001) and confidence in adjusting the ventilator modes increased from 23% to 77% (p < 0.001). Conclusions: We developed a competency-based test to assess knowledge of MV among residents before and after an rotation in a respiratory ICU. Resident performance increased significantly after the rotation, as did their confidence in caring for patients on MV.Sociedade Brasileira de Pneumologia e Tisiologia2020-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1806-37132020000500202Jornal Brasileiro de Pneumologia v.46 n.5 2020reponame:Jornal Brasileiro de Pneumologia (Online)instname:Sociedade Brasileira de Pneumologia e Tisiologia (SBPT)instacron:SBPT10.36416/1806-3756/e20190108info:eu-repo/semantics/openAccessHayashi,Fátima KiyokoAyres,Pedro Paulo Marino RodriguesMorais,Anna MiethkeSousa,Mayson Laércio de AraújoBarbas,Carmen Sílvia ValenteCosta,Eduardo Leite VieiraCaruso,PedroFerreira,Juliana Carvalhoeng2020-06-12T00:00:00Zoai:scielo:S1806-37132020000500202Revistahttp://www.jornaldepneumologia.com.br/default.aspONGhttps://old.scielo.br/oai/scielo-oai.php||jbp@jbp.org.br|| jpneumo@jornaldepneumologia.com.br1806-37561806-3713opendoar:2020-06-12T00:00Jornal Brasileiro de Pneumologia (Online) - Sociedade Brasileira de Pneumologia e Tisiologia (SBPT)false |
dc.title.none.fl_str_mv |
Impact of a respiratory ICU rotation on resident knowledge and confidence in managing mechanical ventilation |
title |
Impact of a respiratory ICU rotation on resident knowledge and confidence in managing mechanical ventilation |
spellingShingle |
Impact of a respiratory ICU rotation on resident knowledge and confidence in managing mechanical ventilation Hayashi,Fátima Kiyoko Education, medical Respiration, artificial Surveys and questionnaires internship and residency Competency-based education Educational measurement |
title_short |
Impact of a respiratory ICU rotation on resident knowledge and confidence in managing mechanical ventilation |
title_full |
Impact of a respiratory ICU rotation on resident knowledge and confidence in managing mechanical ventilation |
title_fullStr |
Impact of a respiratory ICU rotation on resident knowledge and confidence in managing mechanical ventilation |
title_full_unstemmed |
Impact of a respiratory ICU rotation on resident knowledge and confidence in managing mechanical ventilation |
title_sort |
Impact of a respiratory ICU rotation on resident knowledge and confidence in managing mechanical ventilation |
author |
Hayashi,Fátima Kiyoko |
author_facet |
Hayashi,Fátima Kiyoko Ayres,Pedro Paulo Marino Rodrigues Morais,Anna Miethke Sousa,Mayson Laércio de Araújo Barbas,Carmen Sílvia Valente Costa,Eduardo Leite Vieira Caruso,Pedro Ferreira,Juliana Carvalho |
author_role |
author |
author2 |
Ayres,Pedro Paulo Marino Rodrigues Morais,Anna Miethke Sousa,Mayson Laércio de Araújo Barbas,Carmen Sílvia Valente Costa,Eduardo Leite Vieira Caruso,Pedro Ferreira,Juliana Carvalho |
author2_role |
author author author author author author author |
dc.contributor.author.fl_str_mv |
Hayashi,Fátima Kiyoko Ayres,Pedro Paulo Marino Rodrigues Morais,Anna Miethke Sousa,Mayson Laércio de Araújo Barbas,Carmen Sílvia Valente Costa,Eduardo Leite Vieira Caruso,Pedro Ferreira,Juliana Carvalho |
dc.subject.por.fl_str_mv |
Education, medical Respiration, artificial Surveys and questionnaires internship and residency Competency-based education Educational measurement |
topic |
Education, medical Respiration, artificial Surveys and questionnaires internship and residency Competency-based education Educational measurement |
description |
ABSTRACT Objective: To develop and apply a competency-based test to assess learning among internal medicine residents during a respiratory ICU rotation at a university hospital. Methods: We developed a test comprising 19 multiple-choice questions regarding knowledge of mechanical ventilation (MV) and 4 self-assessment questions regarding the degree of confidence in the management of MV. The test was applied on the first and last day of a 30-day respiratory ICU rotation (pre-rotation and post-rotation, respectively). During the rotation, the residents had lectures, underwent simulator training, and shadowed physicians on daily bedside rounds focused on teaching MV management. Results: Fifty residents completed the test at both time points. The mean score increased from 6.9 ± 1.2 (pre-rotation) to 8.6 ± 0.8 (post-rotation; p < 0.001). On questions regarding the approach to hypoxemia, the recognition of patient-ventilator asynchrony, and the recognition of risk factors for extubation failure, the post-rotation scores were significantly higher than the pre-rotation scores. Confidence in airway management increased from 6% before the rotation to 22% after the rotation (p = 0.02), whereas confidence in making the initial MV settings increased from 31% to 96% (p < 0.001) and confidence in adjusting the ventilator modes increased from 23% to 77% (p < 0.001). Conclusions: We developed a competency-based test to assess knowledge of MV among residents before and after an rotation in a respiratory ICU. Resident performance increased significantly after the rotation, as did their confidence in caring for patients on MV. |
publishDate |
2020 |
dc.date.none.fl_str_mv |
2020-01-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1806-37132020000500202 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1806-37132020000500202 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.36416/1806-3756/e20190108 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira de Pneumologia e Tisiologia |
publisher.none.fl_str_mv |
Sociedade Brasileira de Pneumologia e Tisiologia |
dc.source.none.fl_str_mv |
Jornal Brasileiro de Pneumologia v.46 n.5 2020 reponame:Jornal Brasileiro de Pneumologia (Online) instname:Sociedade Brasileira de Pneumologia e Tisiologia (SBPT) instacron:SBPT |
instname_str |
Sociedade Brasileira de Pneumologia e Tisiologia (SBPT) |
instacron_str |
SBPT |
institution |
SBPT |
reponame_str |
Jornal Brasileiro de Pneumologia (Online) |
collection |
Jornal Brasileiro de Pneumologia (Online) |
repository.name.fl_str_mv |
Jornal Brasileiro de Pneumologia (Online) - Sociedade Brasileira de Pneumologia e Tisiologia (SBPT) |
repository.mail.fl_str_mv |
||jbp@jbp.org.br|| jpneumo@jornaldepneumologia.com.br |
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1750318347796348928 |