Journal
AMERICAN JOURNAL OF SURGERY
Volume 224, Issue 3, Pages 903-907Publisher
EXCERPTA MEDICA INC-ELSEVIER SCIENCE INC
DOI: 10.1016/j.amjsurg.2021.12.006
Keywords
Central venous catheterization; Residency bootcamp; Medical simulation; Computer-based learning; Simulation-based learning
Categories
Funding
- National Heart, Lung, and Blood Institute of the National Institutes of Health (NIH) [RO1HL127316]
- National Science Foundation Graduate Research Fellowship Program [DGE1255832]
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This study compares the effectiveness of in-person and online procedural training for surgical residents in ultrasound-guided internal jugular central venous catheterization (US-IJCVC). The results show that online training with independent simulation practice is as effective as in-person training for US-IJCVC.
Background: This study compares surgical residents' knowledge acquisition of ultrasound-guided Internal Jugular Central Venous Catheterization (US-IJCVC) between in-person and online procedural training cohorts before receiving independent in-person Dynamic Haptic Robotic Simulation training. Methods: Three surgical residency procedural training cohorts, two in-person (N = 26) and one online (N = 14), were compared based on their performance on a 24-item US-IJCVC evaluation checklist completed by an expert physician completed after training. Pre- and post-training US-IJCVC knowledge was also compared for the online cohort. Results: No significant change in the pass rates on the US-IJCVC checklist was found between in-person and online cohorts (p = 0.208). There were differences in the Economy of Time and Motion between in-person and online cohorts (p < 0.005). The online cohort had significant increases in US-IJCVC knowledge pre-to post-training (p < 0.008). Conclusion: Online training with independent simulation practice was as effective as in-person training for US-IJCVC.
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