Novel Educational Module for Subclavian Central Venous Catheter Insertion Using Real-Time Ultrasound Guidance
Objective Given increasing evidence supporting a real-time ultrasound (US)-guided approach for subclavian vein (SCV) central venous catheter (CVC) insertion as compared with the traditional landmark approach, we sought to develop a standardized curriculum to offer healthcare providers a means to att...
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| Veröffentlicht in: | Journal of surgical education 2015-11, Vol.72 (6), p.1217-1223 |
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| container_title | Journal of surgical education |
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| creator | Bayci, Andrew W.L., MD Mangla, Jimmi, MD Jenkins, Christina S., MD Ivascu, Felicia A., MD, FACS Robbins, James M., MD, FACS |
| description | Objective Given increasing evidence supporting a real-time ultrasound (US)-guided approach for subclavian vein (SCV) central venous catheter (CVC) insertion as compared with the traditional landmark approach, we sought to develop a standardized curriculum to offer healthcare providers a means to attain increased competency and confidence in US-guided SCV CVC insertion. Design Retrospective review of prospectively collected data. Setting Single institution’s American College of Surgeons Level 1 Accredited Education Institute within an academic tertiary care center. Subjects A total of 77 residents and midlevel providers working in our surgical intensive care unit. Interventions Providers participated in a tiered educational module designed to teach safe US-guided SCV CVC insertion. The education consisted of a multimedia didactic presentation and a hands-on simulation session, including US anatomy on live subjects and anatomical model-based SCV CVC insertion. Measurements and Main Results Assessment of the effect of education included a written examination and confidence survey, administered pre- and postintervention, and videotaped simulation session graded by blinded expert evaluators. Of the 77 participants, 70 participants completed a posttest with a median 5-point increase in score compared with that of the pretest score (p < 0.0001). Confidence ratings based on a 5-point Likert scale demonstrated an increase in confidence in SCV CVC insertion (p < 0.0001), using the landmark approach (p < 0.0001), using US-guided approach (p < 0.0001), and in use of US to image the SCV (p < 0.0001). Postgraduate year–1 residents had lower mean global rating score (p = 0.010) than any other participants. Conclusions This comprehensive hands-on teaching module-based curriculum enhanced learner knowledge of and confidence in US-guided SCV CVC insertion. This module can be implemented in simulation centers for teaching safe and successful SCV CVC insertion. |
| doi_str_mv | 10.1016/j.jsurg.2015.07.010 |
| format | Article |
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Design Retrospective review of prospectively collected data. Setting Single institution’s American College of Surgeons Level 1 Accredited Education Institute within an academic tertiary care center. Subjects A total of 77 residents and midlevel providers working in our surgical intensive care unit. Interventions Providers participated in a tiered educational module designed to teach safe US-guided SCV CVC insertion. The education consisted of a multimedia didactic presentation and a hands-on simulation session, including US anatomy on live subjects and anatomical model-based SCV CVC insertion. Measurements and Main Results Assessment of the effect of education included a written examination and confidence survey, administered pre- and postintervention, and videotaped simulation session graded by blinded expert evaluators. Of the 77 participants, 70 participants completed a posttest with a median 5-point increase in score compared with that of the pretest score (p < 0.0001). Confidence ratings based on a 5-point Likert scale demonstrated an increase in confidence in SCV CVC insertion (p < 0.0001), using the landmark approach (p < 0.0001), using US-guided approach (p < 0.0001), and in use of US to image the SCV (p < 0.0001). Postgraduate year–1 residents had lower mean global rating score (p = 0.010) than any other participants. Conclusions This comprehensive hands-on teaching module-based curriculum enhanced learner knowledge of and confidence in US-guided SCV CVC insertion. This module can be implemented in simulation centers for teaching safe and successful SCV CVC insertion.</description><identifier>ISSN: 1931-7204</identifier><identifier>EISSN: 1878-7452</identifier><identifier>DOI: 10.1016/j.jsurg.2015.07.010</identifier><identifier>PMID: 26481424</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Catheterization, Central Venous - methods ; central venous catheters ; Clinical Competence ; credentialing ; Curriculum ; education ; Health Personnel - education ; Humans ; Medical Knowledge ; Patient Care ; Practice-Based Learning and Improvement ; Retrospective Studies ; Subclavian Vein ; Surgery ; ultrasonography ; Ultrasonography, Interventional</subject><ispartof>Journal of surgical education, 2015-11, Vol.72 (6), p.1217-1223</ispartof><rights>Association of Program Directors in Surgery</rights><rights>2015 Association of Program Directors in Surgery</rights><rights>Copyright © 2015 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c480t-74d536e240b57f08ebd39d3d73df9e0021d40125d9e6d9d7b18aa5c51657b9013</citedby><cites>FETCH-LOGICAL-c480t-74d536e240b57f08ebd39d3d73df9e0021d40125d9e6d9d7b18aa5c51657b9013</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jsurg.2015.07.010$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26481424$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bayci, Andrew W.L., MD</creatorcontrib><creatorcontrib>Mangla, Jimmi, MD</creatorcontrib><creatorcontrib>Jenkins, Christina S., MD</creatorcontrib><creatorcontrib>Ivascu, Felicia A., MD, FACS</creatorcontrib><creatorcontrib>Robbins, James M., MD, FACS</creatorcontrib><title>Novel Educational Module for Subclavian Central Venous Catheter Insertion Using Real-Time Ultrasound Guidance</title><title>Journal of surgical education</title><addtitle>J Surg Educ</addtitle><description>Objective Given increasing evidence supporting a real-time ultrasound (US)-guided approach for subclavian vein (SCV) central venous catheter (CVC) insertion as compared with the traditional landmark approach, we sought to develop a standardized curriculum to offer healthcare providers a means to attain increased competency and confidence in US-guided SCV CVC insertion. Design Retrospective review of prospectively collected data. Setting Single institution’s American College of Surgeons Level 1 Accredited Education Institute within an academic tertiary care center. Subjects A total of 77 residents and midlevel providers working in our surgical intensive care unit. Interventions Providers participated in a tiered educational module designed to teach safe US-guided SCV CVC insertion. The education consisted of a multimedia didactic presentation and a hands-on simulation session, including US anatomy on live subjects and anatomical model-based SCV CVC insertion. Measurements and Main Results Assessment of the effect of education included a written examination and confidence survey, administered pre- and postintervention, and videotaped simulation session graded by blinded expert evaluators. Of the 77 participants, 70 participants completed a posttest with a median 5-point increase in score compared with that of the pretest score (p < 0.0001). Confidence ratings based on a 5-point Likert scale demonstrated an increase in confidence in SCV CVC insertion (p < 0.0001), using the landmark approach (p < 0.0001), using US-guided approach (p < 0.0001), and in use of US to image the SCV (p < 0.0001). Postgraduate year–1 residents had lower mean global rating score (p = 0.010) than any other participants. Conclusions This comprehensive hands-on teaching module-based curriculum enhanced learner knowledge of and confidence in US-guided SCV CVC insertion. This module can be implemented in simulation centers for teaching safe and successful SCV CVC insertion.</description><subject>Catheterization, Central Venous - methods</subject><subject>central venous catheters</subject><subject>Clinical Competence</subject><subject>credentialing</subject><subject>Curriculum</subject><subject>education</subject><subject>Health Personnel - education</subject><subject>Humans</subject><subject>Medical Knowledge</subject><subject>Patient Care</subject><subject>Practice-Based Learning and Improvement</subject><subject>Retrospective Studies</subject><subject>Subclavian Vein</subject><subject>Surgery</subject><subject>ultrasonography</subject><subject>Ultrasonography, Interventional</subject><issn>1931-7204</issn><issn>1878-7452</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkUFv1DAQhSMEoqXwC5CQj1w2HTt2nBxAQqtSKhWQaBdxsxx7UhycuLWTlfrvcdiWAxdOY2ne88x8ryheUygp0Pp0KIe0xJuSARUlyBIoPCmOaSObjeSCPc3vtqIbyYAfFS9SGgAEb1n7vDhiNW8oZ_y4GL-EPXpyZhejZxcm7cnnYBePpA-RXC2d8Xrv9ES2OM0xd7_jFJZEtnr-iTNGcjEljKuT7JKbbsg31H5z7UYkO58NKSyTJeeLs3oy-LJ41muf8NVDPSl2H8-ut582l1_PL7YfLjeGNzDn9a2oamQcOiF7aLCzVWsrKyvbtwjAqOVAmbAt1ra1sqON1sIIWgvZtUCrk-Lt4d_bGO4WTLMaXTLovZ4wb6-orCSXddPILK0OUhNDShF7dRvdqOO9oqBWzmpQfzirlbMCqTLn7HrzMGDpRrR_PY9gs-DdQYD5zL3DqJJxmBFYF9HMygb3nwHv__Eb7yZntP-F95iGsMScVb5EJaZAXa1Rr0lTAUBb-aP6DdrVpUA</recordid><startdate>20151101</startdate><enddate>20151101</enddate><creator>Bayci, Andrew W.L., MD</creator><creator>Mangla, Jimmi, MD</creator><creator>Jenkins, Christina S., MD</creator><creator>Ivascu, Felicia A., MD, FACS</creator><creator>Robbins, James M., MD, FACS</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20151101</creationdate><title>Novel Educational Module for Subclavian Central Venous Catheter Insertion Using Real-Time Ultrasound Guidance</title><author>Bayci, Andrew W.L., MD ; Mangla, Jimmi, MD ; Jenkins, Christina S., MD ; Ivascu, Felicia A., MD, FACS ; Robbins, James M., MD, FACS</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c480t-74d536e240b57f08ebd39d3d73df9e0021d40125d9e6d9d7b18aa5c51657b9013</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Catheterization, Central Venous - methods</topic><topic>central venous catheters</topic><topic>Clinical Competence</topic><topic>credentialing</topic><topic>Curriculum</topic><topic>education</topic><topic>Health Personnel - education</topic><topic>Humans</topic><topic>Medical Knowledge</topic><topic>Patient Care</topic><topic>Practice-Based Learning and Improvement</topic><topic>Retrospective Studies</topic><topic>Subclavian Vein</topic><topic>Surgery</topic><topic>ultrasonography</topic><topic>Ultrasonography, Interventional</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bayci, Andrew W.L., MD</creatorcontrib><creatorcontrib>Mangla, Jimmi, MD</creatorcontrib><creatorcontrib>Jenkins, Christina S., MD</creatorcontrib><creatorcontrib>Ivascu, Felicia A., MD, FACS</creatorcontrib><creatorcontrib>Robbins, James M., MD, FACS</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of surgical education</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bayci, Andrew W.L., MD</au><au>Mangla, Jimmi, MD</au><au>Jenkins, Christina S., MD</au><au>Ivascu, Felicia A., MD, FACS</au><au>Robbins, James M., MD, FACS</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Novel Educational Module for Subclavian Central Venous Catheter Insertion Using Real-Time Ultrasound Guidance</atitle><jtitle>Journal of surgical education</jtitle><addtitle>J Surg Educ</addtitle><date>2015-11-01</date><risdate>2015</risdate><volume>72</volume><issue>6</issue><spage>1217</spage><epage>1223</epage><pages>1217-1223</pages><issn>1931-7204</issn><eissn>1878-7452</eissn><abstract>Objective Given increasing evidence supporting a real-time ultrasound (US)-guided approach for subclavian vein (SCV) central venous catheter (CVC) insertion as compared with the traditional landmark approach, we sought to develop a standardized curriculum to offer healthcare providers a means to attain increased competency and confidence in US-guided SCV CVC insertion. Design Retrospective review of prospectively collected data. Setting Single institution’s American College of Surgeons Level 1 Accredited Education Institute within an academic tertiary care center. Subjects A total of 77 residents and midlevel providers working in our surgical intensive care unit. Interventions Providers participated in a tiered educational module designed to teach safe US-guided SCV CVC insertion. The education consisted of a multimedia didactic presentation and a hands-on simulation session, including US anatomy on live subjects and anatomical model-based SCV CVC insertion. Measurements and Main Results Assessment of the effect of education included a written examination and confidence survey, administered pre- and postintervention, and videotaped simulation session graded by blinded expert evaluators. Of the 77 participants, 70 participants completed a posttest with a median 5-point increase in score compared with that of the pretest score (p < 0.0001). Confidence ratings based on a 5-point Likert scale demonstrated an increase in confidence in SCV CVC insertion (p < 0.0001), using the landmark approach (p < 0.0001), using US-guided approach (p < 0.0001), and in use of US to image the SCV (p < 0.0001). Postgraduate year–1 residents had lower mean global rating score (p = 0.010) than any other participants. Conclusions This comprehensive hands-on teaching module-based curriculum enhanced learner knowledge of and confidence in US-guided SCV CVC insertion. This module can be implemented in simulation centers for teaching safe and successful SCV CVC insertion.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>26481424</pmid><doi>10.1016/j.jsurg.2015.07.010</doi><tpages>7</tpages></addata></record> |
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| subjects | Catheterization, Central Venous - methods central venous catheters Clinical Competence credentialing Curriculum education Health Personnel - education Humans Medical Knowledge Patient Care Practice-Based Learning and Improvement Retrospective Studies Subclavian Vein Surgery ultrasonography Ultrasonography, Interventional |
| title | Novel Educational Module for Subclavian Central Venous Catheter Insertion Using Real-Time Ultrasound Guidance |
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