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Using rapid cycle deliberate practice to improve primary and secondary survey in pediatric trauma
BACKGROUND: Optimal performance of the primary and secondary survey is the foundation of Advance Trauma Life Support care. Despite its importance, not all primary surveys completed at level 1 pediatric trauma centers are performed according to established guidelines (Gala et al., Pediatr Emerg Care...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7189590/ https://www.ncbi.nlm.nih.gov/pubmed/32345288 http://dx.doi.org/10.1186/s12909-020-02038-z |
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author | Yan, Diana Hou Slidell, Mark B McQueen, Alisa |
author_facet | Yan, Diana Hou Slidell, Mark B McQueen, Alisa |
author_sort | Yan, Diana Hou |
collection | PubMed |
description | BACKGROUND: Optimal performance of the primary and secondary survey is the foundation of Advance Trauma Life Support care. Despite its importance, not all primary surveys completed at level 1 pediatric trauma centers are performed according to established guidelines (Gala et al., Pediatr Emerg Care 32:756–762, 2016, Carter et al., Resuscitation 84:66–71, 2013). We hypothesize that rapid cycle deliberate practice (RCDP) will improve surgical residents’ confidence in performing the primary and secondary survey. METHODS: We developed a curriculum to teach surgical interns the principles of performing the primary and secondary survey using RCDP. Surveys distributed after each session assessed the impact of the curriculum on learner confidence and perception that this curriculum would benefit patient care. Questions were scored on a 5-point Likert scale. Sixteen surgical interns participated during intern orientation and 100% of the participants completed the post curriculum survey. RESULTS: Thirteen (81%) of participants agreed or strongly agreed that the simulation would impact future performance in the pediatric trauma bay. The curriculum also significantly improved the confidence of our learners to perform trauma surveys (p < 0.001). CONCLUSION: This curriculum improves the confidence of junior surgical residents in learning the primary and secondary survey. Most learners enjoyed the session and felt that the curriculum would positively impact their performance. |
format | Online Article Text |
id | pubmed-7189590 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-71895902020-05-04 Using rapid cycle deliberate practice to improve primary and secondary survey in pediatric trauma Yan, Diana Hou Slidell, Mark B McQueen, Alisa BMC Med Educ Research Article BACKGROUND: Optimal performance of the primary and secondary survey is the foundation of Advance Trauma Life Support care. Despite its importance, not all primary surveys completed at level 1 pediatric trauma centers are performed according to established guidelines (Gala et al., Pediatr Emerg Care 32:756–762, 2016, Carter et al., Resuscitation 84:66–71, 2013). We hypothesize that rapid cycle deliberate practice (RCDP) will improve surgical residents’ confidence in performing the primary and secondary survey. METHODS: We developed a curriculum to teach surgical interns the principles of performing the primary and secondary survey using RCDP. Surveys distributed after each session assessed the impact of the curriculum on learner confidence and perception that this curriculum would benefit patient care. Questions were scored on a 5-point Likert scale. Sixteen surgical interns participated during intern orientation and 100% of the participants completed the post curriculum survey. RESULTS: Thirteen (81%) of participants agreed or strongly agreed that the simulation would impact future performance in the pediatric trauma bay. The curriculum also significantly improved the confidence of our learners to perform trauma surveys (p < 0.001). CONCLUSION: This curriculum improves the confidence of junior surgical residents in learning the primary and secondary survey. Most learners enjoyed the session and felt that the curriculum would positively impact their performance. BioMed Central 2020-04-28 /pmc/articles/PMC7189590/ /pubmed/32345288 http://dx.doi.org/10.1186/s12909-020-02038-z Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Article Yan, Diana Hou Slidell, Mark B McQueen, Alisa Using rapid cycle deliberate practice to improve primary and secondary survey in pediatric trauma |
title | Using rapid cycle deliberate practice to improve primary and secondary survey in pediatric trauma |
title_full | Using rapid cycle deliberate practice to improve primary and secondary survey in pediatric trauma |
title_fullStr | Using rapid cycle deliberate practice to improve primary and secondary survey in pediatric trauma |
title_full_unstemmed | Using rapid cycle deliberate practice to improve primary and secondary survey in pediatric trauma |
title_short | Using rapid cycle deliberate practice to improve primary and secondary survey in pediatric trauma |
title_sort | using rapid cycle deliberate practice to improve primary and secondary survey in pediatric trauma |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7189590/ https://www.ncbi.nlm.nih.gov/pubmed/32345288 http://dx.doi.org/10.1186/s12909-020-02038-z |
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