Procedural training opportunities for basic pediatric trainees during a 6-month rotation in a level III perinatal centre in Australia

Hazel Ang, Alex Veldman, Anthony Lewis, Elizabeth A Carse, Flora Yuen-Wait Wong

Research output: Contribution to journalArticleResearchpeer-review

Abstract

Objective: We aimed to evaluate the procedural training opportunities for basic paediatric trainees in a large tertiary perinatal centre in Australia, to facilitate a realistic expectation of the procedural skills acquired during a 6-month training period. Methods: A prospective study in which all neonatal registrars and fellows anonymously documented their opportunities for procedural practice (including IV cannulation, intubation, umbilical lines insertion etc) for each shift during a calender month. Based on the averaged number of each shift type worked in a 6-month rotation, the total exposure to each procedure for one 6-month rotation was calculated. Results: During a 6-month period, the registrars had the largest number of exposures on IV cannulation (140.54), venous blood sampling (26.78), bag and mask ventilation (17.38), intubation (7.1) and lumbar puncture (6.68). For the fellows, the largest number of exposure was IV cannulation (127.92) followed by intubation (16.53) then venous blood sampling (21.02). Procedural skills to which registrars had little exposure included chest drains, chest compressions, peripherally inserted central vascular lines and placement of oro-gastric tubes. Conclusion: There are ample training opportunities for registrars during a 6-month period. Simulation/animal models for rare procedures will be helpful to increase the trainee s procedural competency.
Original languageEnglish
Pages (from-to)2428-2431
Number of pages4
JournalThe Journal of Maternal-Fetal and Neonatal Medicine
Volume25
Issue number11
DOIs
Publication statusPublished - 2012

Cite this

@article{64314784214a4ca7aad06f515c172eb3,
title = "Procedural training opportunities for basic pediatric trainees during a 6-month rotation in a level III perinatal centre in Australia",
abstract = "Objective: We aimed to evaluate the procedural training opportunities for basic paediatric trainees in a large tertiary perinatal centre in Australia, to facilitate a realistic expectation of the procedural skills acquired during a 6-month training period. Methods: A prospective study in which all neonatal registrars and fellows anonymously documented their opportunities for procedural practice (including IV cannulation, intubation, umbilical lines insertion etc) for each shift during a calender month. Based on the averaged number of each shift type worked in a 6-month rotation, the total exposure to each procedure for one 6-month rotation was calculated. Results: During a 6-month period, the registrars had the largest number of exposures on IV cannulation (140.54), venous blood sampling (26.78), bag and mask ventilation (17.38), intubation (7.1) and lumbar puncture (6.68). For the fellows, the largest number of exposure was IV cannulation (127.92) followed by intubation (16.53) then venous blood sampling (21.02). Procedural skills to which registrars had little exposure included chest drains, chest compressions, peripherally inserted central vascular lines and placement of oro-gastric tubes. Conclusion: There are ample training opportunities for registrars during a 6-month period. Simulation/animal models for rare procedures will be helpful to increase the trainee s procedural competency.",
author = "Hazel Ang and Alex Veldman and Anthony Lewis and Carse, {Elizabeth A} and Wong, {Flora Yuen-Wait}",
year = "2012",
doi = "10.3109/14767058.2012.700343",
language = "English",
volume = "25",
pages = "2428--2431",
journal = "The Journal of Maternal-Fetal and Neonatal Medicine",
issn = "1476-7058",
publisher = "Taylor & Francis",
number = "11",

}

Procedural training opportunities for basic pediatric trainees during a 6-month rotation in a level III perinatal centre in Australia. / Ang, Hazel; Veldman, Alex; Lewis, Anthony; Carse, Elizabeth A; Wong, Flora Yuen-Wait.

In: The Journal of Maternal-Fetal and Neonatal Medicine, Vol. 25, No. 11, 2012, p. 2428-2431.

Research output: Contribution to journalArticleResearchpeer-review

TY - JOUR

T1 - Procedural training opportunities for basic pediatric trainees during a 6-month rotation in a level III perinatal centre in Australia

AU - Ang, Hazel

AU - Veldman, Alex

AU - Lewis, Anthony

AU - Carse, Elizabeth A

AU - Wong, Flora Yuen-Wait

PY - 2012

Y1 - 2012

N2 - Objective: We aimed to evaluate the procedural training opportunities for basic paediatric trainees in a large tertiary perinatal centre in Australia, to facilitate a realistic expectation of the procedural skills acquired during a 6-month training period. Methods: A prospective study in which all neonatal registrars and fellows anonymously documented their opportunities for procedural practice (including IV cannulation, intubation, umbilical lines insertion etc) for each shift during a calender month. Based on the averaged number of each shift type worked in a 6-month rotation, the total exposure to each procedure for one 6-month rotation was calculated. Results: During a 6-month period, the registrars had the largest number of exposures on IV cannulation (140.54), venous blood sampling (26.78), bag and mask ventilation (17.38), intubation (7.1) and lumbar puncture (6.68). For the fellows, the largest number of exposure was IV cannulation (127.92) followed by intubation (16.53) then venous blood sampling (21.02). Procedural skills to which registrars had little exposure included chest drains, chest compressions, peripherally inserted central vascular lines and placement of oro-gastric tubes. Conclusion: There are ample training opportunities for registrars during a 6-month period. Simulation/animal models for rare procedures will be helpful to increase the trainee s procedural competency.

AB - Objective: We aimed to evaluate the procedural training opportunities for basic paediatric trainees in a large tertiary perinatal centre in Australia, to facilitate a realistic expectation of the procedural skills acquired during a 6-month training period. Methods: A prospective study in which all neonatal registrars and fellows anonymously documented their opportunities for procedural practice (including IV cannulation, intubation, umbilical lines insertion etc) for each shift during a calender month. Based on the averaged number of each shift type worked in a 6-month rotation, the total exposure to each procedure for one 6-month rotation was calculated. Results: During a 6-month period, the registrars had the largest number of exposures on IV cannulation (140.54), venous blood sampling (26.78), bag and mask ventilation (17.38), intubation (7.1) and lumbar puncture (6.68). For the fellows, the largest number of exposure was IV cannulation (127.92) followed by intubation (16.53) then venous blood sampling (21.02). Procedural skills to which registrars had little exposure included chest drains, chest compressions, peripherally inserted central vascular lines and placement of oro-gastric tubes. Conclusion: There are ample training opportunities for registrars during a 6-month period. Simulation/animal models for rare procedures will be helpful to increase the trainee s procedural competency.

UR - http://informahealthcare.com/doi/pdf/10.3109/14767058.2012.700343

U2 - 10.3109/14767058.2012.700343

DO - 10.3109/14767058.2012.700343

M3 - Article

VL - 25

SP - 2428

EP - 2431

JO - The Journal of Maternal-Fetal and Neonatal Medicine

JF - The Journal of Maternal-Fetal and Neonatal Medicine

SN - 1476-7058

IS - 11

ER -