Effect of Procedure Simulation Workshops on Resident Procedural Confidence and Competence

Abstract

Background Pediatrics residents perform a limited number of some procedures in the clinical setting and may benefit from procedure simulation workshops. Objective To examine (1) the number and types of procedures performed by pediatrics residents in the clinical setting, (2) the relationship between the number of procedures performed and self-reported procedural confidence and competence, and (3) the effect of a procedure simulation workshop on self-reported procedural confidence and competence. Methods Pediatrics residents at Lucile Packard Children's Hospital at Stanford attended a half-day procedure workshop, rotating between 6 procedure simulation stations: vascular access, airway management, bladder catheterization, chest tube placement, lumbar puncture, and umbilical lines. Residents completed a survey immediately before and after the workshop to self-assess procedural confidence and competence. Results Seventy-two residents participated in a procedure workshop. The average number of procedures performed increased significantly from intern to junior to senior year. A positive correlation was found between number of procedures performed and preworkshop confidence (P < .001, R2 = 0.86) and competence (P < .001, R2 = 0.88). For each procedure assessed, completion of the procedure simulation workshop resulted in a statistically significant (P < .001) increase in self-perceived confidence (14%–131%; average, 48%) and competence (12%–119%; average, 50%). Statistically significant (P < .05) increases remained when results for interns, juniors, and seniors were examined separately. Conclusion Procedure simulation workshops improve resident self-reported procedural confidence and competence, particularly for procedures that are least performed.

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“…In addition, the confidence level of participants in the study group was significantly higher than that of the control group. We could not establish a relation between the quality of care and confidence level in this study, but previous reports found a correlation between confidence level and procedural success 13…”

Training Using Simulation in Internal Medicine Residencies: An Educational Perspective

“…A number of various procedures have demonstrated increased confidence and competence in procedures with simulation. [8][9][10] Competence would be defined as determined to be ready for the procedure without direct supervision. One set back is ambulatory procedures such as pap smears and arthrocentesis.…”

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