P86 Chest Drain insertion training; is Simulation training the answer?

Abstract

though 26/71(37%) reported that it aided communication. Most learned their behaviour from senior colleagues (22/76), own observation (16/76) or medical school (27/76). The closest associations were for Pictures C (77/78 responses, 99%¼normal) and E (94/ 102,92%¼wheeze/rhonchi combined). Crosses were commonly interpreted as crepitations in Pictures B (89/101,88%¼fine and bibasal combined) and F (66/94, 70%¼coarse). Pleural effusion was most commonly linked to Pictures A (35/107, 33%) and D (75/98, 77%) though both of these had an additional eight and four interpretations respectively. Conclusion The majority of doctors use pictorial representation to record respiratory examination. Lack of standardisation leads to variation in annotation and potentially alternative interpretation by others. With the exception of Picture C, the use of pictures alone is unreliable. Reassuringly for patient safety, most doctors also write down their findings. Pictorial representation is most often informally learned and appears to be well established in UK medical practice.

The impact of simulation-based mastery learning, booster session timing and clinical exposure on confidence in intercostal drain insertion: a survey of internal medicine trainees in Scotland

“…It is possible that the COVID-19 pandemic, during which ICD insertion for pneumothorax was classified as an ‘aerosol generating procedure’, requiring enhanced personal protective equipment, may have contributed to the lack of opportunities over the study period. It is possible that the majority of our participants had not reached a “threshold” number of drain insertions which would maintain their confidence [ 44 ]. Studies exploring competence have suggested that the number of ICD insertions needed to gain and subsequently maintain competence may be between five and ten per year [ 3 , 44 ].…”

“…It is possible that the majority of our participants had not reached a “threshold” number of drain insertions which would maintain their confidence [ 44 ]. Studies exploring competence have suggested that the number of ICD insertions needed to gain and subsequently maintain competence may be between five and ten per year [ 3 , 44 ]. The trend within this dataset would suggest that approximately 4–6 may be the threshold to ameliorate confidence decay between sessions.…”