New Resources - Supplemental Learning: Procedures

  

 

Procedures 

 

Section Contributor: Paola Dees, DJ Hall 

 

Online learning opportunities 

 

  1. Infant Lumbar Puncture: POISE Pediatric Procedure Video - https://www.mededportal.org/publication/8339  (MK1,PC1, IC) 

 

  1. Procedure Video: Reduction of Paraphimosis - http://www.nejm.org/doi/full/10.1056/NEJMvcm1105611 (MK1,PC1) 

 

  1. Procedure Video: Neonatal Circumcision - http://www.nejm.org/doi/full/10.1056/NEJMvcm0810449 (MK1, PC1, IC) 

 

  1. Procedure Video: Ultrasound-Guided Peripheral IV placement - http://www.nejm.org/doi/full/10.1056/NEJMvcm1005951 (MK1, PC1) 

 

  1. Procedure Video: Pulse Oximetry - http://www.nejm.org/doi/full/10.1056/NEJMvcm0904262  (MK1, PC1) 

 

  1. Procedure Video: Intraosseous Catheter Placement in Children - http://www.nejm.org/doi/full/10.1056/NEJMvcm0900916 (MK1, PC1) 

 

  1. Procedure Video: Catheterization of the Urethra in Male Children - http://www.nejm.org/doi/full/10.1056/NEJMvcm0808873  (MK1, PC1) 

 

  1. Procedure Video: Umbilical Vessel Catheterization - http://www.nejm.org/doi/full/10.1056/NEJMvcm0800666 (MK1, PC1) 

 

  1. Procedure Video:  Abscess Incision and Drainage - http://www.nejm.org/doi/full/10.1056/NEJMvcm071319 (MK1, PC1) 

 

  1. Procedure Video: Basic Laceration Repair - http://www.nejm.org/doi/full/10.1056/NEJMvcm0904397  (MK1, PC1) 

 

References 

 

  1. Augustine EM, Kahana M. Effect of procedure simulation workshops on resident procedural confidence and competence. J Grad Med Educ 2012 Dec;4(4):479-85 

 

72 pediatric residents at Lucile Packard were given surveys before and after a ½ day workshop on vascular access, airway management, bladder catheterizations, chest tube placement, lumbar puncture, and umbilical lines to self-assess procedural confidence and competence.  Authors concluded that the simulation workshops improved resident self-reported procedural confidence and competence. (MK 1, PBLI 1,2; IPCS 1) 

 

  1. Garrood T, et al.  A structured course teaching junior doctors invasive medical procedures results in sustained improvements in self-reported confidence. Clin Med. 2010 Oct;10(5):464-7 

 

One-day practical course on teaching central venous line placement, lumbar puncture, Seldinger-technique chest drain insertion and knee joint aspiration.  Participants were surveyed prior to, immediately after, and three months later.  Significant improvements were reported and sustained. (MK 1, PBLI 1,2; IPCS 1) 

 

  1. Cooper N. Lumbar puncture. Acute Med 2011;10(4):188-93 

 

Outlines educational principles with regard to teaching and learning practical procedures and describes theory of diagnostic lumbar puncture. (MK 1, PBLI 1,2; IPCS 1) 

 

  1. Wayne DB, Holmboe ES. First do no harm: preserving patient safety without sacrificing procedural education. J Grad Med Educ 2010 Dec;2(4):499-500 

 

Commentary on balancing competing demands of patient safety and resident education.  Recommend defining specific procedures residents should be able to perform, standardized education for each trainee (both knowledge and skills), and rigorous skills assessment to ensure competence.  They advocate that residents should be required to meet or exceed minimum passing scores before performing procedures independently. (MK 1, PBLI 1,2; IPCS 1)