ORCID (Optional)
https://orcid.org/0000-0002-8043-7792
Document Type
Original Report
Disciplines
Adult and Continuing Education | Educational Methods | Higher Education | Interprofessional Education | Medicine and Health Sciences
Abstract
Background: Peripheral intravenous catheter (PIVC) failure and difficult intravenous access (DIVA) are pervasive issues causing patient suffering and increased costs. Despite their prevalence, there is a gap in internal medicine and pediatric resident training to manage these challenges effectively.
Objective: This study aimed to assess the value of ultrasound-guided-PIVC (USGPIVC) education for internal medicine and pediatric residents and the impact of a 1-hour multidisciplinary workshop on their knowledge and confidence.
Methods: A cross-sectional survey study was conducted at an academic medical center in 2022 to assess residents’ perceptions of USG-PIVC education. This was followed by a USG-PIVC simulation-based workshop with limited enrollment (11-slots). Pre- and postworkshop assessments were used to evaluate changes in knowledge and confidence. Data were analyzed using descriptive statistics.
Results: Of the 136 residents surveyed, 68 (50%) responded. Most respondents (78%) reported encountering situations where no one could obtain DIVA. While 71% (n=48) of residents considered USG-PIVC placement a useful skill, only 13% (n=9) had prior experience.
Following the workshop, the 11 participants had improvement in both confidence (mean pre-assessment score of 38.2 ±8.3 increased to 56.6 ±6.4, p
Conclusions: Most internal medicine and pediatric residents at an academic medical center lack experience with USG-PIVC insertion and express interest in acquiring this skill. A one-hour multidisciplinary workshop may be an effective strategy to increase their knowledge and confidence, making it a promising avenue for enhancing residency curricula.
DOI
https://doi.org/10.32873/unmc.dc.gmerj.5.2.009
Keywords
Medical Education, Simulation Training, Ultrasound, Catheterization, Difficult Intravenous Access, Multidisciplinary Workshop
Creative Commons License
This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License.
Recommended Citation
Lamarche, R., Marx, J., Ma, J., , Claudy, S. Perceived Importance of Ultrasound Vascular Access Education among Residents. Graduate Medical Education Research Journal. 2023 Dec 20; 5(2).
https://digitalcommons.unmc.edu/gmerj/vol5/iss2/9
Perception Survey Responses Reported as Number (%)
Table 2.pdf (108 kB)
Pre- and Post-workshop Confidence Assessment of USG-PIVC Placement Micro-skills. Frequency of “agree and strongly agree” Responses (N=11), Reported as Number (%)
Table 3.pdf (113 kB)
Pre- and Post-Workshop Knowledge Quiz Correct Response Frequency (N=11), Reported as Number (%)
Figure 1.pdf (71 kB)
Distribution of Perception Survey Respondents Across Residency Programs
Figure 2.pdf (67 kB)
Workshop Participants by Training Specialty
supplement 1 - perception survey.docx (16 kB)
Perception survey
Supplement 2 - videos.docx (12 kB)
Educational videos
supplement 3.docx (25 kB)
Pre and post confidence assessment and quiz
Included in
Adult and Continuing Education Commons, Educational Methods Commons, Higher Education Commons, Interprofessional Education Commons
