The educational experience of pediatric emergency medicine fellows in the use and application of procedural sedation/analgesia.
OBJECTIVE
The purpose of this study is to describe the clinical and educational experience provided to the pediatric emergency medicine (PEM) fellows in procedural sedation/analgesia during their course of training.


METHODS
A nonanonymous survey was completed by the program director of each Accreditation Council for Graduate Medical Education (ACGME)-accredited PEM fellowship program listed in the 2001 to 2002 Graduate Medical Education Directory. Information relating to program demographics, agents available for use in the emergency department (ED), and the educational opportunities offered to trainees was sought.


RESULTS
Each of the 32 ACGME-accredited programs completed the survey. Thirty programs report using procedural sedation and analgesia (PSA) to facilitate the completion of nonpainful and 32 programs to facilitate the completion of painful procedures in the ED. Twenty-nine programs (92%) permit their fellows to provide PSA independently after meeting credentialing criteria at their institution. Formal didactic sessions, direct supervision of procedures, and dedicated journal clubs were the 3 most frequently cited educational methods reported. The educational method chosen was not predicted by the ED type, the size of the training program, or by the volume of patients evaluated in the ED. Twelve program directors report their belief that a minimum number of procedures should be completed prior to completion of the training program.


CONCLUSIONS
There is wide variation in the educational methods used by PEM fellowship training programs in procedural sedation/analgesia.
Pollauf
Laura A
LA
Northeastern Ohio Universities College of Medicine, Akron, USA. Lpollauf@CHMCA.org
Lutes
R Esther
RE
Ramundo
Maria L
ML
Christopher
Norman C
NC
D000698:Analgesia / Q000379:methods*; D000700:Analgesics / Q000008:administration & dosage / Q000627:therapeutic use*; D000776:Anesthesiology / Q000193:education*; D002983:Clinical Competence / Q000592:standards; D016292:Procedural Sedation / Q000379:methods*; D003479:Curriculum / Q000592:standards; D003625:Data Collection; D004635:Emergency Medicine / Q000193:education*; D004636:Emergency Service, Hospital; D005257:Fellowships and Scholarships; D006801:Humans; D006993:Hypnotics and Sedatives / Q000008:administration & dosage / Q000627:therapeutic use*; D010372:Pediatrics / Q000193:education*; D013663:Teaching / Q000706:statistics & numerical data
D000700:Analgesics; D006993:Hypnotics and Sedatives