title: Impact of a multifaceted pediatric sedation course: self-directed learning versus a formal continuing medical education course to improve knowledge of sedation guidelines.
abstract: BACKGROUND
  Procedural sedation guidelines were established for a tertiary care pediatric emergency department (ED). We developed a pediatric procedural sedation course to disseminate these guidelines.
  
  
  OBJECTIVE
  Our objective was to evaluate the effectiveness of a sedation course in improving physicians' knowledge of pediatric procedural sedation practices and guidelines, relative to individual self-directed learning.
  
  
  METHODS
  We recruited emergency staff physicians and fellows as well as fourth-year pediatric residents in a tertiary care pediatric ED to participate in a randomized, controlled, educational intervention. All consenting physicians received pediatric sedation educational material for individual study 2 weeks before a learning assessment. Participants were randomly assigned to one of 2 groups. The self-directed learning group (n = 24) completed a multiple-choice examination without receiving any formal teaching. The study group (n= 24) participated in a 4-hour formal multifaceted sedation course before writing the multiple-choice examination.
  
  
  RESULTS
  The groups did not differ significantly in demographic characteristics or self-perceived knowledge of pediatric sedation. The formal teaching group's median examination score (83.3%; range 75.8%-96.5%) was significantly higher (p < 0.0001) than the median examination score of participants in the self-directed study group (73.3%, range 43.5%-86.6%).
  
  
  CONCLUSIONS
  The multifaceted sedation course was more effective in improving physician knowledge and understanding of sedation guidelines and practices than unstructured, self-directed learning.
authors: Department of Pediatrics, University of Toronto, Toronto, Ontario. suzan.schneeweiss@sickkids.ca
authors: Suzan
authors: S
authors: Schneeweiss
authors: Savithiri
authors: S
authors: Ratnapalan
mesh_terms: D002985:Clinical Protocols; D016292:Procedural Sedation; D004502:Education, Medical, Continuing / Q000379:methods* / Q000592:standards; D005260:Female; D006801:Humans; D008297:Male; D010372:Pediatrics; D017410:Practice Guidelines as Topic / Q000592:standards