title: Self-reported experience and competence in core procedures among Canadian pediatric emergency medicine fellowship trainees.
abstract: OBJECTIVE
  We sought to determine the frequency with which fellows in accredited Canadian pediatric emergency medicine (PEM) fellowships perform specific procedures, the level of confidence fellows have in their abilities and whether there are differences in self-perceived success between first- and second-year fellows.
  
  
  METHODS
  A national survey was developed that focused on 24 PEM procedural skills. The survey asked respondents how many times they had performed these procedures within the past 12 months and within the past 3 years. Respondents were then asked to rate their confidence in successfully performing each of the 24 procedures.
  
  
  RESULTS
  Of the 46 surveys sent to PEM fellows, 32 (70%) were returned. Most respondents were in their second year of training and the vast majority had previous training in pediatrics. In order of frequency, the most common procedures performed were closed reduction of fractures, peripheral intravenous insertion, complex laceration repair and endotracheal intubation. Of the surveyed skills, oropharyngeal/nasopharyngeal airway insertion was deemed the most successful (100% success rate for second-year fellows v. 92.5% success rate for first-year fellows, p=0.01). Similarly, second-year fellows had a higher self-perceived success rate for intraosseous line insertion than did first-year fellows (95.0% v. 80.0% for second- and first-year fellows, respectively, p>0.001).
  
  
  CONCLUSIONS
  In surveying PEM trainees across Canada, we have described the frequency and self-perceived success rate for 24 important procedures. This information may be helpful for program directors in evaluating future directions and opportunities for training of their PEM trainees.
authors.affiliation: Department of Pediatrics, University of Western Ontario, and Children's Health Research Institute, Children's Hospital, London, Ontario, Canada.
authors.forename: Majid
authors.initials: M
authors.lastname: Al-Eissa
authors.forename: Simon
authors.initials: S
authors.lastname: Chu
authors.forename: Timothy
authors.initials: T
authors.lastname: Lynch
authors.forename: David
authors.initials: D
authors.lastname: Warren
authors.forename: Jamie A
authors.initials: JA
authors.lastname: Seabrook
authors.forename: Michael J
authors.initials: MJ
authors.lastname: Rieder
authors.forename: Rodrick
authors.initials: R
authors.lastname: Lim
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D002170:Canada; D002568:Certification; D002983:Clinical Competence / Q000592:standards / Q000706:statistics & numerical data; D003479:Curriculum; D004503:Education, Medical, Graduate; D004521:Educational Measurement; D004635:Emergency Medicine / Q000193:education / Q000379:methods; D005257:Fellowships and Scholarships / Q000706:statistics & numerical data; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D008505:Medical Staff, Hospital / Q000193:education / Q000523:psychology / Q000706:statistics & numerical data; D020380:Needs Assessment; D010372:Pediatrics / Q000193:education / Q000379:methods; D012189:Retrospective Studies; D012647:Self-Assessment; D013038:Specialization; D018709:Statistics, Nonparametric; D011795:Surveys and Questionnaires