An innovative pediatric chest tube insertion task trainer simulation: a technical report and pilot study.
BACKGROUND
Iatrogenic complications associated with chest tube insertion (CTI) could be related to the gaps in the procedural fidelity of the current CTI training models and their insufficiency to support training of procedural mastery. A CTI bench model simulation developed with reference to preexisting curriculum increases trainees' exposure and practice of this clinical skill. Newly developed training models need to be recognized by trainees as a usable learning device. In this report, we describe the development of a novel CTI model, based on curriculum, and survey its usability as a training model among pediatric trainees.


METHODS
Based on the acute trauma life support curriculum for CTI and expert interview, a pediatric CTI task trainer (PCTITT) model was developed, piloted, and then implemented for usability by volunteer pediatric residents and pediatric emergency fellows in 2 procedural training courses. Participants responded to 11 questions designed to capture self-reported attitudes toward the usability of the PCTITT as a training model for CTI. Results were obtained using a subjective 5-point Likert scale.


RESULTS
Of the 32 participants, we achieved a response rate of 75%. Of these respondents, 92% had some kind of CTI hands-on training in the past, and 50% had experience with a real patient. Of these respondents, 91% recommended this model for training, and 80% stated that this model was superior to previous models.


CONCLUSIONS
A PCTITT is an easy to create and feasible bench top task trainer to teach CTI skills, which integrates with other simulations currently in use the process of teaching CTI. Trainees recognized it as usable and superior to previous models. Future work needs to focus on the improvement of model fidelity, skills transferability, and tool validation.
From the Department of Paediatric (S.A.A.-Q.), Children Hospital of Western Ontario, University of Western Ontario, London; Division of Paediatric Emergency Medicine (J.R.P., N.C.), The Hospital for Sick Children, and Lawrence S. Bloomberg Faculty of Nursing (N.C.), and Department of Health Policy, Management and Evaluation (M.A.), University of Toronto, Toronto; and Biomedical Communications Graduate Program (M.S.C.C.) Department of Biology, University of Toronto Mississauga, Mississauga, Ontario, Canada.
Samim A
SA
Al-Qadhi
Jonathan R
JR
Pirie
Nora
N
Constas
Michael S C
MS
Corrin
Murtaza
M
Ali
D015505:Chest Tubes; D002983:Clinical Competence; D005260:Female; D006776:Hospitals, Pediatric; D006801:Humans; D008020:Life Support Care / Q000379:methods; D008297:Male; D008348:Manikins; D008953:Models, Anatomic; D016544:Patient Simulation; D010372:Pediatrics / Q000193:education*; D010865:Pilot Projects; D019616:Thoracic Surgical Procedures / Q000592:standards*