title: Improvement of Skills in Cardiopulmonary Resuscitation of Pediatric Residents by Recorded Video Feedbacks.
abstract: OBJECTIVE
  To evaluate the pediatric residents' cardiopulmonary resuscitation (CPR) skills, and their improvements after recorded video feedbacks.
  
  
  METHODS
  Pediatric residents from a university hospital were enrolled. The authors surveyed the level of pediatric resuscitation skill confidence by a questionnaire. Eight psychomotor skills were evaluated individually, including airway, bag-mask ventilation, pulse check, prompt starting and technique of chest compression, high quality CPR, tracheal intubation, intraosseous, and defibrillation. The mock code skills were also evaluated as a team using a high-fidelity mannequin simulator. All the participants attended a concise Pediatric Advanced Life Support (PALS) lecture, and received video-recorded feedback for one hour. They were re-evaluated 6 wk later in the same manner.
  
  
  RESULTS
  Thirty-eight residents were enrolled. All the participants had a moderate to high level of confidence in their CPR skills. Over 50 % of participants had passed psychomotor skills, except the bag-mask ventilation and intraosseous skills. There was poor correlation between their confidence and passing the psychomotor skills test. After course feedback, the percentage of high quality CPR skill in the second course test was significantly improved (46 % to 92 %, p = 0.008).
  
  
  CONCLUSIONS
  The pediatric resuscitation course should still remain in the pediatric resident curriculum and should be re-evaluated frequently. Video-recorded feedback on the pitfalls during individual CPR skills and mock code case scenarios could improve short-term psychomotor CPR skills and lead to higher quality CPR performance.
authors.affiliation: Division of Pediatric Critical Care Medicine, Department of Pediatrics, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, 270 Rama VI Road, Ratchathewee, Bangkok, 10400, Thailand.
authors.forename: Nattachai
authors.initials: N
authors.lastname: Anantasit
authors.affiliation: Division of Pediatric Critical Care Medicine, Department of Pediatrics, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, 270 Rama VI Road, Ratchathewee, Bangkok, 10400, Thailand.
authors.forename: Jarin
authors.initials: J
authors.lastname: Vaewpanich
authors.affiliation: Division of Pulmonology, Department of Pediatrics, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
authors.forename: Teeradej
authors.initials: T
authors.lastname: Kuptanon
authors.affiliation: Division of Pulmonology, Department of Pediatrics, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
authors.forename: Haruitai
authors.initials: H
authors.lastname: Kamalaporn
authors.affiliation: Division of Pediatric Critical Care Medicine, Department of Pediatrics, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, 270 Rama VI Road, Ratchathewee, Bangkok, 10400, Thailand. khositseth@gmail.com.
authors.forename: Anant
authors.initials: A
authors.lastname: Khositseth
mesh_terms: D016887:Cardiopulmonary Resuscitation; D002648:Child; D002983:Clinical Competence; D003479:Curriculum; D000068156:Formative Feedback; D006785:Hospitals, University; D006801:Humans; D007396:Internship and Residency; D010820:Physicians; D012151:Resuscitation; D014741:Video Recording
keywords: Cardiopulmonary resuscitation; Pediatric resident; Pediatric resuscitation; Psychomotor skill; Residency education