title: Development and Assessment of an Advanced Pediatric Airway Management Curriculum With Integrated Intubation Videos.
abstract: OBJECTIVE
  Opportunities to learn advanced airway management skills on pediatric patients in the emergency department are limited. Current strategies have focused largely on traditional didactics coupled with procedural skills training using simulation. However, these approaches are limited in their exposure to anatomic variation and realism. Here, we describe the development and assessment of an advanced airway curriculum that integrates videolaryngoscopic recordings obtained during actual patient intubations into a series of interactive educational sessions.
  
  
  METHODS
  Trainees and attending physicians were surveyed anonymously to assess the impact of participation in the curriculum. A mixed methods approach to statistical analysis was used. Rating questions were used to evaluate the relative impact of this approach over other traditional strategies and recurrent themes within open-ended questions were identified.
  
  
  RESULTS
  Participants reported this to be a highly effective means of learning about pediatric laryngoscopy and endotracheal intubation and regarded it more highly than other traditional educational approaches. Identified benefits included repetitive exposure, approaches to laryngoscopy, the realism of teaching using real and varied anatomy, and the opportunities to identify and troubleshoot difficulty in a learning environment.
  
  
  CONCLUSIONS
  An advanced pediatric airway curriculum that integrates intubation videos obtained during videolaryngoscopy was highly regarded by pediatric emergency medicine providers. Content emphasis can be shifted to meet the needs of pediatric emergency medicine providers with all levels of skill and experience.
authors.affiliation: From the *Division of Emergency Medicine, Boston Children's Hospital, Harvard Medical School, Boston, MA; and †Office of Graduate Medical Education, Duke University Hospital, Durham, NC.
authors.forename: Joshua
authors.initials: J
authors.lastname: Nagler
authors.forename: Alisa
authors.initials: A
authors.lastname: Nagler
authors.forename: Richard G
authors.initials: RG
authors.lastname: Bachur
mesh_terms: D053704:Capsule Endoscopy / Q000379:methods*; D004636:Emergency Service, Hospital; D005257:Fellowships and Scholarships / Q000379:methods; D006801:Humans; D007442:Intubation, Intratracheal / Q000379:methods*; D007828:Laryngoscopy / Q000193:education*; D015272:Pulmonary Medicine / Q000193:education*