Going the (social) distance: Comparing the effectiveness of online versus in-person Internal Jugular Central Venous Catheterization procedural training - 28/08/22

Doi : 10.1016/j.amjsurg.2021.12.006

Jessica M. Gonzalez-Vargas ^a, Haroula M. Tzamaras ^a, Jason Martinez ^b, Dailen C. Brown ^c, Jason Z. Moore ^c, David C. Han ^b,^d, Elizabeth Sinz ^e,^f, Philip Ng ^g, Michael X. Yang ^g, Scarlett R. Miller ^a,^h,^⁎
^a Department of Industrial and Manufacturing Engineering, Penn State, University Park, PA, 16802, USA
^b Department of Surgery, Penn State Health Milton S. Hershey Medical Center, Hershey, PA, 17033, USA
^c Department of Mechanical and Nuclear Engineering, Penn State, University Park, PA, 16802, USA
^d Penn State Heart and Vascular Institute, Penn State Health Milton S. Hershey Medical Center, Hershey, PA, 17033, USA
^e Department of Anesthesiology and Perioperative Medicine, Penn State Health Milton S. Hershey Medical Center, Hershey, PA, 17033, USA
^f Department of Neurosurgery, Penn State Health Milton S. Hershey Medical Center, Hershey, PA, 17033, USA
^g Department of Internal Medicine, Cedars Sinai Medical Center, Los Angeles, CA, 90048, USA
^h School of Engineering Design, Technology, and Professional Programs, Penn State, University Park, PA, 16802, USA

^∗Corresponding author. 213P Hammond Building, University Park, PA, 16802, USA.University Park213P Hammond BuildingPA16802USA

Abstract

Background

This study compares surgical residents’ knowledge acquisition of ultrasound-guided Internal Jugular Central Venous Catheterization (US-IJCVC) between in-person and online procedural training cohorts before receiving independent in-person Dynamic Haptic Robotic Simulation training.

Methods

Three surgical residency procedural training cohorts, two in-person (N = 26) and one online (N = 14), were compared based on their performance on a 24-item US-IJCVC evaluation checklist completed by an expert physician completed after training. Pre- and post-training US-IJCVC knowledge was also compared for the online cohort.

Results

No significant change in the pass rates on the US-IJCVC checklist was found between in-person and online cohorts (p = 0.208). There were differences in the Economy of Time and Motion between in-person and online cohorts (p < 0.005). The online cohort had significant increases in US-IJCVC knowledge pre-to post-training (p < 0.008).

Conclusion

Online training with independent simulation practice was as effective as in-person training for US-IJCVC.

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Highlights

•	Residents showed significant increases in their USIJCVC knowledge pre-to post-online training.
•	There were no differences in USIJCVC checklist performance between in-person and online cohorts.
•	There were no differences in the number of USIJCVC insertions between in-person and online cohorts.
•	The online cohort had a significantly better economy of time and motion compared to in-person.

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Keywords : Central venous catheterization, Residency bootcamp, Medical simulation, Computer-based learning, Simulation-based learning

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Vol 224 - N° 3

P. 903-907 - septembre 2022 Retour au numéro

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Going the (social) distance: Comparing the effectiveness of online versus in-person Internal Jugular Central Venous Catheterization procedural training - 28/08/22

Abstract

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Highlights

Plan

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