Are pediatric interns prepared to perform infant lumbar punctures? A multi-institutional descriptive study

Marc Auerbach, Todd P. Chang, Jennifer Reid, Casandra Quinones, Amanda Krantz, Amanda Pratt, James Matthew Gerard, Renuka Mehta, Martin Pusic, David Oren Kessler

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

BACKGROUND: There are few data describing pediatric interns' experiences, knowledge, attitudes, and skills related to common procedures. This information would help guide supervisors' decisions about interns' preparedness and training needs. OBJECTIVES: This study aimed to describe pediatric interns' medical school experiences, knowledge, attitudes, and skills with regard to infant lumbar punctures (LPs) and to describe the impact of these factors on interns' infant LP skills. METHODS: This prospective cross-sectional descriptive study was conducted at 21 academic medical centers participating during 2010. Participants answered 8 knowledge questions, 3 attitude questions, and 6 experience questions online. Skills were assessed on an infant LP simulator using a 15-item subcomponent checklist and a 4-point global assessment. RESULTS: Eligible interns numbered 493, with 422 (86%) completing surveys and 362 (73%) completing skills assessments. The majority 287/422 (68%) had never performed an infant LP; however, 306 (73%) had observed an infant LP during school. The mean (SD) knowledge score was 63% (±21%). The mean (SD) subcomponent skills checklist score was 73% (±21%). On the global skills assessment, 225 (62%) interns were rated as beginner, and 137 (38%) were rated as competent, proficient, or expert. Independent predictors of an above-beginner simulator performance included infant LP experience on a patient (odds ratio [OR], 2.2; 95% confidence interval [CI], 1.4-3.5), a knowledge score greater than 65% (OR, 2.4; 95% CI, 1.5-3.7), or self-reported confidence (OR, 3.5; 95% CI, 1.9-6.4). CONCLUSIONS: At the start of residency, the majority of pediatric interns have little experience, poor knowledge, and low confidence and are not prepared to perform infant LPs.

Original languageEnglish (US)
Pages (from-to)453-457
Number of pages5
JournalPediatric Emergency Care
Volume29
Issue number4
DOIs
StatePublished - Apr 1 2013

Fingerprint

Spinal Puncture
Pediatrics
Odds Ratio
Confidence Intervals
Checklist
Internship and Residency
Medical Schools
Cross-Sectional Studies

Keywords

  • anatomic
  • clinical skills
  • competency-based education/methods
  • educational measurement/methods
  • internship and residency/methods
  • models
  • patient simulation

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Emergency Medicine

Cite this

Auerbach, M., Chang, T. P., Reid, J., Quinones, C., Krantz, A., Pratt, A., ... Kessler, D. O. (2013). Are pediatric interns prepared to perform infant lumbar punctures? A multi-institutional descriptive study. Pediatric Emergency Care, 29(4), 453-457. https://doi.org/10.1097/PEC.0b013e31828a2011

Are pediatric interns prepared to perform infant lumbar punctures? A multi-institutional descriptive study. / Auerbach, Marc; Chang, Todd P.; Reid, Jennifer; Quinones, Casandra; Krantz, Amanda; Pratt, Amanda; Gerard, James Matthew; Mehta, Renuka; Pusic, Martin; Kessler, David Oren.

In: Pediatric Emergency Care, Vol. 29, No. 4, 01.04.2013, p. 453-457.

Research output: Contribution to journalArticle

Auerbach, M, Chang, TP, Reid, J, Quinones, C, Krantz, A, Pratt, A, Gerard, JM, Mehta, R, Pusic, M & Kessler, DO 2013, 'Are pediatric interns prepared to perform infant lumbar punctures? A multi-institutional descriptive study', Pediatric Emergency Care, vol. 29, no. 4, pp. 453-457. https://doi.org/10.1097/PEC.0b013e31828a2011
Auerbach, Marc ; Chang, Todd P. ; Reid, Jennifer ; Quinones, Casandra ; Krantz, Amanda ; Pratt, Amanda ; Gerard, James Matthew ; Mehta, Renuka ; Pusic, Martin ; Kessler, David Oren. / Are pediatric interns prepared to perform infant lumbar punctures? A multi-institutional descriptive study. In: Pediatric Emergency Care. 2013 ; Vol. 29, No. 4. pp. 453-457.
@article{c23fd4bc658a43d0af0a576db0c833f2,
title = "Are pediatric interns prepared to perform infant lumbar punctures?: A multi-institutional descriptive study",
abstract = "BACKGROUND: There are few data describing pediatric interns' experiences, knowledge, attitudes, and skills related to common procedures. This information would help guide supervisors' decisions about interns' preparedness and training needs. OBJECTIVES: This study aimed to describe pediatric interns' medical school experiences, knowledge, attitudes, and skills with regard to infant lumbar punctures (LPs) and to describe the impact of these factors on interns' infant LP skills. METHODS: This prospective cross-sectional descriptive study was conducted at 21 academic medical centers participating during 2010. Participants answered 8 knowledge questions, 3 attitude questions, and 6 experience questions online. Skills were assessed on an infant LP simulator using a 15-item subcomponent checklist and a 4-point global assessment. RESULTS: Eligible interns numbered 493, with 422 (86{\%}) completing surveys and 362 (73{\%}) completing skills assessments. The majority 287/422 (68{\%}) had never performed an infant LP; however, 306 (73{\%}) had observed an infant LP during school. The mean (SD) knowledge score was 63{\%} (±21{\%}). The mean (SD) subcomponent skills checklist score was 73{\%} (±21{\%}). On the global skills assessment, 225 (62{\%}) interns were rated as beginner, and 137 (38{\%}) were rated as competent, proficient, or expert. Independent predictors of an above-beginner simulator performance included infant LP experience on a patient (odds ratio [OR], 2.2; 95{\%} confidence interval [CI], 1.4-3.5), a knowledge score greater than 65{\%} (OR, 2.4; 95{\%} CI, 1.5-3.7), or self-reported confidence (OR, 3.5; 95{\%} CI, 1.9-6.4). CONCLUSIONS: At the start of residency, the majority of pediatric interns have little experience, poor knowledge, and low confidence and are not prepared to perform infant LPs.",
keywords = "anatomic, clinical skills, competency-based education/methods, educational measurement/methods, internship and residency/methods, models, patient simulation",
author = "Marc Auerbach and Chang, {Todd P.} and Jennifer Reid and Casandra Quinones and Amanda Krantz and Amanda Pratt and Gerard, {James Matthew} and Renuka Mehta and Martin Pusic and Kessler, {David Oren}",
year = "2013",
month = "4",
day = "1",
doi = "10.1097/PEC.0b013e31828a2011",
language = "English (US)",
volume = "29",
pages = "453--457",
journal = "Pediatric Emergency Care",
issn = "0749-5161",
publisher = "Lippincott Williams and Wilkins",
number = "4",

}

TY - JOUR

T1 - Are pediatric interns prepared to perform infant lumbar punctures?

T2 - A multi-institutional descriptive study

AU - Auerbach, Marc

AU - Chang, Todd P.

AU - Reid, Jennifer

AU - Quinones, Casandra

AU - Krantz, Amanda

AU - Pratt, Amanda

AU - Gerard, James Matthew

AU - Mehta, Renuka

AU - Pusic, Martin

AU - Kessler, David Oren

PY - 2013/4/1

Y1 - 2013/4/1

N2 - BACKGROUND: There are few data describing pediatric interns' experiences, knowledge, attitudes, and skills related to common procedures. This information would help guide supervisors' decisions about interns' preparedness and training needs. OBJECTIVES: This study aimed to describe pediatric interns' medical school experiences, knowledge, attitudes, and skills with regard to infant lumbar punctures (LPs) and to describe the impact of these factors on interns' infant LP skills. METHODS: This prospective cross-sectional descriptive study was conducted at 21 academic medical centers participating during 2010. Participants answered 8 knowledge questions, 3 attitude questions, and 6 experience questions online. Skills were assessed on an infant LP simulator using a 15-item subcomponent checklist and a 4-point global assessment. RESULTS: Eligible interns numbered 493, with 422 (86%) completing surveys and 362 (73%) completing skills assessments. The majority 287/422 (68%) had never performed an infant LP; however, 306 (73%) had observed an infant LP during school. The mean (SD) knowledge score was 63% (±21%). The mean (SD) subcomponent skills checklist score was 73% (±21%). On the global skills assessment, 225 (62%) interns were rated as beginner, and 137 (38%) were rated as competent, proficient, or expert. Independent predictors of an above-beginner simulator performance included infant LP experience on a patient (odds ratio [OR], 2.2; 95% confidence interval [CI], 1.4-3.5), a knowledge score greater than 65% (OR, 2.4; 95% CI, 1.5-3.7), or self-reported confidence (OR, 3.5; 95% CI, 1.9-6.4). CONCLUSIONS: At the start of residency, the majority of pediatric interns have little experience, poor knowledge, and low confidence and are not prepared to perform infant LPs.

AB - BACKGROUND: There are few data describing pediatric interns' experiences, knowledge, attitudes, and skills related to common procedures. This information would help guide supervisors' decisions about interns' preparedness and training needs. OBJECTIVES: This study aimed to describe pediatric interns' medical school experiences, knowledge, attitudes, and skills with regard to infant lumbar punctures (LPs) and to describe the impact of these factors on interns' infant LP skills. METHODS: This prospective cross-sectional descriptive study was conducted at 21 academic medical centers participating during 2010. Participants answered 8 knowledge questions, 3 attitude questions, and 6 experience questions online. Skills were assessed on an infant LP simulator using a 15-item subcomponent checklist and a 4-point global assessment. RESULTS: Eligible interns numbered 493, with 422 (86%) completing surveys and 362 (73%) completing skills assessments. The majority 287/422 (68%) had never performed an infant LP; however, 306 (73%) had observed an infant LP during school. The mean (SD) knowledge score was 63% (±21%). The mean (SD) subcomponent skills checklist score was 73% (±21%). On the global skills assessment, 225 (62%) interns were rated as beginner, and 137 (38%) were rated as competent, proficient, or expert. Independent predictors of an above-beginner simulator performance included infant LP experience on a patient (odds ratio [OR], 2.2; 95% confidence interval [CI], 1.4-3.5), a knowledge score greater than 65% (OR, 2.4; 95% CI, 1.5-3.7), or self-reported confidence (OR, 3.5; 95% CI, 1.9-6.4). CONCLUSIONS: At the start of residency, the majority of pediatric interns have little experience, poor knowledge, and low confidence and are not prepared to perform infant LPs.

KW - anatomic

KW - clinical skills

KW - competency-based education/methods

KW - educational measurement/methods

KW - internship and residency/methods

KW - models

KW - patient simulation

UR - http://www.scopus.com/inward/record.url?scp=84876414191&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84876414191&partnerID=8YFLogxK

U2 - 10.1097/PEC.0b013e31828a2011

DO - 10.1097/PEC.0b013e31828a2011

M3 - Article

C2 - 23528505

AN - SCOPUS:84876414191

VL - 29

SP - 453

EP - 457

JO - Pediatric Emergency Care

JF - Pediatric Emergency Care

SN - 0749-5161

IS - 4

ER -