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A presurvey and postsurvey of a web- and simulation-based course of ultrasound-guided nerve blocks for pediatric emergency medicine.
- Source :
-
Pediatric emergency care [Pediatr Emerg Care] 2012 Jun; Vol. 28 (6), pp. 506-9. - Publication Year :
- 2012
-
Abstract
- Objectives: Fracture pain in the pediatric emergency department generally is treated with systemic analgesia using opioids. Fracture pain can alternatively be controlled with ultrasound (U/S)-guided nerve blocks for which only minimal training is available to pediatric emergency medicine physicians. This study evaluated the effects of a Web- and half-day simulation-based U/S course. Outcome measures were physician comfort level with and intention to use U/S-guided nerve blocks in clinical practice.<br />Methods: We conducted a presurvey and postsurvey study targeting pediatric emergency medicine physicians. Participants completed a Web-based tutorial and a half-day simulation program. Participants completed survey questionnaires to document their comfort level and intention to use U/S-guided nerve blocks. Questionnaires were completed before, immediately after, and 1 month after course.<br />Results: Eleven physicians participated in the study. The participants' comfort with and intention to use U/S-guided ulnar and femoral nerve blocks increased immediately after course, but neither increase was sustained 1 month after course. Immediately following the course, participants reported that the course addressed their learning needs (91%) and that they would consider advanced training (91%). One month after course, participants reported that they would partake in refresher courses (82%), particularly if offered once per year (64%).<br />Conclusions: This study suggests that Web- and simulation-based learning can increase comfort and intention to use U/S-guided nerve blocks and the need for follow-on training. Participants reported that their learning needs were met but that they would need annual refresher courses.
- Subjects :
- Adult
British Columbia
Child
Female
Humans
Internet
Male
Middle Aged
Multimedia
Patient Simulation
Program Evaluation
Computer-Assisted Instruction
Education, Medical, Continuing methods
Emergency Medicine education
Fractures, Bone therapy
Nerve Block
Pain Management
Pediatrics education
Ultrasonography, Interventional
Subjects
Details
- Language :
- English
- ISSN :
- 1535-1815
- Volume :
- 28
- Issue :
- 6
- Database :
- MEDLINE
- Journal :
- Pediatric emergency care
- Publication Type :
- Academic Journal
- Accession number :
- 22653464
- Full Text :
- https://doi.org/10.1097/PEC.0b013e3182586f42