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Teaching Tracheostomy Tube Changes: Comparison of Operant Learning Versus Traditional Demonstration

Authors :
Elliot Schiff
Anthony Ma
Tracy Cheung
Marc‐Mina Tawfik
Ryan S. Ference
Michael S. Weinstock
I. Martin Levy
Christina J. Yang
Source :
OTO Open, Vol 7, Iss 4, Pp n/a-n/a (2023)
Publication Year :
2023
Publisher :
Wiley, 2023.

Abstract

Abstract Objective Tracheostomy tube change is a multistep skill that must be performed rapidly and precisely. Despite the critical importance of this skill, there is wide variation in teaching protocols. Methods An innovative operant conditioning teaching methodology was employed and compared to traditional educational techniques. Medical student volunteers at a tertiary care academic institution (Albert Einstein College of Medicine) were recruited and randomly distributed into 2 groups: operant vs traditional (control). Following the educational session, each group was provided with practice time and then asked to perform 10 tracheostomy tube changes. Performance was recorded and scored by blinded raters using deidentified video recordings. Results The operant learning group (OLG) demonstrated greater accuracy in performing a tracheostomy tube change than the traditional demonstration group. Twelve of 13 operant learners performed the skill accurately each time compared to 3 of 13 in the traditional group (P = 0.002). The median lesson time was longer for the OLG (535 seconds) than for the traditional group, (200 seconds P

Details

Language :
English
ISSN :
2473974X
Volume :
7
Issue :
4
Database :
Directory of Open Access Journals
Journal :
OTO Open
Publication Type :
Academic Journal
Accession number :
edsdoj.36d4b815c6b944168f8bc304c1cb82d7
Document Type :
article
Full Text :
https://doi.org/10.1002/oto2.93