Paracentesis Simulation: A Comprehensive Approach to Procedural Education
Introduction Structured procedural education and assessment of competency are growing needs for residency and fellowship programs. Simulation is a useful way to learn, experience, and practice procedural skills with competence. Paracentesis is a common procedure encountered in internal medicine. Thi...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Association of American Medical Colleges
2018-08-01
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| Series: | MedEdPORTAL |
| Subjects: | |
| Online Access: | http://www.mededportal.org/doi/10.15766/mep_2374-8265.10747 |
| _version_ | 1818835243951456256 |
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| author | Dana Sall Gregory W. Wigger Benjamin Kinnear Matthew Kelleher Eric Warm Jennifer K. O'Toole |
| author_facet | Dana Sall Gregory W. Wigger Benjamin Kinnear Matthew Kelleher Eric Warm Jennifer K. O'Toole |
| author_sort | Dana Sall |
| collection | DOAJ |
| description | Introduction Structured procedural education and assessment of competency are growing needs for residency and fellowship programs. Simulation is a useful way to learn, experience, and practice procedural skills with competence. Paracentesis is a common procedure encountered in internal medicine. This educational resource for paracentesis education includes didactics, cases, and assessments to address cognitive skills, a simulation experience to address psychomotor procedural skills, and an entrustment-based assessment tool. Methods Prior to the simulation, learners completed preprocedural didactics and self-assessments. Utilizing a paracentesis trainer, ultrasound, and paracentesis kit, the case of a 46-year-old male with ascites in need of a paracentesis was presented. During the simulation, learners initially performed a paracentesis step by step, with assistance and feedback from the case instructor. This was immediately followed by paracentesis without assistance, where the instructor evaluated the learners with an assessment tool encompassing a procedural checklist, global skill assessment scale, and entrustment scale. Afterwards, learners completed case-based reviews and returned to the simulation lab several months later to repeat an unassisted paracentesis. Results The curriculum was used with internal medicine and medicine-pediatric residents of all training levels. To date, over 120 residents have completed the curriculum. Residents reported an increase in self-confidence and competence using ultrasound to identify ascites and performing a paracentesis. Learners provided positive feedback. Discussion This curriculum offers the opportunity for both cognitive and psychomotor paracentesis education in a low-risk simulation environment. The comprehensive strategy with didactics, cases, and multiple simulations is designed to promote knowledge and skill retention. |
| first_indexed | 2024-12-19T02:47:37Z |
| format | Article |
| id | doaj.art-b192e719b1314118a14bffa2da2461da |
| institution | Directory Open Access Journal |
| issn | 2374-8265 |
| language | English |
| last_indexed | 2024-12-19T02:47:37Z |
| publishDate | 2018-08-01 |
| publisher | Association of American Medical Colleges |
| record_format | Article |
| series | MedEdPORTAL |
| spelling | doaj.art-b192e719b1314118a14bffa2da2461da2022-12-21T20:38:47ZengAssociation of American Medical CollegesMedEdPORTAL2374-82652018-08-011410.15766/mep_2374-8265.10747Paracentesis Simulation: A Comprehensive Approach to Procedural EducationDana Sall0Gregory W. Wigger1Benjamin Kinnear2Matthew Kelleher3Eric Warm4Jennifer K. O'Toole5Assistant Professor, Department of Medicine, University of Cincinnati Medical Center; Associate Program Director, Internal Medicine Residency Program, University of Cincinnati Medical CenterResident Physician, Department of Medicine, University of Cincinnati Medical CenterAssociate Program Director, Internal Medicine-Pediatrics Residency Program, University of Cincinnati College of Medicine; Assistant Professor, Department of Medicine, University of Cincinnati College of Medicine; Assistant Professor, Department of Pediatrics, Cincinnati Children's Hospital Medical CenterAssociate Program Director, Internal Medicine-Pediatrics Residency Program, University of Cincinnati College of Medicine; Assistant Professor, Department of Medicine, University of Cincinnati College of Medicine; Assistant Professor, Department of Pediatrics, Cincinnati Children's Hospital Medical CenterProfessor, Department of Medicine, University of Cincinnati Medical Center; Program Director, Internal Medicine Residency Program, University of Cincinnati Medical CenterProgram Director, Internal Medicine-Pediatrics Residency Program, University of Cincinnati College of Medicine; Associate Professor, Department of Pediatrics, Cincinnati Children's Hospital Medical Center; Associate Professor, Department of Internal Medicine, University of Cincinnati College of MedicineIntroduction Structured procedural education and assessment of competency are growing needs for residency and fellowship programs. Simulation is a useful way to learn, experience, and practice procedural skills with competence. Paracentesis is a common procedure encountered in internal medicine. This educational resource for paracentesis education includes didactics, cases, and assessments to address cognitive skills, a simulation experience to address psychomotor procedural skills, and an entrustment-based assessment tool. Methods Prior to the simulation, learners completed preprocedural didactics and self-assessments. Utilizing a paracentesis trainer, ultrasound, and paracentesis kit, the case of a 46-year-old male with ascites in need of a paracentesis was presented. During the simulation, learners initially performed a paracentesis step by step, with assistance and feedback from the case instructor. This was immediately followed by paracentesis without assistance, where the instructor evaluated the learners with an assessment tool encompassing a procedural checklist, global skill assessment scale, and entrustment scale. Afterwards, learners completed case-based reviews and returned to the simulation lab several months later to repeat an unassisted paracentesis. Results The curriculum was used with internal medicine and medicine-pediatric residents of all training levels. To date, over 120 residents have completed the curriculum. Residents reported an increase in self-confidence and competence using ultrasound to identify ascites and performing a paracentesis. Learners provided positive feedback. Discussion This curriculum offers the opportunity for both cognitive and psychomotor paracentesis education in a low-risk simulation environment. The comprehensive strategy with didactics, cases, and multiple simulations is designed to promote knowledge and skill retention.http://www.mededportal.org/doi/10.15766/mep_2374-8265.10747Editor's ChoiceSimulationParacentesisAscitesProcedural Education |
| spellingShingle | Dana Sall Gregory W. Wigger Benjamin Kinnear Matthew Kelleher Eric Warm Jennifer K. O'Toole Paracentesis Simulation: A Comprehensive Approach to Procedural Education MedEdPORTAL Editor's Choice Simulation Paracentesis Ascites Procedural Education |
| title | Paracentesis Simulation: A Comprehensive Approach to Procedural Education |
| title_full | Paracentesis Simulation: A Comprehensive Approach to Procedural Education |
| title_fullStr | Paracentesis Simulation: A Comprehensive Approach to Procedural Education |
| title_full_unstemmed | Paracentesis Simulation: A Comprehensive Approach to Procedural Education |
| title_short | Paracentesis Simulation: A Comprehensive Approach to Procedural Education |
| title_sort | paracentesis simulation a comprehensive approach to procedural education |
| topic | Editor's Choice Simulation Paracentesis Ascites Procedural Education |
| url | http://www.mededportal.org/doi/10.15766/mep_2374-8265.10747 |
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