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Coaching the coach: A randomized controlled study of a novel curriculum for procedural coaching during intubation

Coaching the coach: A randomized controlled study of a novel curriculum for procedural coaching... Endotracheal intubation of pediatric patients poses an educational challenge for emergency medicine. It is infrequently performed but critically important, with documented increased morbidity and mortality with each failed attempt.1–4 Emergency medicine physicians may struggle to develop expertise with pediatric endotracheal intubation due to the rarity of clinical opportunities. Moreover, attending physicians must master both procedural and supervising skills, and the necessity of supervising trainees further limits opportunities for clinical practice.5–9Most published studies and guidelines for airway skills training focuses on trainees.10–13 Beyond descriptive studies of procedural performance, we have comparatively few studies describing educational interventions or curricula for attending physicians responsible for airway management in pediatric patients.14 Moreover, compared to airway skills training, we know even less and have even fewer recommendations for airway coaching or supervision. These are critical deficiencies, especially when considering that consistently lower rates of first‐attempt success and higher adverse event rates provide strong evidence of the need to bolster both procedural and coaching skills among emergency medicine physicians caring for children.15–17More recent introduction and adoption of the videolaryngoscope has created both real‐time and temporally remote learning opportunities to potentially address the difficulty of achieving and maintaining expertise in intubating pediatric patients.18–23 The videolaryngoscope allows http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png AEM Education and Training Wiley

Coaching the coach: A randomized controlled study of a novel curriculum for procedural coaching during intubation

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References (41)

Publisher
Wiley
Copyright
Copyright © 2023 Society for Academic Emergency Medicine
eISSN
2472-5390
DOI
10.1002/aet2.10846
Publisher site
See Article on Publisher Site

Abstract

Endotracheal intubation of pediatric patients poses an educational challenge for emergency medicine. It is infrequently performed but critically important, with documented increased morbidity and mortality with each failed attempt.1–4 Emergency medicine physicians may struggle to develop expertise with pediatric endotracheal intubation due to the rarity of clinical opportunities. Moreover, attending physicians must master both procedural and supervising skills, and the necessity of supervising trainees further limits opportunities for clinical practice.5–9Most published studies and guidelines for airway skills training focuses on trainees.10–13 Beyond descriptive studies of procedural performance, we have comparatively few studies describing educational interventions or curricula for attending physicians responsible for airway management in pediatric patients.14 Moreover, compared to airway skills training, we know even less and have even fewer recommendations for airway coaching or supervision. These are critical deficiencies, especially when considering that consistently lower rates of first‐attempt success and higher adverse event rates provide strong evidence of the need to bolster both procedural and coaching skills among emergency medicine physicians caring for children.15–17More recent introduction and adoption of the videolaryngoscope has created both real‐time and temporally remote learning opportunities to potentially address the difficulty of achieving and maintaining expertise in intubating pediatric patients.18–23 The videolaryngoscope allows

Journal

AEM Education and TrainingWiley

Published: Apr 1, 2023

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