Improving the competence and confidence of pulmonary and critical care medicine fellows in performing a cricothyrotomy

  • Kapil Rajwani Department of Medicine, Weill Cornell Medical College, New York, NY, USA
  • Elizabeth Mauer Department of Healthcare Policy & Research, Weill Cornell Medical College, New York, NY, USA
  • Timothy C. Clapper Weill Cornell Medicine NewYork-Presbyterian Simulation Program & Center, Weill Cornell Medical College, New York, NY, USA https://orcid.org/0000-0002-1988-6505

Abstract

Clinical opportunities to practice or perform a cricothyrotomy are limited. We developed an evidence-based cricothyrotomy course following the 4-phase lesson plan for simulation that provides pulmonary and critical care medicine fellows with demonstrations, practice, and feedback to increase their confidence and competence.Survey results demonstrated an improvement in perceived confidence (p<0.005) and competence (p<0.002) following this educational intervention.  Fellows also achieved significant improvement in knowledge (p<0.003) and performance in two cricothyrotomy techniques (Seldinger and MacIntyre) (p<0.004).It is important that we provide fellows with practice opportunities that can be used to develop and maintain proficiency, particularly in low frequency events.

Author Biographies

Kapil Rajwani, Department of Medicine, Weill Cornell Medical College, New York, NY, USA
Assistant Professor of Medicine and Director of Simulation for the internal medicine residency program
Elizabeth Mauer, Department of Healthcare Policy & Research, Weill Cornell Medical College, New York, NY, USA
Research Biostatistician, Biostatistics and Epidemiology
Timothy C. Clapper, Weill Cornell Medicine NewYork-Presbyterian Simulation Program & Center, Weill Cornell Medical College, New York, NY, USA

Director of Education, Assistant Professor of Education in Pediatrics

Published
2019-07-21
Section
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