Resident competencies before and after short intensive care unit rotations: a multicentre pilot observational study
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REPORTS OF ORIGINAL INVESTIGATIONS
Resident competencies before and after short intensive care unit rotations: a multicentre pilot observational study Compe´tences des re´sidents avant et apre`s de courts stages a` l’unite´ de soins intensifs : une e´tude pilote observationnelle multicentrique . Alberto Goffi, MD . Christie Lee, MD, MSc, Dominique Piquette, MD, PhD, FRCPC . . FRCPC Ryan Brydges, PhD Catharine M. Walsh, MD, PhD, FRCPC . Briseida Mema, MD, MEd, FRCPC . Chris Parshuram, MBChB, DPhil, FRACP Received: 26 February 2020 / Revised: 19 August 2020 / Accepted: 22 August 2020 Ó Canadian Anesthesiologists’ Society 2020
Abstract Purpose Residency programs need to understand the competencies developed by residents during an intensive care unit (ICU) rotation, so that curricula and assessments maximize residents’ learning. The primary study objective was to evaluate the feasibility for training programs and acceptability by residents of conducting a multicompetency assessment during a four-week ICU rotation. Methods We conducted a prospective, multicentre observational pilot study in three ICUs. During weeks 1 and 4 of an ICU rotation, we conducted repeated
Electronic supplementary material The online version of this article (https://doi.org/10.1007/s12630-020-01850-x) contains supplementary material, which is available to authorized users. DominiquePiquette, MD, PhD, FRCPC (&) Sunnybrook Health Sciences Centre, University of Toronto, 2075 Bayview Avenue, Room D108, Toronto, ON M4N3M5, Canada e-mail: [email protected] A. Goffi, MD St. Michael’s Hospital, University of Toronto, Toronto, ON, Canada C. Lee, MD, MSc, FRCPC Mt. Sinai Hospital, University of Toronto, Toronto, ON, Canada R. Brydges, PhD The Wilson Centre, University of Toronto, Toronto, ON, Canada C. M. Walsh, MD, PhD, FRCPC B. Mema, MD, MEd, FRCPC C. Parshuram, MBChB, DPhil, FRACP The Hospital for Sick Children, University of Toronto, Toronto, ON, Canada
standardized assessments of non-critical care specialty residents’ competencies in cognitive reasoning (script concordance test [SCT]), procedural skills (objective structured assessment of technical skills [OSATS]-global rating scale], and communication skills through a written test, two procedural simulations, and a simulated encounter with a ‘‘family member’’. The feasibility outcomes included program costs, the proportion of enrolled residents able to complete at least one threestation assessment during their four-week ICU rotation, and acceptability of the assessment for the trainees. Results We enrolled 63 (69%) of 91 eligible residents, with 58 (92%) completing at least one assessment. The total cost to conduct 90 assessments was CAD 33,800. The majority of participants agreed that the assessment was fair and that it measured important clinical abilities. For the 32 residents who completed two assessments, the mean (standard deviation) cognitive reasoning and procedural skill scores increased between weeks 1 and 4 [SCT difference, 3.1 (6.5), P = 0.01; OSATS difference for
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