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Barry bmv alert 2012

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Barry bmv alert 2012

  1. 1. Improving the Effectiveness ofBag and Mask Ventilation Training in an Academic Center NICU Jim Barry Medical Director, University of Colorado Hospital NICU
  2. 2. Background• BMV is a simple skill that is simply done wrong frequently• Simulation and Learning (and not forgetting) Theory – Retrieval based testing/learning improves short and long term memory- THE WAY WE TEST MATTERS – Partial task trainers and deliberate practice can improve skill attainment in trainees (LP)• Knowledge Gaps – Can the combination of deliberate practice and retrieval testing improve skill acquisition and retention for BMV ?
  3. 3. PICO Question• Population – Primary- 2011- 2012 Pediatric Residents from Univ Co – Secondary- other NICU staff: RNs, RTs, NNPs, MDs• Intervention – Formal training: deliberate practice, knowledge (retrieval vs recognition), spacing• Comparison – Subjects in 3 groups varied by testing: Recognition, Retrieval, Retrieval+Practice• Outcome – Changes in BMV Knowledge and Skill at 1 month and 6-12 months later
  4. 4. Approach• Randomized controlled study 1. Randomize teams monthly into 1 of 3 study groups 2. Knowledge evaluation with pre/post-test (Retrieval or Recognition) beginning/end of month and 6-12 months 3. Pretest, questionnaire to determine BMV experience and career choice 4. Evaluate BMV skill and equipment knowledge with video-recorded session using apneic neonatal partial task trainer 5. BMV scoring tool and mastery learning applied 6. Pre/PostData collected: Knowledge, BMV skill
  5. 5. 3 Questions• What would be the best format/time to evaluate long(er) term retention? 3,6,9 months• Currently at single center, could this be replicated at other sites?• How could this education/intervention be applied to patient outcomes?