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The Effect of Train-the-Trainer
Modules on evaluating Simulated
       Lumbar Punctures



           Todd Chang, MD
      dr.toddchang@gmail.com
Background
• The former POISE Network used Train-the-
  Trainer (TTT) Modules for supervisors for the
  Infant Lumbar Puncture (LP) study

• TTT show how infant LPs should be rated on a
  4-point Global Assessment Scale (GAS)

• It is unknown if the TTT truly affected the
  supervisors’ ability to rate simulated LPs
PICO Question
• Population
  – In senior residents, fellows, and attendings who have
    supervisory exposure to infant LPs,
• Intervention
  – Does the completion of a TTT Module
• Comparison
  – Compared with no such use
• Outcome
  – Improve the Scoring Accuracy when rating 4
    standardized simulated LPs on video?
Approach
• Record 4 simulated LPs used in the Validation
  study reflecting 4 levels of expertise: Novice,
  Beginner, Competent, Proficient
• Randomize scenarios on SurveyMonkey

• Approach POISE Network trainers as the
  Intervention Group and ask to rate LP videos
• Approach EXPRESS Network trainers as the
  Control Group without exposure to the TTT
3 Questions
• Should there be 3 groups: TTT, LP Study
  exposure without TTT, and Control?
• What is the optimal scoring method?
• How do we prevent inoculation when
  testing a TTT v2.0 Module?



               Todd Chang, MD
          dr.toddchang@gmail.com

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Inspire ttt (1) todd chang

  • 1. The Effect of Train-the-Trainer Modules on evaluating Simulated Lumbar Punctures Todd Chang, MD dr.toddchang@gmail.com
  • 2. Background • The former POISE Network used Train-the- Trainer (TTT) Modules for supervisors for the Infant Lumbar Puncture (LP) study • TTT show how infant LPs should be rated on a 4-point Global Assessment Scale (GAS) • It is unknown if the TTT truly affected the supervisors’ ability to rate simulated LPs
  • 3.
  • 4. PICO Question • Population – In senior residents, fellows, and attendings who have supervisory exposure to infant LPs, • Intervention – Does the completion of a TTT Module • Comparison – Compared with no such use • Outcome – Improve the Scoring Accuracy when rating 4 standardized simulated LPs on video?
  • 5. Approach • Record 4 simulated LPs used in the Validation study reflecting 4 levels of expertise: Novice, Beginner, Competent, Proficient • Randomize scenarios on SurveyMonkey • Approach POISE Network trainers as the Intervention Group and ask to rate LP videos • Approach EXPRESS Network trainers as the Control Group without exposure to the TTT
  • 6. 3 Questions • Should there be 3 groups: TTT, LP Study exposure without TTT, and Control? • What is the optimal scoring method? • How do we prevent inoculation when testing a TTT v2.0 Module? Todd Chang, MD dr.toddchang@gmail.com