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Short-term and Long-term Impact of the Central Line Workshop on Resident Clinical Performance During Simulated Central Line Placement

Laack, Torrey A. MD; Dong, Yue MD; Goyal, Deepi G. MD; Sadosty, Annie T. MD; Suri, Harpreet S. MBBS; Dunn, William F. MD

doi: 10.1097/SIH.0000000000000015
Empirical Investigations

Introduction The Central Line Workshop (CLW) was introduced at our institution to better train residents in safe placement of the central venous catheter (CVC). This study sought to determine if immediate performance improvements from the CLW are sustained 3 months after the training for residents with various levels of experience.

Methods Twenty-six emergency medicine residents completed the CLW, which includes online modules and experiential sessions in anatomy, ultrasound, sterile technique, and procedural task training. Demonstration of the synthesis of these skills including placement of both internal jugular and subclavian CVCs was assessed using a task trainer. Each resident was also tested approximately 3 months before and 3 months after the CLW. Residents were assessed using a validated CVC proficiency scale.

Results Residents’ CVC proficiency scores (percentage of items performed correctly during the assessment station) improved after CLW (0.6 vs. 0.93, P < 0.05). At 3 months after CLW testing, there was apparent skill decay from the CLW but overall improvement compared with baseline testing (0.6 vs. 0.8, P < 0.05). There was no significant difference in procedure time after CLW training. The postgraduate year 1 group showed the greatest improvement of CVC skill after CLW training.

Conclusions Resident CVC placement performance improved immediately after the CLW. Although performance 3 months after the CLW revealed evidence of skill decay, it was improved when compared with initial baseline assessment. Novice learners had the greatest benefit from the CLW.

From the Department of Emergency Medicine (T.A.L., D.G.G., A.T.S.), Mayo Clinic Multidisciplinary Simulation Center (Y.D.), and Division of Pulmonary and Critical Care Medicine (H.S.S., W.F.D.), Department of Internal Medicine, Mayo Clinic, Rochester, MN.

Reprints: Torrey A. Laack, MD, Department of Emergency Medicine Mayo Clinic 200 First St SW, Rochester, MN (e-mail: laack.torrey@mayo.edu).

The authors declare no conflict of interest.

This work was supported by the Mayo Foundation for Medical Education and Research, Y&S Nazarian Family Foundation.

© 2014 by Lippincott Williams & Wilkins, Inc.